May 16, 1996New England Journal of Medicine
The Evaluation of Chest Pain in Women
Key result
The evaluation of chest pain in women often reveals differences in clinical care compared to men, particularly before a definitive diagnosis of coronary artery disease is established.
Population
Women with chest pain or heart disease
Design
Editorial
Authors
Discussion
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Member takes
Implication
Highlights the critical need for appropriate evaluation of chest pain in women, noting that women are often treated differently from men when the diagnosis is not established.
Key Points
- Examine sex-based disparities in the clinical evaluation and management of chest pain among patients with suspected coronary artery disease.
- Narrative review evaluating clinical practices and management patterns in patients presenting with unconfirmed chest pain.
- Assessed trial enrollment trends regarding female inclusion across coronary heart disease research.
- Disparities in clinical management between men and women are most severe during preliminary chest pain evaluation before coronary artery disease is diagnosed.
- Treatment differences between sexes decrease substantially once a diagnosis of coronary artery disease is confirmed, though clinical practice remains constrained by trial data gaps.
Structured PICO
P
Population
Women with chest pain or heart disease
Highlights the critical need for appropriate evaluation of chest pain in women, noting that women are often treated differently from men when the diagnosis is not established.
Cite This Study
Douglas et al. (1996) conducted a review in Chest pain and coronary heart disease. The evaluation of chest pain in women often reveals differences in clinical care compared to men, particularly before a definitive diagnosis of coronary artery disease is established.