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Women's physical function suffers more than men's from cardiac-related chest pain.
2003 MAR 13 - (NewsRx.com & NewsRx.net) -- Women with chronic chest pain associated with angina pectoris experience more detrimental effects on their quality of life than men, according to a new study.
Angina pectoris occurs when the demand for blood by the heart exceeds the supply of the coronary arteries, causing a heavy or aching pain or discomfort in the center of the chest. The condition is often triggered by physical activity, mental stress, or emotional distress.
Laura Kimble, PhD, associate professor, Nell Hodgson Woodruff School of Nursing, Emory University, along with colleagues from Emory and the University of Pennsylvania School of Nursing, examined the gender differences in the characteristics of chronic stable angina of coronary artery disease (CAD) patients.
According to the study, published in the journal Pain, there were more similarities than differences between men and women in self-reported chest pain characteristics. However, despite the similarities, women reported having poor physical function related to anginal pain.
Patients with a history of coronary artery disease and angina pectoris documented by cardiologists were recruited from four outpatient cardiology clinics for the study. One hundred twenty-eight subjects ranging in age from 35-86 years old completed questionnaires that measured their social status, pain intensity and perceived limitations of performing physical activities. Subjects had to have experienced an episode of chronic stable angina pectoris within the previous week and have at least a fourth grade reading level.
Results from the study suggest that although both men and women report greater physical limitations in the early years following a CAD diagnosis, men show little influence on their perceived physical limitations as their years with the diagnosis increase. Women show a considerable increase of their perceived physical limitations, especially after 10 years of more after being diagnosed with CAD.
The Seattle Angina Questionnaire (SAQ) was used to assess how the patient's angina limited common daily activities based on three levels of physical exertion: low, medium and high.
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