1996
DOI: 10.1136/hrt.76.2.156
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Women with chest pain: is exercise testing worthwhile?

Abstract: Objective-To determine the diagnostic value of the exercise tolerance test (ETT) in women presenting with chest pain. Design-Prospective study of all women presenting to a centre with chest pain between 1987 and 1993 who were assessed by an ETT and coronary angiography. Setting-The outpatient clinic of one consultant cardiologist in a tertiary referral centre. Patients-Alil women referred to this outpatient clinic with chest pain were screened. For inclusion, patients had to perform ETT and undergo coronary… Show more

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Cited by 36 publications
(25 citation statements)
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“…However, all noninvasive screening tests for ischemia have limitations that relate to, one or more of, diagnostic accuracy, cost, and availability. [1][2][3] In the light of these limitations, recent NICE (National Institute for Health and Care Excellence) guidance recommends that a greater proportion of patients being investigated for stable angina undergo diagnostic angiography as a first-line investigation.…”
mentioning
confidence: 99%
“…However, all noninvasive screening tests for ischemia have limitations that relate to, one or more of, diagnostic accuracy, cost, and availability. [1][2][3] In the light of these limitations, recent NICE (National Institute for Health and Care Excellence) guidance recommends that a greater proportion of patients being investigated for stable angina undergo diagnostic angiography as a first-line investigation.…”
mentioning
confidence: 99%
“…The diagnosis of CAD in women has been recognized to be challenging for a number of reasons. Knowingly, the diagnostic results of exercise electrocardiography may be equivocal in women due to gender-specific limitations including pre-existing resting ST-T-wave changes, lower ECG voltage, and hormonal factors such as endogenous oestrogen and hormone replacement therapy in postmenopausal women [13,14]. In addition, women are diagnosed of having coronary artery disease at an advanced age and, thus, are less capable to perform adequately during exercise testing.…”
Section: Discussionmentioning
confidence: 95%
“…Nicht zuletzt wegen der seit Jahren geführten Diskussion über adäquate Diagnostik und Therapie der koronaren Herzkrankheit bei Frauen [37,38] war eine geschlechtsspezifische Analyse unserer Daten von Interesse. Unter den 49 Patienten mit der Zuweisung "uncharakteristischer" Thoraxschmerz war das Geschlechtsverhältnis mit 17 : 32 bei den Männern fast doppelt so hoch.…”
Section: Diskussionunclassified