Key result
Shoulder pain (OR 2.53; 95% CI 1.29-4.96) and arm pain (OR 2.15) were stronger predictors of an ACS diagnosis in women than in men, despite overall similarities in symptom predictors.
Why the study?
Do specific symptoms on the 13-item ACS Symptom Checklist predict a discharge diagnosis of ACS differently in women and men?
Population
736 patients admitted to 4 emergency departments with symptoms suggestive of acute coronary syndromes, mean…
Design
Cross-sectional
Authors
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Similar symptom performance across sexes supports uniform checklists; leaves open whether tailored tools improve ACS diagnosis in EDs.
Observational (n=736)
Yes
Do specific symptoms on the 13-item ACS Symptom Checklist predict a discharge diagnosis of ACS differently in women and men?
Odds Ratio: 2.53 (95% CI 1.29–4.96)
While classic chest symptoms are highly sensitive for ACS in both sexes, shoulder and arm pain are stronger predictors of ACS in women compared to men.
DeVon et al. (2014) conducted an observational in Suspected acute coronary syndromes (n=736). Reported symptoms on the 13-item ACS Checklist (e.g., shoulder and arm pain) vs. Men (for sex differences) was evaluated on Discharge diagnosis of acute coronary syndrome (OR 2.53, 95% CI 1.29 to 4.96). Shoulder pain (OR 2.53; 95% CI 1.29-4.96) and arm pain (OR 2.15) were stronger predictors of an ACS diagnosis in women than in men, despite overall similarities in symptom predictors.
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