CARDEILLAC, Martin; LEFEBVRE, Francois; BAICRY, Florent; LE BORGNE, Pierrick; GIL-JARDINE, Cedric; CIPOLAT, Lauriane; PESCHANSKI, Nicolas; ABENSUR VUILLAUME, Laure

doi:10.3390/jcm11051319

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Article de revue

Ce document a été publié dans

Journal of Clinical Medicine. 2022-02-27, vol. 11, n° 5

Résumé en anglais

(1) Context: The management of acute coronary syndrome (ACS) is based on a rapid diagnosis. The aim of this study was to focus on the ACS symptoms differences according to gender, in order to contribute to the improvement of knowledge regarding the clinical presentation in women. (2) Methods: We searched for relevant literature in two electronic databases, and analyzed the symptom presentation for patients with suspected ACS. Fifteen prospective studies were included, with a total sample size of 10,730. (3) Results: During a suspected ACS, women present more dyspnea, arm pain, nausea and vomiting, fatigue, palpitations and pain at the shoulder than men, with RR (95%CI) of 1.13 [1.10; 1.17], 1.30 [1.05; 1.59], 1,40 [1.26; 1.56], 1.08 [1.01; 1.16], 1.67 [1.49; 1.86], 1.78 [1.02; 3.13], respectively. They are older by (95%CI) 4.15 [2.28; 6.03] years compared to men. The results are consistent in the analysis of the ACS confirmed subgroup. (4) Conclusions: We have shown that there is a gender-based symptomatic difference and a female presentation for ACS. The "typical" or "atypical" semiology of ACS symptoms should no longer be used.< Réduire

Mots clés en anglais

Acute coronary syndrome

Cardiovascular disease

Gender-based difference

Women

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https://oskar-bordeaux.fr/handle/20.500.12278/139916

DOI

http://dx.doi.org/10.3390/jcm11051319

Unités de recherche

Bordeaux Population Health Research Center (BPH) - UMR 1219

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Symptoms of Infarction in Women: Is There a Real Difference Compared to Men? A Systematic Review of the Literature with Meta-Analysis

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