Evidence map›Paper›PMID 40376233›Full record

ArticlePRiMER (Leawood, Kan.)2025

Investigating Critical Disparities in USMLE Step 1 Resources: Myocardial Infarction Symptoms in Women.

Mahfujul Z Haque, Avery H Mendelson, Nishtha Sareen

Abstract read
In one paragraph

Article in PRiMER (Leawood, Kan.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

3 authors.

Mahfujul Z HaqueCollege of Human Medicine, Michigan State University, Southfield, MI.
Avery H MendelsonDepartment of Internal Medicine, Ascension Providence, Southfield, MI.
Nishtha SareenAscension St. Mary's Riverfront Cardiology, Saginaw, MI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Coronary heart disease (CHD) is the leading cause of death in the United States. Myocardial infarction (MI) is a major complication of CHD and often fatal. Women with MI are at risk for underdiagnosis due to unique symptoms such as fatigue, nausea, and shortness of breath. Younger women under 55 have a higher risk of death from MI compared to men. Early recognition of these symptoms is essential but may not be adequately taught in medical education. Methods: We conducted a cross-sectional analysis on November 13, 2023. The study examined the most recommended Step 1 resources listed in Results: None of the evaluated resources, including Conclusions: The findings reveal a gap in medical education. USMLE Step 1 resources do not address the unique presentation of MI in women. This oversight may affect students' ability to recognize MI symptoms in clinical practice. Medical curricula and licensing exams should include this topic to better prepare students. Improving education on biologic sex-specific symptoms can lead to better care and outcomes for women with CHD.

Identifiers

PMID40376233
PMCPMC12081015

What OpenQuestion holds

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Registered trials

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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.