Nearly 1 in 5 women age 55 and younger with acute coronary syndrome did not report chest pain, according to data reported in JAMA Internal Medicine. Patients presenting without chest pain are more likely to be misdiagnosed, and the issue is more acute among women. Of men with ACS, 13.7% did not report chest pain. "Health care providers should still maintain a high degree of suspicion for ACS in younger patients, particularly women," researchers wrote.

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