{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T22:06:13Z","timestamp":1781993173470,"version":"3.54.5"},"reference-count":42,"publisher":"Elsevier BV","issue":"12","license":[{"start":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T00:00:00Z","timestamp":1512086400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["heartlungcirc.org","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart, Lung and Circulation"],"published-print":{"date-parts":[[2017,12]]},"DOI":"10.1016\/j.hlc.2017.01.003","type":"journal-article","created":{"date-parts":[[2017,2,17]],"date-time":"2017-02-17T07:01:47Z","timestamp":1487314907000},"page":"1282-1290","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"title":["Differences in Presentation, Management and Outcomes in Women and Men Presenting to an Emergency Department With Possible Cardiac Chest Pain"],"prefix":"10.1016","volume":"26","author":[{"given":"Lorcan","family":"Ruane","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaimi","family":"H Greenslade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Parsonage","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey","family":"Hawkins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Hammett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn SP","family":"Lam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Knowlman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaela","family":"Doig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6611-8229","authenticated-orcid":false,"given":"Louise","family":"Cullen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.hlc.2017.01.003_bib0005","series-title":"Causes of Death","author":"Australian Bureau of Statistics","year":"2014"},{"key":"10.1016\/j.hlc.2017.01.003_bib0010","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.hrtlng.2009.10.010","article-title":"Meta-analytic evaluation of gender differences and symptom measurement strategies in acute coronary syndromes","volume":"39","author":"Shin","year":"2010","journal-title":"Heart Lung"},{"key":"10.1016\/j.hlc.2017.01.003_bib0015","doi-asserted-by":"crossref","first-page":"2141","DOI":"10.1001\/archinte.159.18.2141","article-title":"Duration of, and temporal trends (1994-1997) in prehospital delay in patients with acute myocardial infarction: the second National Registry of Myocardial Infarction","volume":"159","author":"Goldberg","year":"1999","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.hlc.2017.01.003_bib0020","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1016\/S0002-9149(02)02186-0","article-title":"Extent of, and factors associated with, delay to hospital presentation in patients with acute coronary disease (the GRACE registry)","volume":"89","author":"Goldberg","year":"2002","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.hlc.2017.01.003_bib0025","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/j.ahj.2005.03.064","article-title":"Trends in prehospital delay time and use of emergency medical services for acute myocardial infarction: experience in 4 US communities from 1987-2000","volume":"150","author":"McGinn","year":"2005","journal-title":"Am Heart J"},{"key":"10.1016\/j.hlc.2017.01.003_bib0030","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1001\/archinte.168.9.959","article-title":"Factors associated with longer time from symptom onset to hospital presentation for patients with ST-elevation myocardial infarction","volume":"168","author":"Ting","year":"2008","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.hlc.2017.01.003_bib0035","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.ahj.2010.04.017","volume":"160","author":"Diercks","year":"2010","journal-title":"Am Heart J"},{"key":"10.1016\/j.hlc.2017.01.003_bib0040","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1161\/CIRCOUTCOMES.109.884361","article-title":"Age and sex differences in duration of prehospital delay in patients with acute myocardial infarction: a systematic review","volume":"3","author":"Nguyen","year":"2010","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"10.1016\/j.hlc.2017.01.003_bib0045","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1016\/j.amjcard.2011.11.006","article-title":"Sex differences in management and mortality of patients with ST-elevation myocardial infarction (from the Korean Acute Myocardial Infarction National Registry)","volume":"109","author":"Kang","year":"2012","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.hlc.2017.01.003_bib0050","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/j.acvd.2014.04.005","article-title":"Gender differences in presentation, management and inhospital outcome in patients with ST-segment elevation myocardial infarction: data from 5000 patients included in the ORBI prospective French regional registry","volume":"107","author":"Leurent","year":"2014","journal-title":"Arch Cardiovasc Dis"},{"key":"10.1016\/j.hlc.2017.01.003_bib0055","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1161\/CIRCOUTCOMES.113.000396","article-title":"Factors associated with longer time to treatment for patients with suspected acute coronary syndromes: a cohort study","volume":"7","author":"Sullivan","year":"2014","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"10.1016\/j.hlc.2017.01.003_bib0060","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1016\/j.amjmed.2011.11.016","article-title":"Age and gender differences in quality of care and outcomes for patients