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dc.contributor.authorGoldberg, Robert J.
dc.contributor.authorO'Donnell, Caitlin
dc.contributor.authorYarzebski, Jorge L.
dc.contributor.authorBigelow, Carol
dc.contributor.authorSavageau, Judith A.
dc.contributor.authorGore, Joel M.
dc.date2022-08-11T08:08:36.000
dc.date.accessioned2022-08-23T16:00:53Z
dc.date.available2022-08-23T16:00:53Z
dc.date.issued1998-08-01
dc.date.submitted2008-06-13
dc.identifier.citationAm Heart J. 1998 Aug;136(2):189-95. <a href="http://dx.doi.org/10.1053/hj.1998.v136.88874">Link to article on publisher's site</a>
dc.identifier.issn0002-8703 (Print)
dc.identifier.doi10.1053/hj.1998.v136.88874
dc.identifier.pmid9704678
dc.identifier.urihttp://hdl.handle.net/20.500.14038/30988
dc.description.abstractOBJECTIVES: To describe sex differences in symptom presentation after acute myocardial infarction (AMI) while controlling for differences in age and other potentially confounding factors. BACKGROUND: Although several studies have examined sex differences in diagnosis, management, and survival after AMI, limited data exist about possible sex differences in symptom presentation in the setting of AMI. METHODS: Community-based study of patients hospitalized with confirmed AMI in all 16 metropolitan Worcester, Mass., hospitals (1990 census population = 437,000). Men (n = 810) and women (n = 550) hospitalized with validated AMI in 1986 and 1988 comprised the study sample. RESULTS: After simultaneously controlling for age, medical history, and AMI characteristics through regression modeling, men were significantly less likely to complain of neck pain (adjusted odds ratio (OR) = 0.52; 95% CI: 0.35, 0.78), back pain (OR = 0.38; 95% CI: 0.26, 0.56), jaw pain (OR = 0.50; 95% CI: 0.31, 0.81), and nausea (O.R. = 0.58; 95% CI: 0.45, 0.75) than women. Conversely, men were significantly more likely to report diaphoresis (OR = 1.27; 95% CI: 1.00, 1.61) than women. There were no statistically significant sex differences in complaints of chest pain though men were more likely to complain of this symptom. CONCLUSIONS: The results of this population-based observational study suggest differences in symptom presentation in men and women hospitalized with AMI. These findings have implications for public and health care provider education concerning recognition of sex differences in AMI-related symptoms and health care seeking behaviors.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9704678&dopt=Abstract ">Link to article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1053/hj.1998.v136.88874
dc.subjectAged
dc.subjectCause of Death
dc.subjectDiagnosis, Differential
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMassachusetts
dc.subjectMiddle Aged
dc.subjectMyocardial Infarction
dc.subjectOdds Ratio
dc.subjectPain
dc.subjectPatient Acceptance of Health Care
dc.subjectPatient Admission
dc.subjectSex Factors
dc.subjectCardiovascular Diseases
dc.subjectCommunity Health
dc.subjectPreventive Medicine
dc.titleSex differences in symptom presentation associated with acute myocardial infarction: a population-based perspective
dc.typeArticle
dc.source.journaltitleAmerican heart journal
dc.source.volume136
dc.source.issue2
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/fmch_articles/42
dc.identifier.contextkey525891
html.description.abstract<p>OBJECTIVES: To describe sex differences in symptom presentation after acute myocardial infarction (AMI) while controlling for differences in age and other potentially confounding factors.</p> <p>BACKGROUND: Although several studies have examined sex differences in diagnosis, management, and survival after AMI, limited data exist about possible sex differences in symptom presentation in the setting of AMI.</p> <p>METHODS: Community-based study of patients hospitalized with confirmed AMI in all 16 metropolitan Worcester, Mass., hospitals (1990 census population = 437,000). Men (n = 810) and women (n = 550) hospitalized with validated AMI in 1986 and 1988 comprised the study sample. RESULTS: After simultaneously controlling for age, medical history, and AMI characteristics through regression modeling, men were significantly less likely to complain of neck pain (adjusted odds ratio (OR) = 0.52; 95% CI: 0.35, 0.78), back pain (OR = 0.38; 95% CI: 0.26, 0.56), jaw pain (OR = 0.50; 95% CI: 0.31, 0.81), and nausea (O.R. = 0.58; 95% CI: 0.45, 0.75) than women. Conversely, men were significantly more likely to report diaphoresis (OR = 1.27; 95% CI: 1.00, 1.61) than women. There were no statistically significant sex differences in complaints of chest pain though men were more likely to complain of this symptom.</p> <p>CONCLUSIONS: The results of this population-based observational study suggest differences in symptom presentation in men and women hospitalized with AMI. These findings have implications for public and health care provider education concerning recognition of sex differences in AMI-related symptoms and health care seeking behaviors.</p>
dc.identifier.submissionpathfmch_articles/42
dc.contributor.departmentDepartment of Medicine, Division of Cardiovascular Medicine
dc.contributor.departmentDepartment of Family Medicine and Community Health
dc.source.pages189-95


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