INDIGO Home University of Illinois at Urbana-Champaign logo uic building uic pavilion uic student center

Women and non-cardiac chest pain: gender differences in symptom presentation.

Show simple item record

Bookmark or cite this item: http://hdl.handle.net/10027/6204

Files in this item

File Description Format
PDF EBT logistics.pdf (105KB) (no description provided) PDF
Title: Women and non-cardiac chest pain: gender differences in symptom presentation.
Author(s): Carmin, Cheryl N.; Ownby, Raymond L.; Wiegartz, Pamela S.; Kondos, George T.
Subject(s): coronary artery calcium (CAC) sex differences chest pain
Abstract: A substantial number of individuals evaluated for complaints of chest pain do not suffer from coronary heart disease (CHD). Studies show that many patients who complain of symptoms that might be caused by CHD, such as shortness of breath or chest pain, may actually have an anxiety disorder. Gender differences in how patients present with these symptoms have not been adequately explored. The purpose of this study was to explore possible gender differences in the presentation of patients with CHD-like symptoms. Two groups were examined, one comprising 6,381 individuals self-referred for electron beam tomography (EBT) studies and a subset of these individuals who defined a "low-risk" group based on the absence of risk factors for CHD and low coronary artery calcium (CAC) scores. We explored gender differences in symptom presentation in each group after controlling for relevant variables by using logistic regression models. These analyses showed that women were significantly more likely than men to endorse CHD symptoms that might also be caused by an anxiety disorder. Women in the low risk group reported CHD symptoms also referable to anxiety more often than men, but unlike men did not complain primarily of chest pain. Women were also more likely to have been prescribed antianxiety or antidepressant medication. In previous studies, non-cardiac chest pain has been considered a hallmark of anxiety in individuals seen in medical settings. This study suggests that in individuals with low risk for CHD chest pain was not related to gender, but other anxiety-related symptoms including heart flutter, lightheadedness, nausea, and shortness of breath were more likely to be reported in women than in men.
Issue Date: 2008-07
Publisher: Springer Wien
Citation Info: Carmin, C. N., R. L. Ownby, P. S. Wiegartz, and G. T. Kondos, 2008, Women and non-cardiac chest pain: gender differences in symptom presentation: Arch.Womens Ment.Health. The original publication is available at http://www.springerlink.com/content/47t7w34451257436/
Type: Article
Description: Postprint version of article may differ from published version.
URI: http://hdl.handle.net/10027/6204
ISSN: 1435-1102
Sponsor: Supported by grant #K23MH064600-02 from the National Institute of Mental Health.
Date Available in INDIGO: 2009-08-08
 

This item appears in the following Collection(s)

Show simple item record

Statistics

Country Code Views
United States of America 115
China 18
United Kingdom 14
Germany 5
Russian Federation 4

Browse

My Account

Information

Access Key