Bottom line: Compared to men, women with AMI have a lower probability of presenting with chest pain and were more likely to present with
Summary: Coventry LL, et al. Sex differences in symptom presentation in acute myocardial infarction: A systematic review and meta-analysis. Heart & Lung. 2011;40(6): 477-491.
Systematic review of 27 studies of presenting symptoms of males and females with confirmed acute myocardial infarction. RESULTS: Fig 2. (p. 484) shows that compared to males, females have an odds ratio of 0.63 for presenting with chest pain. Table 3 (p. 486) summarizes odds ratios for other symptoms. Compared to males, females were more likely to present with fatigue (RR=1.19), neck pain (RR=1.54), syncope (RR=1.37), nausea (RR=1.42), right arm pain (RR=1.20 ), dizziness (RR=1.22), and jaw pain (RR=1.39).