with ST-segment elevation myocardial infarction","volume":"125","author":"Bangalore","year":"2012","journal-title":"Am J Med"},{"key":"10.1016\/j.hlc.2017.01.003_bib0065","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1016\/j.hlc.2013.03.078","article-title":"Evaluation of gender differences in Door-to-Balloon time in ST-elevation myocardial infarction","volume":"22","author":"Dreyer","year":"2013","journal-title":"Heart Lung Circ"},{"key":"10.1016\/j.hlc.2017.01.003_bib0070","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1503\/cmaj.131450","article-title":"Sex-related differences in access to care among patients with premature acute coronary syndrome","volume":"186","author":"Pelletier","year":"2014","journal-title":"CMAJ"},{"key":"10.1016\/j.hlc.2017.01.003_bib0075","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1056\/NEJM199907223410401","article-title":"Sex-based differences in early mortality after myocardial infarction: National Registry of Myocardial Infarction 2 Participants","volume":"341","author":"Vaccarino","year":"1999","journal-title":"N Engl J Med"},{"key":"10.1016\/j.hlc.2017.01.003_bib0080","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1161\/CIRCULATIONAHA.114.009480","article-title":"Sex differences in long-term mortality after myocardial infarction: a systematic review","volume":"130","author":"Bucholz","year":"2014","journal-title":"Circulation"},{"key":"10.1016\/j.hlc.2017.01.003_bib0085","doi-asserted-by":"crossref","first-page":"1822","DOI":"10.1001\/jamainternmed.2014.4762","article-title":"Sex differences in short-term and long-term all-cause mortality among patients with ST-segment elevation myocardial infarction treated by primary percutaneous intervention: a meta-analysis","volume":"174","author":"Pancholy","year":"2014","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.hlc.2017.01.003_bib0090","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1136\/heartjnl-2014-306456","article-title":"Age-specific gender differences in early mortality following ST-segment elevation myocardial infarction in China","volume":"101","author":"Zheng","year":"2015","journal-title":"Heart"},{"key":"10.1016\/j.hlc.2017.01.003_bib0095","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1186\/s12872-016-0276-5","article-title":"Sex differences in in-hospital mortality following a first acute myocardial infarction: symptomatology, delayed presentation, and hospital setting","volume":"16","author":"Mnatzaganian","year":"2016","journal-title":"BMC Cardiovasc Disord"},{"key":"10.1016\/j.hlc.2017.01.003_bib0100","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1177\/2048872612454021","article-title":"Temporal trends in treatment of ST-elevation myocardial infarction among men and women in Switzerland between 1997 and 2011","volume":"1","author":"Radovanovic","year":"2012","journal-title":"Eur Heart J Acute Cardiovasc Care"},{"key":"10.1016\/j.hlc.2017.01.003_bib0105","doi-asserted-by":"crossref","first-page":"355","DOI":"10.2459\/JCM.0000000000000248","article-title":"Gender disparities in acute coronary syndrome: a closing gap in the short-term outcome","volume":"16","author":"Ghadri","year":"2015","journal-title":"J Cardiovasc Med (Hagerstown)"},{"key":"10.1016\/j.hlc.2017.01.003_bib0110","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.115.001995","volume":"4","author":"Redfors","year":"2015","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.hlc.2017.01.003_bib0115","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1111\/j.1742-6723.2010.01256.x","article-title":"Comprehensive standardized data definitions for acute coronary syndrome research in emergency departments in Australasia","volume":"22","author":"Cullen","year":"2010","journal-title":"Emerg Med Australas"},{"key":"10.1016\/j.hlc.2017.01.003_bib0120","doi-asserted-by":"crossref","first-page":"2634","DOI":"10.1161\/CIRCULATIONAHA.107.187397","article-title":"Universal definition of myocardial infarction","volume":"116","author":"Thygesen","year":"2007","journal-title":"Circulation"},{"key":"10.1016\/j.hlc.2017.01.003_bib0125","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1001\/jama.2012.199","article-title":"Association of age and sex with myocardial infarction symptom presentation and in-hospital mortality","volume":"307","author":"Canto","year":"2012","journal-title":"JAMA"},{"key":"10.1016\/j.hlc.2017.01.003_bib0130","first-page":"1863","article-title":"Sex differences in acute coronary syndrome symptom presentation in young patients","volume":"173","author":"Khan","year":"2013","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.hlc.2017.01.003_bib0135","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1001\/jamainternmed.2013.229","article-title":"Reconstructing angina: cardiac symptoms are the same in women and men","volume":"173","author":"Kreatsoulas","year":"2013","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.hlc.2017.01.003_bib0140","doi-asserted-by":"crossref","first-page":"e000586","DOI":"10.1161\/JAHA.113.000586","article-title":"Sensitivity, specificity, and sex differences in symptoms reported on the 13-item acute coronary syndrome checklist","volume":"3","author":"Devon","year":"2014","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.hlc.2017.01.003_bib0145","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/j.jacc.2014.04.054","article-title":"Trends in acute myocardial infarction in young patients and