Washington [US], March 12 (ANI): Chest pain is misdiagnosed in women more frequently than in men, according to new research. The study also found that women with chest pain were more likely than men to wait over 12 hours before seeking medical help.
The research was presented today at ESC Acute Cardiovascular Care 2021, an online scientific congress of the European Society of Cardiology (ESC).
“Our findings suggest a gender gap in the first evaluation of chest pain, with the likelihood of heart attack being underestimated in women,” said study author Dr Gemma Martinez-Nadal of the Hospital Clinic of Barcelona, Spain. “The low suspicion of heart attack occurs in both women themselves and in physicians, leading to higher risks of late diagnosis and misdiagnosis.”
This study examined gender differences in the presentation, diagnosis, and management of patients admitted with chest pain to the chest pain unit of an emergency department between 2008 and 2019. Information was collected on risk factors for a heart attack including high blood pressure and obesity. The researchers recorded the physician’s initial diagnosis after the first evaluation of each patient, which is based on clinical history, physical examination, and an electrocardiogram (ECG) and occurs before other examinations like blood tests.
“We had the first impression of the doctor as to whether the chest pain had a coronary cause or another origin such as anxiety or a musculoskeletal complaint,” explained Dr Martinez-Nadal.
A total of 41,828 patients with chest pain were included, of which 42 per cent were women. The median age was 65 years in women and 59 years in men. Women were significantly more likely to present late to the hospital (defined as waiting 12 hours or longer after symptom onset): this occurred in 41% of women compared to 37 per cent of men.
“This is worrying since chest pain is the main symptom of reduced blood flow to the heart (ischaemia) because an artery has narrowed,” said Dr Martinez-Nadal. “It can lead to a myocardial infarction which needs rapid treatment.”
In the physician’s initial diagnosis, the acute coronary syndrome was more likely to be considered the cause of chest pain in men compared to women. Specifically, in 93 per cent of patients, the ECG did not provide a definitive diagnosis. In those patients, the doctor noted a probable acute coronary syndrome (ACS) in 42 per cent of cases – when analysed according to gender, probable ACS was noted in 39 per cent of women and 44.5 per cent of men (p<0.001). The significantly lower suspicion of ACS in females was maintained regardless of the number of risk factors or the presence of typical chest pain.
Dr Martinez-Nadal said: “In the doctor’s first impression, women were more likely than men to be suspected of a non-ischaemic problem. Risk factors like hypertension and smoking should instil a higher suspicion of possible ischaemia in patients with chest pain. But we observed that women with risk factors were still less likely than men to be classified as ‘probable ischaemia’.”
In women, 5 per cent of ACS were initially misdiagnosed, whereas, in men, 3 per cent of ACS were initially misdiagnosed (p<0.001). After multivariate analysis, the female gender was an independent risk factor for an initial impression of non-ACS.
Dr. Martinez-Nadal said: “Heart attack has traditionally been considered a male disease, and has been understudied, underdiagnosed, and undertreated in women, who may attribute symptoms to stress or anxiety. Both women and men with chest pain should seek medical help urgently.” (ANI)
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SIDDHANT BRINGS A LUXURIOUS HARLEY DAVIDSON HOME
MUMBAI: Actor Siddhant Chaturvedi recently brought home a luxurious Harley Davidson Sportster S, making him the first person in India to have the bike.
The ‘Gehraiyaan’ actor took to his social media to share the news of the same with his fans and followers. The actor, who rose to fame with MC Sher from Gully Boy, has certainly come a long way in the matter of just 3 years, which is a rather remarkable feat.
On the work front, Siddhant is currently gearing up for Shakun Batra’s next ‘Gehraiyaan’. He also has ‘Phone Booth’, ‘Yudhra’ and ‘Kho Gaye Hum Kahan’ in the pipeline.
SONAL CHAUHAN TO PLAY LEAD IN AKKINENI NAGARJUNA’S THE GHOST
MUMBAI: Akkineni Nagarjuna’s ‘The Ghost’ is a much-anticipated film ever since its announcement. Earlier it was said that the Bollywood star, Jacqueline Fernandez was cast for the film however, the word on the block is that the talented Sonal Chauhan will be playing the lead opposite Nagarjuna instead of Jacqueline.
That’s right, Sonal Chauhan fans are in for a treat as they get to see their favourite actress on the silver screen. A source close to the film said “Makers felt Sonal Chauhan was the best fit for the lead role opposite Nagarjuna in ‘The Ghost’. They felt both the actors Sonal and Nagarjuna would make for a fine on-screen pair and that’s when they approached her. The two are definitely going to portray some great chemistry in the film.”
