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seX & whY

seX & whY Episode 4 Part 2: Sex Differences in Heart Disease

Aug 4, 2017
The podcast discusses the differences between men and women in terms of heart disease symptoms and risk factors. It explores the use of troponin to detect heart damage and the importance of considering sex and gender variables in medical treatments and outcomes. The podcast also explores different methods of cardiac evaluation for patients with chest pain, highlighting their sensitivities and limitations for both men and women.
20:35

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Quick takeaways

  • Women tend to have more atypical symptoms of a heart attack, leading to confusion and misdiagnosis.
  • Certain risk factors for heart disease have a higher attributable risk in women, highlighting the importance of tailored prevention strategies.

Deep dives

Differences in Presentation of Chest Discomfort in Men and Women

Both men and women commonly present with chest discomfort as the first symptom of a heart attack. However, women tend to have more atypical symptoms and describe a cluster of symptoms, including chest pain, nausea, fatigue, shortness of breath, jaw pain, and radiation. This clustering of symptoms often leads to confusion and misdiagnosis, particularly in younger women without many risk factors, who are often misattributed as having anxiety.

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