What are the differences between men and women in terms of SIHD symptoms?
Women generally have a lower incidence of SIHD than men until older age, but their outcomes after MI are worse. Stable angina is the most frequent initial manifestation of SIHD in women, as opposed to AMI and sudden death in men. Atypical chest pain and angina-equivalent symptoms such as dyspnea are more common in women, although women still present with similar patterns, duration, and frequency of symptoms. The lower prevalence of obstructive disease in conjunction with technical challenges makes the interpretation of ischemia on imaging studies somewhat more difficult.