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Review Article
Current Concepts
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Volume 334:1311-1315 May 16, 1996 Number 20
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The Evaluation of Chest Pain in Women
Pamela S. Douglas, M.D., and Geoffrey S. Ginsburg, M.D., Ph.D.

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The evaluation of chest pain is a critical step in the care of women with heart disease. It is a point at which women are likely to be treated differently from men,1,2,3,4,5,6 especially when the diagnosis has not been established. Among patients known to have coronary artery disease, differences in the care given the two sexes are much less sharp. Physicians may be puzzled about how to incorporate into clinical care new data on different patterns of treatment for men and women.

In the study of coronary heart disease, women have often been excluded from clinical trials or studied in . . . [Full Text of this Article]

Major Determinants of the Presence of Coronary Heart Disease

Chest Pain

Hormonal Status

Diabetes Mellitus

Peripheral Vascular Disease

Intermediate Determinants of the Presence of Coronary Heart Disease

Hypertension

Smoking

Lipoproteins

Minor Determinants of the Presence of Coronary Heart Disease

Age of More Than 65 Years

Obesity

Sedentary Lifestyle

Family History

Other Risk Factors

Estimating the Likelihood of Coronary Heart Disease

Initial Diagnostic Tests

Further Testing

Conclusions


Source Information

From the Harvard–Thorndike Laboratory, Cardiovascular Division, Beth Israel Hospital and Harvard Medical School, Boston.

Address reprint requests to Dr. Douglas at Beth Israel Hospital, 330 Brookline Ave., Boston, MA 02215.

References


Related Letters:

Chest Pain in Women
Auerbach I., Chouraqui P., Motro M., Douglas P. S., Ginsburg G. S.
Extract | Full Text  
N Engl J Med 1996; 335:820-821, Sep 12, 1996. Correspondence

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