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Table 3 Characteristics and type of pain for female patients in the derivation set with and without a diagnosis of ACS

From: Predicting acute coronary syndrome in males and females with chest pain who call an emergency medical communication centre

 

Total (n = 1087)

ACS (n = 92)

No ACS (n = 995)

p value

Age, mean (SD), y, No. (%)

55.2 (18.1)

69.7 (13.7)

53.9 (17.9)

< 0.001

 < 60

215 (19.8)

9 (9.8)

206 (20.7)

< 0.001

 ≥ 60

445 (40.9)

75 (81.5)

370 (37.2)

 

Coexisting conditions, No. (%)

 Hypertension

382 (35.1)

49 (53.3)

333 (33.5)

< 0.001

 Personal coronary artery disease

179 (16.5)

35 (38.0)

144 (14.5)

< 0.001

 Family coronary artery disease

178 (16.4)

10 (10.9)

168 (16.9)

0.136

 Tobacco use

249 (22.9)

12 (13.0)

237 (23.8)

0.019

 Diabetes

130 (12.0)

17 (18.5)

113 (11.4)

0.044

 Dyslipidaemia

207 (19.0)

28 (30.4)

179 (18.0)

0.004

Medication therapy, No. (%)

 Aspirin

129 (11.9)

24 (26.1)

105 (10.6)

< 0.001

 Clopidogrel

64 (5.9)

16 (17.4)

48 (4.8)

< 0.001

 Thyroid hormone

90 (8.3)

7 (7.6)

83 (8.3)

0.807

 Statin

132 (12.1)

20 (21.7)

112 (11.3)

0.003

Severity of pain, median (IQR)

5 [4–7]

5 [4–7]

5 [4–7]

0.496

Type of pain, No. (%)

 Severe pain (NRS ≥6)

489 (45.0)

42 (45.7)

447 (45.0)

0.900

 Permanent

272 (25.0)

24 (26.1)

248 (24.9)

0.805

 Pain onset:

   

0.620

  Crescendo

207 (19.1)

14 (15.2)

193 (19.4)

 

  Abruptly

483 (44.4)

43 (46.7)

440 (44.2)

 

  Unclassified

397 (36.5)

35 (38.1)

362 (36.4)

 

Circumstance of pain, No. (%)

   

0.210

 At rest

914 (84.1)

75 (81.5)

839 (84.3)

 

 Sport or stress-related

81 (7.5)

5 (5.4)

76 (7.6)

 

 Unclassified

92 (8.5)

12 (13.1)

80 (8.0)

 

Pain typography, No. (%)

 Typical chest paina

616 (56.7)

64 (69.6)

552 (55.5)

0.009

 Retrosternal

461 (42.4)

52 (56.5)

409 (41.1)

0.004

 Post-myocardial infarction angina

41/179 (22.9)

9/35 (25.7)

32/144 (22.2)

0.659

 Peak type

216 (19.9)

6 (6.5)

210 (21.1)

0.001

 Burning

132 (12.1)

14 (15.2)

118 (11.9)

0.345

 Pinching

53 (4.9)

1 (1.1)

52 (5.2)

0.122

 Increasing at position change

229 (21.1)

5 (5.4)

224 (22.5)

< 0.001

 Breathing non-related

769 (70.7)

83 (90.2)

686 (68.9)

< 0.001

 Radiating

475 (43.7)

52 (56.5)

423 (42.5)

0.010

 Additional symptoms

737 (67.9)

70 (76.1)

667 (67.1)

0.077

  1. ACS Acute coronary syndrome, NRS Numeric rating scale, IQR Interquartile range
  2. aTypical chest pain is characterized by a retrosternal sensation of pressure or heaviness (“angina”), which may be intermittent (usually lasting several minutes) or persistent