Key result
Coronary causes of chest pain presented more often with retrosternal location (93% vs 71%, p=0.0078) than noncoronary causes, but symptom differences were too unspecific for diagnosis.
Why the study?
Are there cause-specific and gender-specific differences in the reported symptoms and description of chest pain among hospitalized patients?
Population
92 hospitalized patients with chest pain (43 with coronary cause, 49 with noncoronary cause)
Comparison
Assessment of chest pain symptoms and linguistic… vs Coronary vs. noncoronary cause; men vs. women
Design
Cohort
Authors
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Retrosternal pain was associated with coronary causes but remained nonspecific; leaves open whether gender-specific descriptions affect diagnostic equity in women.
Observational (n=92)
Are there cause-specific and gender-specific differences in the reported symptoms and description of chest pain among hospitalized patients?
Absolute Event Rate: 93% vs 71%
p-value: p=0.0078
Gender differences in the description of chest pain may contribute to the underdiagnosis of coronary heart disease in women, despite symptom differences being too unspecific to reliably distinguish coronary from noncoronary causes.
Vodopiutz et al. (2002) conducted an observational in Chest pain (n=92). Coronary cause of chest pain vs. Noncoronary cause of chest pain was evaluated on Retrosternal location of chest pain (p=0.0078). Coronary causes of chest pain presented more often with retrosternal location (93% vs 71%, p=0.0078) than noncoronary causes, but symptom differences were too unspecific for diagnosis.
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