SALMAN TO FEATURE IN GURU RANDHAWA’S NEW SONG
MUMBAI: Superstar Salman Khan will be seen flaunting his acting skills in singer Guru Randhawa’s new song ‘Main Chala’.
Female vocals of the track have been lent by Lulia Vantur, and the female artist who will be featuring alongside Salman is Pragya Jaiswal. On Tuesday, Guru Randhawa took to Instagram and shared the update with his fans.
“Love will be in air with #MainChala! Song releasing on 22nd January. Stay Tuned,” he wrote.
He tagged Salman Khan and Pragya in the comments. Produced by Salma Khan, the romantic track will be out on January 22.
ARJUN MATHUR TO ADARSH GOURAV: HERE’S LOOKING AT THE TOP THREE OTT NEWSMAKERS
MUMBAI: The past few years have been a revelation for Indian cinema with the influx of OTT content. From handling an out-of-box idea to bringing forth a crucial issue in the limelight – our actors are going all out with their digital ventures!
While we saw some of the finest performances on the streaming platforms last year, there are a few names that define the space with their path-breaking performances, unconventional takes, and impeccable cinema sense. So, here’s rounding up the top four OTT newsmakers.
ARJUN MATHUR: You cannot have a list of the ground-breaking stars without Arjun Mathur. The international Emmy Award-nominated actor has pushed the boundaries with his non-conformist choices, like playing a gay wedding planner in Made In Heaven or shooting a show in a lockdown with The Gone Game. Now, he has Made In Heaven S2, Gone Game 2, Lord Curzon Ki Haveli, and Lionsgate Play’s next series.
PRATIK GANDHI: Pratik Gandhi became a household name with his blockbuster series, Scam 1992. The actor earned massive acclaim for his apt and flamboyant performance of Harshad Mehta. Later, he stunned the audience with his brave selections – Bhavai and Shimmy. Coming up next for the actor are Atithi Bhooto Bhava, Woh Ladki Hai Kahaan?, and Six Suspects.
ADARSH GOURAV: With his solid performance in The White Tiger, Adarsh Gourav has made it into everyone’s watchlist. The new-age actor bagged the BAFTA nomination for his performance and is all set to step into Hollywood with his next venture, Extrapolations, starring Meryl Streep.
PANDIT BIRJU MAHARAJ WAS MY GURU BUT ALSO MY FRIEND: MADHURI
NEW DELHI: Behind every successful person, there are unfailing efforts of teachers. Kathak legend Pandit Birju Maharaj played the role of that guru in actor Madhuri Dixit Nene’s life.
After learning about the demise of Pandit Birju Maharaj, Madhuri, on Monday, took to Twitter and opened up about her relationship with him. “He was a legend but had a child like innocence. He was my guru but also my friend. He taught me the intricacies of dance and Abhinay but never failed to make me laugh at his funny anecdotes,” she wrote.
“He has left behind grieving fans and students but also left a legacy we will all carry forward. Thank you Maharajji for everything you taught me in dance along with humility, elegance and grace. Koti koti pranam,” she added.
Alongside the note, Madhuri posted a throwback picture of her doing mukhdas with Pandit Birju Maharaj. For the unversed, Pandit Birju Maharaj, who breathed his last on Monday, had worked with Madhuri in films like ‘Dil Toh Pagal Hai’, ‘Devdas’ and ‘Dedh Ishqiya’.
Bollywood in awe of Pushpa & Allu Arjun
Mumbai: Pushpa star Allu Arjun, the talk of the town, has absolutely impressed
his fans,audiences, actors in the South and also many bigwigs in Bollywood. The
stylish star with his emphatic performance has won the hearts of many in the Hindi
speaking regions. Now, Bollywood is all praise for Pushpa Raj aka Allu Arjun and
the movie, reiterate what the stylish star has said in the film, ‘Pushpa is not flower,
it is fire’. Completely entranced by Allu Arjun’s splendid work in “Pushpa”,
and also as the Hindi version in the North belt alone grossed Rs 100 crore
in box office collections in 25 days of its run, actors and big producers
in Bollywood have taken notice, and are now speaking about the
stylish star’s ability to charm viewers.
At a time when Allu Arjun has amassed a big fan following in
Hindi-speaking regions, there are reports of Bollywood producers lining up to cast him in their next Hindi films. Also, many
Hindi actors are showing interest to act in his upcoming pan-India movies. It is also reportedly said that producers are looking
to get Hindi dubbing or remake rights of the icon star’s upcoming films as they feel he will dominate the cinema space now.
The passion Allu Arjun put into his Pushpa Raj character is
so evident that people are just captivated by him.
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