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In Reply We read the comments on our Research Letter1 with interest. We consider the use of a continuum to map patient-reported angina symptoms across men and women a major strength of our study. Rather than existing at opposite ends of the continuum, our findings suggest angina symptoms overlap significantly between men and women. We find no reason to extrapolate to delays in symptom recognition or seeking cardiac care. On the contrary, our findings may empower patients to assert the validity of their angina symptoms, independent of their sex and “typicality.”
Kreatsoulas C, Velianou JL, Anand SS. Cardiac Symptoms in Women and Men—Reply. JAMA Intern Med. 2013;173(20):1929-1930. doi:10.1001/jamainternmed.2013.9758