ArticleJournal of the American Heart Association2020
Sex-Based Differences in Unrecognized Myocardial Infarction.
Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Burden of risk factors in women and men with unrecognized myocardial infarction: a systematic review and meta-analysis †.Cardiovascular research · 2024Pooled it
- Wearable Electrocardiogram Technologies for the Early Detection of Acute Coronary Syndromes.JACC. Asia · 2026Review
- Article
- Defining delayed and missed diagnosis of acute and chronic coronary syndromes: a modified Delphi consensus method.Open heart · 2026Article
- Mind the "CRP gender gap"! sex differences in CRP evolution over time in neonatal sepsis: a monocentric retrospective cohort study.Biology of sex differences · 2026Article
- Validation of Decisions for Percutaneous Coronary Intervention Using Smartphone-Based Electrocardiogram Device Spandan: A Cross-Sectional Observational Study.Cardiology research · 2025Article
- Gender-stratified analyses of symptoms associated with life-threatening events in patients calling out-of-hours primary care for shortness of breath.BMC primary care · 2025Article
- CCR2Brain, behavior, and immunity · 2024Article
- Application of the Universal Definition of Myocardial Infarction in Clinical Practice in Scotland and Sweden.JAMA network open · 2024Article
- Sex and ethnic differences in unrecognized myocardial infarctions: Observations on recognition and preventive therapies from the multiethnic population-based HELIUS cohort.International journal of cardiology. Cardiovascular risk and prevention · 2024Article
- Detection of acute coronary occlusion with a novel mobile electrocardiogram device: a pilot study.European heart journal. Digital health · 2024Article
- Women, lipids, and atherosclerotic cardiovascular disease: a call to action from the European Atherosclerosis Society.European heart journal · 2023Article
- Review
- Regulation of autophagy of the heart in ischemia and reperfusion.Apoptosis : an international journal on programmed cell death · 2023Review
- 30-Year High Cardiovascular Risk Incidence and its Determinants: CUME Study.Revista brasileira de enfermagem · 2023Article
- Characteristics of women with ischemic sudden cardiac death.Annals of medicine · 2023Article
- Diastolic dysfunction and sex-specific progression to HFpEF: current gaps in knowledge and future directions.BMC medicine · 2022Review
- Pre-hospital delay in patients with acute myocardial infarction in China: findings from the Improving Care for Cardiovascular Disease in China-Acute Coronary Syndrome (CCC-ACS) project.Journal of geriatric cardiology : JGC · 2022Article
- Sex-related differences in symptom presentation of patients with aneurysmal subarachnoid hemorrhage.F1000Research · 2022Article
- Sex Differences in the Care Experiences of Patients Hospitalized Due to Ischemic Heart Disease in Alberta, Canada.CJC open · 2021Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Myocardial infarction is an important cause of morbidity and mortality in both men and women. Atypical or the absence of symptoms, more prevalent among women, may contribute to unrecognized myocardial infarctions and missed opportunities for preventive therapies. The aim of this research is to investigate sex-based differences of undiagnosed myocardial infarction in the general population. Methods and Results In the Lifelines Cohort Study, all individuals ≥18 years with a normal baseline ECG were followed from baseline visit till first follow-up visit (≈5 years, n=97 203). Individuals with infarct-related changes between baseline and follow-up ECGs were identified. The age- and sex-specific incidence rates were calculated and sex-specific cardiac symptoms and predictors of unrecognized myocardial infarction were determined. Follow-up ECG was available after a median of 3.8 (25th and 75th percentile: 3.0-4.6) years. During follow-up, 198 women experienced myocardial infarction (incidence rate 1.92 per 1000 persons-years) compared with 365 men (incidence rate 3.30;
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.