Name:
Abandoning Angina Gender Preconceptions
Description:
Abandoning Angina Gender Preconceptions
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/f48cea05-bd81-4c95-807b-63a5d01361e0/thumbnails/f48cea05-bd81-4c95-807b-63a5d01361e0.jpeg?sv=2019-02-02&sr=c&sig=tsjRypxl7tftLznlA5dI%2F9aXmzHbD6bheGUdeXGjiLA%3D&st=2024-12-30T16%3A14%3A02Z&se=2024-12-30T20%3A19%3A02Z&sp=r
Duration:
T00H03M24S
Embed URL:
https://stream.cadmore.media/player/f48cea05-bd81-4c95-807b-63a5d01361e0
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/f48cea05-bd81-4c95-807b-63a5d01361e0/18777429.mp3?sv=2019-02-02&sr=c&sig=QILFBjebYb8Rn9StgD2nMkHV4EaM5r8HjajljuB6aM0%3D&st=2024-12-30T16%3A14%3A03Z&se=2024-12-30T18%3A19%3A03Z&sp=r
Upload Date:
2022-02-28T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
>> Practice Impact Extra podcasts are derived from Hurst, the Heart Board Review, and other online resources available only through accesscardiology.com. >> In the past, certainly when I was training, it was very usual for us to refer to angina as either being typical or atypical based on the symptom presentation. I'm not so sure that that has any validity any longer. [ Music ] Hi! Dr. Bernie here, and welcome to Practice Impact Extra.
Is it time to say goodbye to typical and atypical angina terminology? What's the fact? What disease is the number one killer of Americans dying of natural causes? There's been a prevailing wisdom that holds that women tend to experience heart attack symptoms differently than men. Men experience crushing chest pain, long recognized as typical angina, while women were more likely to have other or additional symptoms such as fatigue, nausea, sweating, pain in the back, and that was labeled as atypical angina.
According to researchers, the HERMES Trial was presented at the European Society of Cardiology meetings in 2019, these terms should be abandoned, and they don't correlate with disease and may perpetuate stereotypes based on sex. Research is assessed; 637 patients, of whom 40% were women, who were referred for a first coronary arteriogram. They captured the natural conversation exchanged between the patient and the physician while a separate interview was audio recorded and then transcribed.
Machine learning and statistical models analyzed symptoms based on sex and the amount of obstructive disease documented. So what did they find? They found that chest pain was the leading complaint in close to 90% of both men and women. In spite of the differences between men and women in terms of chest pain, they described it more similar than different. The second leading symptom in both men and women was trouble breathing and shortness of breath. Trouble breathing was the second leading complaint.
And atypical symptoms like dizziness, nausea, were much less common in both men and women. While the most prevalent symptom was chest pain, on the average, women reported also nine other symptom clusters, and men an additional seven symptom clusters, which basically were not any different between men and women. So here, what's the take home message? It remains so valuable to obtain a detailed history in both men and women. This study highlights some differences on how women describe their symptoms and how physicians interpret them.
Although chest pain was prevalent symptom is really important to assess and not ignore the constellation of all symptoms in conjunction with one another and not in an isolation in assessing any patient's history. Thanks for joining me. And see you next time on Practice Impact Extra. >> We hope you enjoyed this podcast from McGraw-Hill. Subscribers to Access Cardiology have instant access to over 25,000 pages of rich medical content, receive medical updates from trusted experts, and have access to other special features.
To subscribe or learn more, please visit accesscardiology.com.
