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Table 4 Clinical characteristics of all chest pain cases associated with CHD by gender (multivariable model, n = 1210)

From: Gender differences in presentation and diagnosis of chest pain in primary care

Index test

Women (n = 689)

Men (n = 521)

 

adjusted OR

(95%-CI)

p value

adjusted OR

(95%-CI)

p value

Known clinical vascular disease*

5.71 (0.16-1.11)

0.001

19.56 (5.03-76.03)

<0.001

Pain worse with exercise

3.59 (1.24-10.39)

0.019

4.43 (1.32-14.86)

0.016

Age/gender (female ≥ 65, male ≥ 55)

3.77 (1.26-11.32)

0.018

7.78 (2.05-29.57)

0.003

Stinging pain

0.30 (0.09-0.96)

0.042

  

Diabetes mellitus

3.82 (1.40-10.39)

0.009

  

Pain duration between 1-12 hours

3.96 (1.52-10.33)

0.005

  

Patient assumes cardiac origin of pain

  

8.26 (1.77-38.67)

0.007

Pressing pain

  

3.60 (1.16-11.22)

0.027

Pain depending on inspiration

  

0.07 (0.01-0.65)

0.019

Localized muscle tension

  

0.12 (0.03-0.44)

0.001

Pain radiating to the back

  

11.29 (1.93-66.10)

0.007

Pain duration between 30 min.-1 hour

  

5.75 (1.32-25.09)

0.020

Pain duration between 1-30 min.

  

4.27 (1.25-14.66)

0.021

  1. The following variables were selected for multivariable analysis (according to performance markers in univariate analysis: p < 0.1): For men: patient assumes cardiac origin of pain, GP's impression that something is wrong with the patient, cold sweat, chest pain at time of consultation, pressing pain, stinging pain, dyspnoea, tightness, cough, respiratory infection, pain worse with breathing, pain worse with movement, heart failure, hyperlipidemia, diabetes mellitus, hypertension, localised muscle tension, pain reproducible by palpation, epigastric pain, pain radiating to the back, pain radiating to the left side, continuous pain, pain duration between 30 min.-1 hour, pain duration between 1-30 min, pain less than once a day, pain in the evening, known clinical vascular disease, pain depending on exercise, age ≥ 55. For women: patient assumes cardiac origin of pain, GP's impression that something is wrong with the patient, chest pain at time of consultation, pressing pain, stinging pain, dyspnoea, tightness, cough, pain worse with breathing, pain worse with movement, heart failure, hyperlipidemia, diabetes mellitus, hypertension, localised muscle tension, pain reproducible by palpation, continuous pain, pain duration between 1-30 min, pain in the evening, known clinical vascular disease, pain depending on exercise, age ≥ 65, chest pain as reason for consultation, pallor, burning pain, dull pain, pain on ingestion, smoking, lack of activity, pain on right side, pain duration 1-12 hours, retrosternal location, pain at noon time. * criterion positive if CHD or occlusive vascular disease or cerebrovascular disease