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Comment & Response |

Cardiac Symptoms in Women and Men—Reply

Catherine Kreatsoulas, PhD1; James L. Velianou, MD2; Sonia S. Anand, MD, PhD3
[+] Author Affiliations
1Department of Social and Behavioral Sciences, Harvard School of Public Health, Harvard University, Cambridge, Massachusetts
2Interventional Cardiology, Hamilton Health Science, Hamilton General Hospital, Hamilton, Ontario, Canada
3Department of Medicine, and Clinical Epidemiology & Biostatistics, Chanchlani Research Centre, McMaster University, Hamilton, Ontario, Canada
JAMA Intern Med. 2013;173(20):1929-1930. doi:10.1001/jamainternmed.2013.9758.
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In Reply We read the comments on our Research Letter1 with interest. We consider the use of a continuum to map patient-reported angina symptoms across men and women a major strength of our study. Rather than existing at opposite ends of the continuum, our findings suggest angina symptoms overlap significantly between men and women. We find no reason to extrapolate to delays in symptom recognition or seeking cardiac care. On the contrary, our findings may empower patients to assert the validity of their angina symptoms, independent of their sex and “typicality.”


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November 11, 2013
Holli A. DeVon, PhD, RN; Anne Rosenfeld, PhD, RN; Mohamud Daya, MD, MS
1College of Nursing, University of Illinois at Chicago
2College of Nursing, University of Arizona, Tucson
3Department of Emergency Medicine, Oregon Health and Science University, Portland
JAMA Intern Med. 2013;173(20):1927-1928. doi:10.1001/jamainternmed.2013.9779.
November 11, 2013
Donna R. Zwas, MD; Puja K. Mehta, MD; C. Noel Bairey Merz, MD
1The Linda Joy Pollin Cardiovascular Wellness Institute, The Heart Institute, Hadassah University Hospital, Jerusalem, Israel
2The Barbra Streisand Women’s Heart Center and the Linda Joy Pollin Women’s Heart Health Program, Cedars-Sinai Heart Institute, Los Angeles, California
JAMA Intern Med. 2013;173(20):1928-1929. doi:10.1001/jamainternmed.2013.9785.
November 11, 2013
Mady Moriel, MD; Natalie Gavrielov-Yusim, MS; Shmuel Gottlieb, MD
1Department of Cardiology, Shaare Zedek Medical Center, Jerusalem, Israel
1Department of Cardiology, Shaare Zedek Medical Center, Jerusalem, Israel2Neufeld Cardiac Research Institute, Sheba Medical Center, Tel-Hashomer, Israel
JAMA Intern Med. 2013;173(20):1929. doi:10.1001/jamainternmed.2013.9788.
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