Featured Research

from universities, journals, and other organizations

Findings not supportive of women-specific chest pain symptoms in heart attack diagnosis

Date:
November 25, 2013
Source:
American Medical Association (AMA)
Summary:
Using chest pain characteristics (CPCs) specific to women in the early diagnosis of acute myocardial infarction (AMI, heart attack) in the emergency department does not seem to be supported by the findings of a study recently published.

Using chest pain characteristics (CPCs) specific to women in the early diagnosis of acute myocardial infarction (AMI, heart attack) in the emergency department does not seem to be supported by the findings of a study published by JAMA Internal Medicine, a JAMA Network publication.

While about 90 percent of patients with AMI present with chest pain or discomfort, some patients present without typical chest pain. Sex-specific differences in symptom presentation among women have received increasing attention. But it remains unclear whether identifying sex-specific CPCs is possible to help physicians differentiate women with AMI from women with other causes of chest pain, the authors write in the study background.

Maria Rubini Gimenez, M.D., of University Hospital Basel, Switzerland, and colleagues examined whether sex-specific CPCs would let physicians make that differentiation.

Their study included 2,475 patients (796 women and 1,679 men) who presented with acute chest pain at nine emergency departments from April 2006 through August 2012. AMI was the final diagnoses in 143 women (18 percent) and 369 men (22 percent). Researchers examined 34 CPCs, including location, onset and pain radiation to other parts of the body.

Study findings indicate most CPCs were reported with similar frequency in women and men, although some were reported more frequently in women. Most of the CPCs studied by the researchers also did not differentiate AMI from other causes of acute chest pain. Only three CPCs (related to pain duration and decreasing pain intensity) appeared related to sex-specific diagnostic use, which researchers acknowledge could be the result of chance.

"Our data confirm that CPCs are not powerful enough to be used as a single tool in the diagnosis of AMI and need to be used always in conjunction with the ECG [electrocardiogram] and cTn [cardiac troponin, which are cardiac markers] test results in the diagnosis of AMI," the authors conclude.


Story Source:

The above story is based on materials provided by American Medical Association (AMA). Note: Materials may be edited for content and length.


Journal Reference:

  1. Maria Rubini Gimenez, Miriam Reiter, Raphael Twerenbold, Tobias Reichlin, Karin Wildi, Philip Haaf, Katharina Wicki, Christa Zellweger, Rebeca Hoeller, Berit Moehring, Seoung Mann Sou, Mira Mueller, Kris Denhaerynck, Bernadette Meller, Fabio Stallone, Sarah Henseler, Stefano Bassetti, Nicolas Geigy, Stefan Osswald, Christian Mueller. Sex-Specific Chest Pain Characteristics in the Early Diagnosis of Acute Myocardial Infarction. JAMA Internal Medicine, 2013; DOI: 10.1001/jamainternmed.2013.12199

Cite This Page:

American Medical Association (AMA). "Findings not supportive of women-specific chest pain symptoms in heart attack diagnosis." ScienceDaily. ScienceDaily, 25 November 2013. <www.sciencedaily.com/releases/2013/11/131125164216.htm>.
American Medical Association (AMA). (2013, November 25). Findings not supportive of women-specific chest pain symptoms in heart attack diagnosis. ScienceDaily. Retrieved July 24, 2014 from www.sciencedaily.com/releases/2013/11/131125164216.htm
American Medical Association (AMA). "Findings not supportive of women-specific chest pain symptoms in heart attack diagnosis." ScienceDaily. www.sciencedaily.com/releases/2013/11/131125164216.htm (accessed July 24, 2014).

Share This




More Health & Medicine News

Thursday, July 24, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

New Painkiller Designed To Discourage Abuse: Will It Work?

New Painkiller Designed To Discourage Abuse: Will It Work?

Newsy (July 24, 2014) The FDA approved Targiniq ER on Wednesday, a painkiller designed to keep users from abusing it. Like any new medication, however, it has doubters. Video provided by Newsy
Powered by NewsLook.com
Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Newsy (July 24, 2014) Sheik Umar Khan has treated many of the people infected in the Ebola outbreak, and now he's become one of them. Video provided by Newsy
Powered by NewsLook.com
Condemned Man's US Execution Takes Nearly Two Hours

Condemned Man's US Execution Takes Nearly Two Hours

AFP (July 24, 2014) America's death penalty debate raged Thursday after it took nearly two hours for Arizona to execute a prisoner who lost a Supreme Court battle challenging the experimental lethal drug cocktail. Duration: 00:55 Video provided by AFP
Powered by NewsLook.com
China's Ageing Millions Look Forward to Bleak Future

China's Ageing Millions Look Forward to Bleak Future

AFP (July 24, 2014) China's elderly population is expanding so quickly that children struggle to look after them, pushing them to do something unexpected in Chinese society- move their parents into a nursing home. Duration: 02:07 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

    Health News

      Environment News

        Technology News



          Save/Print:
          Share:

          Free Subscriptions


          Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

          Get Social & Mobile


          Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

          Have Feedback?


          Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
          Mobile: iPhone Android Web
          Follow: Facebook Twitter Google+
          Subscribe: RSS Feeds Email Newsletters
          Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins