Sex only in the chest
Emergency departments ED in the United States see over eight million cases of chest pain annually. While a cardinal symptom of acute coronary syndrome ACS , multiple emergent and non-emergent causes can attribute to chest pain. This case-based perspective describes the different sex-specific causes of angina seen in ED patients. Once coronary artery disease CAD is ruled out with standard protocols, microvascular dysfunction is perhaps the most prevalent but under-diagnosed cause of non-CAD related angina in ED patients. Additional causes include coronary artery spasm, coronary artery dissection, coronary artery endothelial dysfunction and myocardial bridging.
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John Gray used this provocative title for his book to describe the fundamental psychological differences between the sexes. Many other controlled studies and brain scans demonstrate that men and women are physically and mentally different. The purpose of this physiology masterclass is to illustrate how sex-related differences are present in respiratory function and their possible clinical implications. From the 26th to 36th weeks of gestation, female fetuses show a more mature phospholipid profile that reflects the production of surfactant. After birth, female neonates seem to be characterised by higher ratio of large to small airways. They tend to have higher flow rates and specific airway conductance than males.
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To the Editor Rubini Gimenez et al 1 studied sex-specific chest pain characteristics CPCs with the objective of improving the management of women with suspected acute myocardial infarction AMI. They collected an impressive number of baseline and chest pain characteristics in a large sample of patients with chest pain. Sex-Specific Chest Pain Characteristics.
He described the pain as severe, sharp, left-sided, and abrupt in onset with radiation to his back. He reported that the pain started during sexual intercourse concurrent with an episode of vomiting. He denied any other episodes of nausea or vomiting. He also denied diarrhea, cough, fevers, chills, or recent trauma. Past Medical History: Significant for HIV without any history of opportunistic infections, as well as gout, hypertension, and insulin-dependent diabetes mellitus.