Evidence map›Paper›PMID 35386135›Full record

ReviewCJC open2022

The Canadian Women's Heart Health Alliance Atlas on the Epidemiology, Diagnosis, and Management of Cardiovascular Disease in Women - Chapter 5: Sex- and Gender-Unique Manifestations of Cardiovascular Disease.

Christine Pacheco, Kerri-Anne Mullen, Thais Coutinho, Shahin Jaffer, Monica Parry, Harriette G C Van Spall, Marie-Annick Clavel, Jodi D Edwards, Tara Sedlak, Colleen M Norris and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in CJC open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 5 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 5 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Guideline
  2. Management of brain-heart multimorbidity: a clinical practice guideline.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Guideline
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Article
  7. Review
  8. Article
  9. Toward Sex-Specific Biomaterials Innovation: A Perspective.ACS biomaterials science & engineering · 2025
    Review
  10. Review
  11. Societal, occupational, and economic considerations for women with (M)INOCA: a narrative review.International journal of occupational medicine and environmental health · 2025
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
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  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 2 countries.

Christine PachecoHôpital Pierre-Boucher, Centre Hospitalier de l'Université de Montréal (CHUM), Longueuil, Quebec, Canada.
Kerri-Anne MullenUniversity of Ottawa Heart Institute, Division of Cardiac Prevention and Rehabilitation, Canadian Women's Heart Health Centre, Ottawa, Ontario, Canada.
Thais CoutinhoUniversity of Ottawa Heart Institute, Division of Cardiac Prevention and Rehabilitation, Canadian Women's Heart Health Centre, Ottawa, Ontario, Canada.
Shahin JafferDepartment of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Monica ParryLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
Harriette G C Van SpallMcMaster University, Hamilton, Ontario, Canada.
Marie-Annick ClavelInstitut Universitaire de Cardiologie et de Pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada.
Jodi D EdwardsUniversity of Ottawa Heart Institute, Division of Cardiac Prevention and Rehabilitation, Canadian Women's Heart Health Centre, Ottawa, Ontario, Canada.
Tara SedlakDepartment of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Colleen M NorrisFaculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Abida DhukaiLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
Jasmine GrewalDepartment of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Sharon L MulvaghDivision of Cardiology, Dalhousie University, Halifax, Nova Scotia, Canada.
University of British Columbia · CACanadian Heart Research Centre · CAUniversity of Toronto · CACentre Hospitalier de l’Université de Montréal · CAInstitut universitaire de cardiologie et de pneumologie de Québec · CAMayo Clinic · USMcMaster University · CAUniversity of Alberta · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This Atlas chapter summarizes sex- and some gender-associated, and unique aspects and manifestations of cardiovascular disease (CVD) in women. CVD is the primary cause of premature death in women in Canada and numerous sex-specific differences related to symptoms and pathophysiology exist. A review of the literature was done to identify sex-specific differences in symptoms, pathophysiology, and unique manifestations of CVD in women. Although women with ischemic heart disease might present with chest pain, the description of symptoms, delay between symptom onset and seeking medical attention, and prodromal symptoms are often different in women, compared with men. Nonatherosclerotic causes of angina and myocardial infarction, such as spontaneous coronary artery dissection are predominantly identified in women. Obstructive and nonobstructive coronary artery disease, aortic aneurysmal disease, and peripheral artery disease have worse outcomes in women compared with men. Sex differences exist in valvular heart disease and cardiomyopathies. Heart failure with preserved ejection fraction is more often diagnosed in women, who experience better survival after a heart failure diagnosis. Stroke might occur across the lifespan in women, who are at higher risk of stroke-related disability and age-specific mortality. Sex- and gender-unique differences exist in symptoms and pathophysiology of CVD in women. These differences must be considered when evaluating CVD manifestations, because they affect management and prognosis of cardiovascular conditions in women.

Identifiers

PMID35386135
PMCPMC8978072
OpenAlexW3216866422

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.