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Because of this lower utilization threshold, women present with less typical symptoms and are consequently less referred.
Premonitory and resolution phase symptoms including hyperactivity and hypoactivity, depression, cravings for particular foods, repetitive yawning, and other less typical symptoms are reported by some patients.
The interpretation of chest pain in women caused by CAD is often difficult because of the "less typical" symptoms in women compared with the classical "typical" symptoms in men [ 3, 4, 8].
While it has so far been argued that women with CHD show out of biological reasons a less typical clinical presentation than men [ 26], we propose as an additional explanation a gender related difference in the utilization pattern of medical services: women contact earlier and with less typical symptoms their GP than men.
Disturbances in executive and memory function usually dominate and impaired wakefulness may be present, but a range of other less typical symptoms have been reported, such as anxiety, emotional instability and motivational blunting, depression, impatience and psychosis [ 24, 41, 95- 100], some of which have been shown to improve after shunting.
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While these differences can not be explained by differences in age, CHD prevalence, and underlying risk factors, the less typical symptom presentation in women might be an underlying factor.
While observed gender differences can not be explained by differences in age, CHD prevalence, and underlying risk factors, the less typical symptom presentation in women might be an underlying factor.
Trend analyses per quartile of time showed more females and patients with moderate to severe renal diseases received palliative treatment, but less resuscitated patients, less patients with typical symptoms, less patients with coronary artery disease and heart failure and less patients who presented with STEMI or acute decompensation (table 2).
8 This is confirmed in our present study, and the risk seems particularly high if a combination of fall/lying position and less typical stroke symptoms are presented.
School-aged children and adolescents, who were more likely to have no or less typical CD symptoms, might also be more likely to undergo CD screening solely because of positive family members with CD compared with the younger children.
Hospital-acquired cases had less typical signs and symptoms of pneumonia compared to community-acquired cases.
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