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Editor's Note
May 13, 2013

Debunking Atypical Chest Pain in WomenComment on “Reconstructing Angina: Cardiac Symptoms Are the Same in Women and Men”

JAMA Intern Med. 2013;173(9):752. doi:10.1001/jamainternmed.2013.1187

Awareness campaigns for heart disease in women have led to increased recognition for women of the importance of preventing heart disease via healthy lifestyle choices and recognizing the symptoms of heart disease. There also has been focus on the idea that women somehow present differently than men with ischemic coronary artery disease (CAD). Kreatsoulas et al reassure us that women and men are more alike than we think in presentation of CAD, and both are most likely to experience chest pain, pressure, and tightness. It is likely that atypical symptoms represent women who do not have ischemic CAD. These findings should be a great relief to the many women who have been concerned that they could be having a myocardial infarction unbeknownst to them because they would not get the typical warning symptoms of chest pain.