JAMA internal medicine
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JAMA internal medicine · Nov 2013
Multicenter StudySex differences in acute coronary syndrome symptom presentation in young patients.
Little is known about whether sex differences in acute coronary syndrome (ACS) presentation exist in young patients and what factors determine absence of chest pain in ACS presentation. ⋯ Chest pain was the most common ACS symptom in both sexes. Although women were more likely to present without chest pain than men, absence of chest pain was not associated with markers of coronary disease severity. Strategies that explicitly incorporate assessment of common non-chest pain symptoms need to be evaluated.
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JAMA internal medicine · Nov 2013
The frequency and cost of treatment perceived to be futile in critical care.
Physicians often perceive as futile intensive care interventions that prolong life without achieving an effect that the patient can appreciate as a benefit. The prevalence and cost of critical care perceived to be futile have not been prospectively quantified. ⋯ In 1 health system, treatment in critical care that is perceived to be futile is common and the cost is substantial.