DeVon and colleagues and Noureddine and colleagues describe and add validation for gender differences in symptoms for acute coronary syndromes (ACS). The American Heart Association (AHA) notes that clinicians and patients often attribute chest pain in women to noncardiac causes, leading to misinterpretation of their condition.
But both women and men may present with “classic” chest pain, whereas women may have a greater tendency for atypical chest pain, complain about abdominal pain, and experience difficulty breathing (dyspnea), nausea, and unexplained fatigue. Other gender differences related to ACS have been reported by AHA and others:
Women delay seeking medical care and have heart attacks later in life than men do.
An exercise stress test, or stress ECG, may be less accurate for women.
Women may experience different symptoms during ACS.
Women may present with more back pain, dyspnea, indigestion, nausea/vomiting,...