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Comment & Response
November 11, 2013

Cardiac Symptoms in Women and Men—Reply

Author Affiliations
  • 1Department of Social and Behavioral Sciences, Harvard School of Public Health, Harvard University, Cambridge, Massachusetts
  • 2Interventional Cardiology, Hamilton Health Science, Hamilton General Hospital, Hamilton, Ontario, Canada
  • 3Department of Medicine, and Clinical Epidemiology & Biostatistics, Chanchlani Research Centre, McMaster University, Hamilton, Ontario, Canada
JAMA Intern Med. 2013;173(20):1929-1930. doi:10.1001/jamainternmed.2013.9758

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.”

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