Stunning differences found between men and women in heart disease diagnosis, treatment and symptoms

University of Massachusetts LowellAug 29 2023

More than a dozen medical studies from around the globe show women suffer worse outcomes when diagnosed with and treated for cardiac issues – the No. 1 killer in the world according to the Centers for Disease Control.

The discrepancy, as summarized by UMass Lowell biomedical and nutritional sciences Associate Professor Mahdi O. Garelnabi of the Zuckerberg College of Health Sciences and colleagues from the University of Maryland School of Medicine, Lebanese American University, Wake Forest School of Medicine, and Beth Israel Deaconess Medical Center, is the result of women presenting with additional non-traditional chest pain symptoms including vomiting, jaw pain and abdominal pain. If and when these symptoms are missed by doctors, or by the patients themselves, diagnosis and treatments are delayed.

We found stunning differences between men and women in the diagnosing of cardiovascular disease, treatment and symptoms. Women tend to go to the hospital later than men after the onset of symptoms and physicians are not admitting women to the hospital at the same rates as men."

Professor Mahdi O. Garelnabi, Zuckerberg College of Health Sciences

The analysis also points out that heart attack rates among younger women are climbing. Heart attacks among women aged 35 to 54 increased from 21% to 31% between 1995 and 2014. During the same period, the rate for men rose only slightly, from 30% to 33%.

"It's alarming that heart attack rates are increasing in younger women," said Garelnabi. "Risk factors that are unique to women include premature menopause, endometriosis and hypertension disorders during pregnancy."

Fifteen studies from 50 countries, including Brazil, China, Egypt, India, Arabian Gulf countries and the U.S. among others, encompassing the experiences of more 2.3 million people were included in the analysis conducted by Garelnabi and his colleagues. The research was published in the August 2023 issue of the peer-reviewed journal "Arteriosclerosis, Thrombosis, and Vascular Biology."