International Journal of Nursing Studies
Volume 47, Issue 8 , Pages 965-974 , August 2010

Gender specific variations in the description, intensity and location of Angina Pectoris: A cross-sectional study

  • Tahereh Najafi Ghezeljeh

      Affiliations

    • Nursing and Midwifery Faculty, Iran University of Medical Sciences, Tehran, Iran
    • PhD Candidate at Karolinska Institutet.
    • Corresponding Author InformationCorresponding author at: Karolinska Institutet 23300, SE-141 83 Huddinge, Sweden; Iran University of Medical Science, Nursing and Midwifery Faculty, Yasemi Street, Valiasr avenue, Box 19395-4798, Tehran, Iran. Tel.: +46 76 2383967/+98 935 9838447; fax: +46 8 34 82 65/+98 21 88793805.
    • ,
  • Mahmoud Momtahen

      Affiliations

    • Department of Cardiology, Rajaei Cardiovascular, Medical & Research Center, Tehran, Iran
    • ,
  • Mesfin Kassaye Tessma

      Affiliations

    • Medical Statistics Unit, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Sweden
    • ,
  • Mansoureh Yadavar Nikravesh

      Affiliations

    • Nursing and Midwifery Faculty, Iran University of Medical Sciences, Tehran, Iran
    • ,
  • Inger Ekman

      Affiliations

    • Institute of Health and Care Sciences, the Sahlgrenska Academy at Gothenburg University, Sweden
    • ,
  • Azita Emami

      Affiliations

    • College of Nursing, Seattle University, United States

Received 18 April 2009 ,Revised 11 December 2009 ,Accepted 29 December 2009.