differences by sex and race, 2001 to 2010","volume":"64","author":"Gupta","year":"2014","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.hlc.2017.01.003_bib0150","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1001\/jamainternmed.2013.12199","article-title":"Sex-specific chest pain characteristics in the early diagnosis of acute myocardial infarction","volume":"174","author":"Rubini Gimenez","year":"2014","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.hlc.2017.01.003_bib0155","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1111\/j.1553-2712.2007.tb01842.x","article-title":"Gender bias in cardiovascular testing persists after adjustment for presenting characteristics and cardiac risk","volume":"14","author":"Chang","year":"2007","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.hlc.2017.01.003_bib0160","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1017\/S1481803500012550","article-title":"Sex differences in clinical presentation, management and outcome in emergency department patients with chest pain","volume":"12","author":"Hess","year":"2010","journal-title":"CJEM"},{"key":"10.1016\/j.hlc.2017.01.003_bib0165","doi-asserted-by":"crossref","first-page":"1515","DOI":"10.1016\/j.ajem.2011.12.020","article-title":"Inequalities in the early treatment of women and men with acute chest pain?","volume":"30","author":"Ravn-Fischer","year":"2012","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.hlc.2017.01.003_bib0170","doi-asserted-by":"crossref","first-page":"2180","DOI":"10.1016\/j.jacc.2005.12.072","article-title":"Effect of door-to-balloon time on mortality in patients with ST-segment elevation myocardial infarction","volume":"47","author":"McNamara","year":"2006","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.hlc.2017.01.003_bib0175","doi-asserted-by":"crossref","first-page":"2019","DOI":"10.1161\/CIRCULATIONAHA.106.638353","article-title":"Hospital delays in reperfusion for ST-elevation myocardial infarction: implications when selecting a reperfusion strategy","volume":"114","author":"Pinto","year":"2006","journal-title":"Circulation"},{"key":"10.1016\/j.hlc.2017.01.003_bib0180","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1161\/CIRCULATIONAHA.105.561647","article-title":"Gender differences in the management and clinical outcome of stable angina","volume":"113","author":"Daly","year":"2006","journal-title":"Circulation"},{"key":"10.1016\/j.hlc.2017.01.003_bib0185","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1111\/acem.12169","article-title":"Sex preferences in cardiovascular testing: the contribution of the patient-physician discussion","volume":"20","author":"Golden","year":"2013","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.hlc.2017.01.003_bib0190","first-page":"S9","article-title":"Guidelines for the management of acute coronary syndromes 2006","volume":"184","author":"Acute Coronary Syndrome Guidelines Working G","year":"2006","journal-title":"Med J Aust"},{"key":"10.1016\/j.hlc.2017.01.003_bib0195","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.ijcard.2013.12.010","article-title":"An examination of clinical intuition in risk assessment among acute coronary syndromes patients: observations from a prospective multi-center international observational registry","volume":"171","author":"Chew","year":"2014","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.hlc.2017.01.003_bib0200","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.1503\/cmaj.060711","article-title":"Differences in admission rates and outcomes between men and women presenting to emergency departments with coronary syndromes","volume":"177","author":"Kaul","year":"2007","journal-title":"CMAJ"},{"key":"10.1016\/j.hlc.2017.01.003_bib0205","doi-asserted-by":"crossref","first-page":"427","DOI":"10.5694\/mja14.00472","article-title":"Cost and outcomes of assessing patients with chest pain in an Australian emergency department","volume":"202","author":"Cullen","year":"2015","journal-title":"Med J Aust"},{"key":"10.1016\/j.hlc.2017.01.003_bib0210","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1373\/clinchem.2015.252569","article-title":"Impact of High-Sensitivity Troponin I Testing with Sex-Specific Cutoffs on the Diagnosis of Acute Myocardial Infarction","volume":"62","author":"Trambas","year":"2016","journal-title":"Clin Chem"}],"container-title":["Heart, Lung and Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1443950617300653?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1443950617300653?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,9,4]],"date-time":"2018-09-04T03:24:07Z","timestamp":1536031447000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1443950617300653"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12]]},"references-count":42,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["S1443950617300653"],"URL":"https:\/\/doi.org\/10.1016\/j.hlc.2017.01.003","relation":{},"ISSN":["1443-9506"],"issn-type":[{"value":"1443-9506","type":"print"}],"subject":[],"published":{"date-parts":[[2017,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Differences in Presentation, Management and Outcomes in Women and Men Presenting to an Emergency Department With Possible Cardiac Chest Pain","name":"articletitle","label":"Article Title"},{"value":"Heart, Lung and Circulation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hlc.2017.01.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}