Women with heart attack do present with typical symptoms

Women with heart attack do present with typical symptoms

(HealthDay)—Typical symptoms of myocardial infarction are more common and have greater predictive value in women than in men, according to a study published in the Sept. 3 issue of the Journal of the American Heart Association.

Amy V. Ferry, from the University of Edinburgh in the United Kingdom, and colleagues evaluated patient-reported symptoms in 1,941 patients (39 percent ) presenting to the emergency department with suspected . Typical and atypical presentations were characterized based on pain nature, location, radiation, and additional symptoms, while a diagnosis of myocardial infarction was determined using a high-sensitivity cardiac troponin I assay with sex-specific thresholds.

The researchers found that type 1 myocardial infarction was diagnosed in 16 percent of men (184 of 1,185) and 12 percent of women (90 of 756). Five percent of men and 30 percent of women were reclassified using the high-sensitivity cardiac troponin I assay. Chest pain was the most common presenting symptom (91 percent of men and 92 percent of women). Typical symptom presentation was more common in women with myocardial infarction (77 percent; 69 of 90) than in men (59 percent; 109 of 184). There was an association between the presence of at least three typical features and a positive likelihood ratio (PLR) for the diagnosis of in women (PLR, 1.18; 95 percent confidence interval, 1.03 to 1.31), but not in men (PLR, 1.09; 95 percent confidence interval, 0.96 to 1.24).

"Our concern is that by incorrectly labeling women as having atypical symptoms, we may be encouraging doctors and nurses not to investigate or start treatment for in women," Ferry said in a statement. "Both men and women present with an array of symptoms, but our study shows that so-called typical symptoms in women should always be seen as a red flag for a potential heart attack."

Several authors disclosed financial ties to diagnostic and pharmaceutical companies.


Explore further

Women more likely to have 'typical' heart attack symptoms than men

More information: Abstract/Full Text

Copyright © 2019 HealthDay. All rights reserved.

Citation: Women with heart attack do present with typical symptoms (2019, September 13) retrieved 15 September 2019 from https://medicalxpress.com/news/2019-09-women-heart-typical-symptoms.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
5 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more