Gender bias in the evaluation of chest pain in the emergency department

American Journal of Cardiology

Volumn 77, Issue 8, 1996, Pages 641-644

  Lehmann, Joan B ^a,b   Wehner, Paulette S ^a   Lehmann, Christoph U ^a   Savory, Linda M ^a  

^a MARSHALL UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b NONE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACETYLSALICYLIC ACID; ANALGESIC AGENT; ANTACID AGENT; ANTIBIOTIC AGENT; ANTIDEPRESSANT AGENT; ANTIDIABETIC AGENT; ANTIHYPERTENSIVE AGENT; ANXIOLYTIC AGENT; BETA 2 ADRENERGIC RECEPTOR STIMULATING AGENT; CREATINE KINASE MB; FIBRINOLYTIC AGENT; GLYCERYL TRINITRATE; HEPARIN; HISTAMINE H2 RECEPTOR ANTAGONIST; HORMONE; LACTATE DEHYDROGENASE; NONSTEROID ANTIINFLAMMATORY AGENT; PARACETAMOL; STEROID; VITAMIN;

ACUTE HEART INFARCTION; ADULT; AGED; ARTICLE; CARDIOVASCULAR DISEASE; CORONARY ARTERY DISEASE; CREATINE KINASE BLOOD LEVEL; DIAGNOSTIC TEST; ELECTROCARDIOGRAPHY; EMERGENCY TREATMENT; FEMALE; GASTROINTESTINAL DISEASE; HEART CATHETERIZATION; HUMAN; INHALATIONAL DRUG ADMINISTRATION; INTRAMUSCULAR DRUG ADMINISTRATION; INTRAVENOUS DRUG ADMINISTRATION; LACTATE DEHYDROGENASE BLOOD LEVEL; LUNG DISEASE; MAJOR CLINICAL STUDY; MALE; ORAL DRUG ADMINISTRATION; PRIORITY JOURNAL; RETROSPECTIVE STUDY; RISK FACTOR; SEX DIFFERENCE; SYMPTOMATOLOGY; THORAX PAIN;

EID: 0029930434     PISSN: 00029149     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0002-9149(97)89322-8     Document Type: Article

References (29)

