Background: Difference in clinical features of coronary heart disease among men and women have been reported along with various approaches to the diagnostic work-up and therapeutic interventions.
Purpose: To determine the gender difference in symptom presentation among patients with coronary artery disease.
Methods: This is a retrospective cohort study. All medical records of patients in Philippine Heart Center diagnosed to have coronary artery disease were reviewed. There were 216 patients enrolled in this study. One hundred forty-one (141) were males and seventy-five (75) were females.
Results: Chest pain was the most common symptom reported by both men and women. Other presenting symptoms were dyspnea, shortness of breath and diaphoresis, which was noted to be more common in men than in women. Women were also less likely than men to have angiography.
Conclusion: Chest pain is the strongest symptom predictor for acute coronary syndrome. Clinicians should take seriously patients have this typical symptom in order to pursue a complete work-up.