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In This Issue of JAMA Internal Medicine
November 11, 2013


JAMA Intern Med. 2013;173(20):1853-1855. doi:10.1001/jamainternmed.2013.6333

Little is known about whether sex differences in acute coronary syndrome (ACS) presentation exist in younger patients. Khan and coauthors surveyed 1015 patients (30% women) 55 years or younger with ACS using the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey. They found that while chest pain was the most common symptom for both sexes, women were more likely to present without chest pain compared with men, and women reported more symptoms in general than did men. Patients without chest pain did not differ significantly from those with chest pain in terms of ACS type, troponin level elevation, or coronary stenosis. An Editorial from Akinkuolie and Mora accompanies the study.