1. Robinson K, Conroy RM, Mulcahy R, Hickey N. Risk factors and in-hospital course of first myocardial infarction or acute coronary insufficiency in women. J Am Coll Cardiol 1988;11:932-936.
2. Cunningham MA, Lee TH, Cook EF, Brand DA, Rouan GW, Weisberg MC, Goldman L. The effect of gender on the probability of myocardial infarction among emergency department patients with acute chest pain: a report form the Multicenter Chest Pain Study Group. J Gen Intern Med 1989;4:392-398.
3. Steering Committee of the Physicians' Health Study Research Group. Final report from the aspirin component of the ongoing Physicians' Health Study. N Engl J Med 1989;321:129-135.
4. Peto R, Gray R, Collins R, Wheatley K, Hennekens C, Jamrozik K, Warlow C, Hafner B, Thompson E, Norton S, et al. Randomised trial of prophylactic daily aspirin in British male doctors. Br Med J (Clin Res Ed) 1988;296:313-316.
5. Ridker PM, Manson JE, Buring JE, Goldhaber SZ, Hennekens CH. The effect of chronic platelet inhibition with low-dose aspirin on atherosclerotic progression and acute thrombosis: clinical evidence from the Physicians' Health Study. Am Heart J 1991;122:1588-1592.
6. Woods SE. Primary prevention of coronary heart disease in women. Should asymptomatic women 50 years of age take aspirin regularly? Arch Fam Med 1994;3:361-364.
7. Farrell B, Godwin J, Richards S, Warlow C. The United Kingdom transient ischaemic attack (UK-TIA) aspirin trial: final results. J Neurol Neurosurg Psychiatry 1991;54:1044-1054.
8. Salk H, Sanford W, Swenson N, Luce JD. The politics of women and medical care. In: The Boston Women's Health Collective. The New Our Bodies, Ourselves. New York: Simon and Schuster, 1992:651-698.
9. Bernstein B, Kane R. Physicians' attitudes toward female patients. Med Care 1981;19:600-608.
10. Shaw LJ, Miller DD, Romeis JC, Kargl D, Younis LT, Chaitman BR. Gender differences in the noninvasive evaluation and management of patients with suspected coronary artery disease. Ann Intern Med 1994;120:559-566.
11. Heston TF, Lewis LM. Gender bias in the evaluation and management of acute nontraumatic chest pain. The St. Louis Emergency Physicians' Association Research Group. Fam Pract Res J 1992;12:383-389.
12. Steingart RM, Packer M, Hamm P, Coglianese ME, Gersh B, Geltman EM, Sollano J, Katz S, Moye L, Basta LL, et al. Sex differences in the management of coronary artery disease. Survival and ventricular enlargement investigators. N Engl J Med 1991;325:226-230.
13. Wenger NK. Coronary heart disease in women: a "new" problem. Hosp Pract (Off Ed) 1992;27:59-62,64,67.
14. Gurwitz JH, Col NF, Avron J. The exclusion of the elderly and women from clinical trials in acute myocardial infarction. JAMA 1992;268:1417-1422.
15. Mohiuddin SM, Hilleman DE. Gender and racial bias in clinical pharmacology trials. Ann Pharmacother 1993;27:972-973.
16. Finn VW. Commentary: women, research, and the National Institutes of Health. Am J Prev Med 1992;8:324-327.
17. Johnson K, Hoffman E. Women's health: designing and implementing an interdisciplinary specialty. Womens Health Issues 1993;3:115-120.
18. Chavkin W. Women and clinical research. J Am Med Wom Assoc 1994;49:99-100.
19. Verbrugge LD. Pathways of health and death. In: Apple RM, ed. Women, health and medicine in America - a historical handbook. London: Garland Publishing, 1990:41-79.
20. American Heart Association, 1992 Heart and Stroke Facts. Dallas, TX: American Heart Association, 1991.
21. Lerner DJ, Kannel WB. Patterns of coronary heart disease morbidity and mortality in the sexes: a 26-year follow-up of the Framingham population. Am Heart J 1986;111:383-390.
22. Helfant RH. Afterward: where we are and where we are going. In: Women Take Heart. New York: Grosset/Putnam, 1993:189-191.
23. Anonymous. Women's health. Report of the Public Health Service Task Force on Women's Health Issues. Public Health Rep 1985;100:73-106.
24. Anonymous. New medicines in development for women. (1993 Survey: Medicines in Testing for Use by Women.) Washington, D.C.: The Pharmaceutical Manufacturers Association, 1993:1-27.
25. Welch CC, Proudfit WL, Sheldon WC. Coronary arteriographic findings in 1,000 women under age 50. Am J Cardiol 1975;35:211-215.
26. Detry JM, Kapita BM, Cosyns J, Sottiaux B, Brasseur LA, Rousseau MF. Diagnostic value of history and maximal exercise electrocardiography in men and women suspected of coronary heart disease. Circulation 1977;56:756-761.
27. Weiner DA, Ryan TJ, McCabe CH, Kennedy JW, Schloss M, Tristani F, Chaitman BR, Fisher LD. Exercise stress testing. Correlations among history of angina, ST-segment response and prevalence of coronary-artery disease in the coronary artery surgery study (CASS). N Engl J Med 1979;301:230-235.
28. Hendel RC. Myocardial infarction in women. Cardiology 1990;77(suppl 2):41-57.
29. Tobin JN, Wassertheil-Smoller S, Wexler JP, Steingart RM, Budner N, Lense L, Wachspress J. Sex bias in considering coronary bypass surgery. Ann Intern Med 1987;107:19-25.