References 

  1. Bagley SC, White H, Golomb BA. Logistic regression in the medical literature: standards for use and reporting, with particular attention to one medical domain. J. Clin. Epidemiol. 2001;54:979–985
  2. Burns N, Grove SK. The Practice of Nursing Research. Philadelphia: Saunders; 2001;
  3. Caldwell MA, Pelter MM, Drew BJ. Chest pain is an unreliable measure of ischemia in men and women during PTCA. Heart Lung. 1996;25:423–429
  4. Chiamvimonvat V, Sternberg L. Coronary artery disease in women. Can. Fam. Physician. 1998;44:2709–2717
  5. D’Antono G, Dupuis R, Fleet A, Burelle D. Sex differences in chest pain and prediction of exercise-induced ischemia. Can. J. Cardiol. 2003;19:515–522
  6. D’Antono B, Dupuis G, Fortin C, Arsenault A, Burelle D. Angina symptoms in men and women with stable coronary artery disease and evidence of exercise-induced myocardial perfusion defects. Am. Heart J. 2006;151:813–819
  7. Dao TT, LeResche L. Gender differences in pain. J. Orofac. Pain. 2000;14:184–195
  8. DeVon HA, Zerwic JJ. Symptoms of acute coronary syndromes: are there gender differences? A review of the literature. Heart Lung. 2002;31:235–245
  9. Doyal L. Sex and gender: the challenge for epidemiologists. Int. J. Health Serv. 2003;33:569–579
  10. Ekman I, Andersson B, Cleland JGF, Swedberg K. Exploring symptoms in chronic heart failure-Editorial. Eur. J. Heart Failure. 2005;7:699–703
  11. Emslie C. Women, men and coronary heart disease: a review of the qualitative literature. J. Adv. Nurs. 2005;51:382–395
  12. Everts B, Karlson BW, Wahrborg P, Hedner T, Herlitz J. Localization of pain in suspected acute myocardial infarction in relation to final diagnosis, age and sex, and site and type of infarction. Heart Lung. 1996;5:430–437
  13. Fang J, Bjorkman D. A critical approach to noncardiac chest pain: pathophysiology, diagnosis, and treatment. Am. J. Gastroenterol. 2001;96:958–968
  14. Garson, G. David, 2009. “Regression”: Topics in Multivariate Analysis. Retrieved 10/25/2009 from http://faculty.chass.ncsu.edu/garson/pa765/statnote.htm.
  15. Gibbons, R.J., Balady, G.J., Timothy Bricker, J., Chaitman, B.R., Fletcher, G.F., Froelicher, V.F., Mark, D.B., McCallister, B.D., Mooss, A.N., O’Reilly, M.G., Winters, W.L., Antman, E.M., Alpert J.S., Faxon, D.P., Fuster, V., Gregoratos, G., Hiratzka, L.F., Jacobs, A.K., Russell, R.O., Smith, S.C., 2002. Committee Members & Task Force Members. ACC/AHA 2002 Guideline Update for Exercise Testing: Summary Article: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Exercise Testing Guidelines) 1883–1892.
  16. Granot M, Goldstein-Ferber S, Azzam ZS. Gender differences in the perception of chest pain. J. Pain Symptom Management. 2004;27(February (2)):149–155
  17. Hosmer DW, Lemeshow S. Applied Logistic Regression. NY: Wiley, New York; 1989;
  18. Jang KL, Stein MB, Taylor S, Livesley WJ. Gender differences in the etiology of anxiety sensitivity: a twin study. J. Gend-Specif. Med. 1999;2:39–44
  19. Johansson I, Swahn E, Stromberg A. Manageability, vulnerability and interaction: a qualitative analysis of acute myocardial infarction patients’ conceptions of the event. Eur. J. Cardiovasc. Nurs. 2007;6(September (3)):184–191
  20. Johnson P, Lee T, Cook E, Rouan G, Goldman L. Effect of race on the presentation and management of patients with acute chest pain. Ann. Intern. Med. 1993;118:593–601
  21. Kamp TE. Survey reveals impact of pain may differ by gender. Pain Central Nervous System Week. 2001;22(2):16–17
  22. Katon WJ. Chest pain, cardiac disease, and panic disorder. J. Clin. Psychiatry. 1990;51(Suppl.):27–30(discussion 50–53)
  23. Keogh E. The effect of anxiety sensitivity and gender on the experience of pain. Cogn. Emot. 1999;13:813–829
  24. Keogh E, Asmundson GJG. Negative affectivity, catastrophizing and anxiety sensitivity. In:  Asmundson GJG,  Vlaeyen J,  Crombez G editor. Understanding and Treating Fear of Pain. Oxford: Oxford University Press; 2004;
  25. Keogh E, Hamid R, Hamid S, Ellery D. Investigating the effect of anxiety sensitivity, gender and negative interpretative bias on the perception of chest pain. Pain. 2004;111(1–2):209–217
  26. Kimble LP, McGuire DB, Dunbar SB, Fazio S, De A, Weintraub WS, et al. Gender differences in pain characteristics of chronic stable angina and perceived physical limitation in patients with coronary artery disease. Pain. 2003;101:45–53
  27. Lang, T.A., 2006. How to report statistics in medicine: annotated guideline for authors, editors, and reviewers/Thomas A Lang, Michelle Secic. 2nd edition; American College of Physicians.
  28. Lockyer L. Women's interpretation of their coronary heart disease symptoms. Eur. J. Cardiovasc. Nurs. 2005;4:29–35
  29. Miller C, Newton SE. Pain perception and expression: the influence of gender. Personal self-efficacy, and lifespan socialization. Pain Manag. Nurs. 2006;7(4.):148–152
  30. Milner KA, Funk M, Richards S, Wilmes RM, Vaccarino V, Krumholz HM. Gender differences in symptom presentation associated with coronary heart disease. Am. J. Cardiol. 1999;84:396–399
  31. Najafi T, Nikravesh MY, Ekman I, Emami A. Adaptation and validation of the Iranian version of Angina Pectoris characteristics questionnaire. Int. J. Nur. Pract. 2008;14:470–476
  32. Najafi T, Tessama MK, Nikravesh MY, Ekman I, Emami A. The Iranian version of Angina Pectoris characteristics questionnaire: reliability assessment. J. Clin. Nurs. 2009;18:694–699
  33. O’Neill ES, Morrow LL. The symptom experience of women with chronic illness. J. Adv. Nurs. 2001;33:257–268
  34. Penque S, Halm M, Smith M, Deutsch J, Van Roekel M, McLaughlin L, et al. Women and coronary disease: relationship between descriptors of signs and symptoms and diagnostic and treatment course. Am. J. Crit. Care. 1998;7:175–182
  35. Philpott S, Boynton PM, Feder G, Hemingway H. Gender differences in descriptions of angina symptoms and health problems immediately prior to angiography: the ACRE study. Soc. Sci. Med. 2001;52:1565–1575
  36. Polit DF, Beck CT, Hungler BP. Essentials of Nursing Research: Methods, Appraisal, and Utilization. 5th ed.. Philadelphia: Lippincott; 2001;
  37. Schmidt NB, Santiago HT, Wernicke R. Evaluating the etiology of anxiety sensitivity: relation to cardiovascular perception and reactivity. J. Psychopathol. Behav. Assess. 2001;23:85–92
  38. Sheps DS, Kaufmann PG, Sheffield D, Light KC, McMahon RP, Bonsall R, et al. Sex differences in chest pain in patients with documented coronary artery disease and exercise-induced ischemia: results from the PIMI study. Am. Heart J. 2001;142:864–871
  39. Teoh M, Lalondrelle S, Roughton M, Grocott-Mason R, Dubrey SW. Acute coronary syndromes and their presentation in Asian and Caucasian patients in Britain. Heart. 2007;93:183–188
  40. Vodopiutz J, Poller S, Schneider B, Lalouschek J, Menz F, Stollberger C. Chest pain in hospitalized patients: cause-specific and gender-specific differences. J. Women Health. 2002;11(8):719–727
  41. White A, Lockyer L. Tackling coronary heart disease. BMJ. 2001;323:1016–1017
  42. World Health Organization. September 2006. Fact sheet No. 311: Obesity and overweight. http://www.who.int/mediacentre/factsheets/fs311/en/index.html.
  43. Zatzick D, Dimsdale J. Cultural variations in response to painful stimuli. Psychosom. Med. 1990;52:544–557

PII: S0020-7489(09)00413-1

doi: 10.1016/j.ijnurstu.2009.12.021

International Journal of Nursing Studies
Volume 47, Issue 8 , Pages 965-974 , August 2010

Article Tools