Table 3 Clinical characteristics of chest pain patients for any CHD (acute or chronic) by gender (only patients with CHD as final diagnosis, n = 180)
From: Gender differences in presentation and diagnosis of chest pain in primary care
Clinical characteristics | Women (n = 88)* | Men (n = 92)* | OR (95%-CI) | p | |
|---|---|---|---|---|---|
Presentation and duration of a pain episode | Pain at time of consultation | 61 (82.4%) | 71 (85.5%) | 0.79 (0.34-1.87) | 0.48 |
Continuous pain | 9 (10.2%) | 8 (8.7%) | 1.20 (0.44-3.25) | 0.73 | |
12-24 hrs | 4 (4.5%) | 3 (3.3%) | 1.41 (0.31-6.50) | 0.66 | |
1-12 hrs | 21 (23.9%) | 8 (8.7%) | 3.29 (1.37-7.90) | <0.01 | |
30-60 min | 9 (10.2%) | 21 (22.8%) | 0.39 (0.17-0.90) | 0.02 | |
1-30 min | 32 (36.4%) | 42 (45.7%) | 0.68 (0.37-1.24) | 0.21 | |
< 1 min | 12 (13.6%) | 10 (10.9%) | 1.30 (0.53-3.17) | 0.57 | |
Frequency of pain | More than once a day | 43 (51.8%) | 48 (55.2%) | 0.87 (0.48-1.60) | 0.66 |
Once a day | 17 (20.5%) | 13 (14.9%) | 1.47 (0.66-3.25) | 0.34 | |
Less frequently than once a day | 18 (21.7%) | 21 (24.1%) | 0.87 (0.43-1.78) | 0.70 | |
Time of onset of pain | Early morning | 2 (2.5%) | 4 (4.7%) | 0.53 (0.09-2.95) | 0.46 |
Morning | 4 (5.0%) | 2 (2.3%) | 2.21 (0.39-12.41) | 0.36 | |
Midday | 8 (10.0%) | 3 (3.5%) | 3.07 (0.79-12.02) | 0.09 | |
Evening | 4 (5.0%) | 3 (3.5%) | 1.46 (0.32-6.72) | 0.63 | |
Night | 10 (12.5%) | 6 (7.0%) | 1.91 (0.66-5.51) | 0.23 | |
Pain character | Pressure | 53 (60.9%) | 58 (64.4%) | 0.86 (0.47-1.58) | 0.63 |
Burning | 4 (4.6%) | 13 (14.4%) | 0.29 (0.09-0.91) | 0.03 | |
Stinging | 14 (16.1%) | 21 (23.3%) | 0.63 (0.30-1.34) | 0.23 | |
Dull | 25 (28.7%) | 14 (15.6%) | 2.19 (1.05-4.57) | 0.03 | |
Other symptoms | Nausea/vomiting | 5 (5.7%) | 4 (4.3%) | 1.33 (0.34-5.11) | 0.68 |
Dyspnoea | 27 (30.7%) | 34 (37.0%) | 0.76 (0.41-1.40) | 0.37 | |
Tightness | 48 (54.5%) | 43 (46.7%) | 1.37 (0.76-2.46) | 0.30 | |
Cough | 4 (4.5%) | 3 (3.3%) | 1.41 (0.31-6.50) | 0.66 | |
Respiratory infection | 7 (8.0%) | 1 (1.1%) | 7.86 (0.95-65.29) | 0.03 | |
Pain depending on | Exercise | 34 (38.6%) | 44 (47.8%) | 0.69 (0.38-1.24) | 0.21 |
Inspiration | 5 (5.7%) | 4 (4.3%) | 1.33 (0.34-5.12) | 0.68 | |
Movement | 14 (15.9%) | 16 (17.4%) | 0.90 (0.41-1.97) | 0.79 | |
Food intake | 0 (0%) | 1 (1.1%) | 0.51 (0.44-0.59) | 0.33 | |
Localisation of pain | Retrosternal | 7 (8.0%) | 6 (6.5%) | 1.24 (0.40-3.84) | 0.22 |
Left side of chest | 56 (63.6%) | 63 (68.5%) | 0.81 (0.43-1.50) | 0.49 | |
Right side of chest | 8 (9.1%) | 23 (25.0%) | 0.30 (0.17-0.71) | 0.01 | |
Upper abdomen | 10 (11.4%) | 5 (5.4%) | 2.23 (0.73-6.81) | 0.15 | |
Radiation of pain | Left side of chest | 16 (18.2%) | 14 (15.2%) | 1.24 (0.56-2.72) | 0.59 |
Left arm | 14 (15.9%) | 13 (14.1%) | 1.15 (0.51-2.61) | 0.74 | |
Right side of chest | 6 (6.8%) | 3 (3.3%) | 2.17 (0.53-8.96) | 0.27 | |
Right arm | 6 (6.8%) | 3 (3.3%) | 2.17 (0.53-8.96) | 0.07 | |
Abdomen | 3 (3.4%) | 4 (4.3%) | 0.78 (0.17-3.57) | 0.75 | |
Retrosternal | 7 (8.0%) | 6 (6.5%) | 1.24 (0.40-3.84) | 0.71 | |
Back | 10 (11.4%) | 13 (14.1%) | 0.78 (0.32-1.88) | 0.58 | |
Physical examination | Localised muscle tension | 20 (32.3%) | 7 (9.1%) | 4.76 (1.86-12.21) | 0.001 |
Pain reproducible by palpation | 10 (18.5%) | 4 (6.3%) | 3.35 (0.99-11.39) | 0.05 |