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Coronary Artery Disease (CAD) is now recognized to occur in men and women of all ages. Prior assumptions that it is a disease found mainly in middle-aged, type-A personality, overweight, smoking males have been disproven. Only recently have research findings fully appreciated CAD as a disease found in both sexes, all age groups, and with no discriminatory factors. It is the leading cause of death in women over sixty years of age. This study analyzed gender and age related differences in diagnosis and treatment of CAD. AMC Inc., The Chest Pain Registry provided data in aggregated form from 5,619 patients. Age and gender were identified in relation to time of first diagnostic electrocardiogram (ECG) in the emergency department and treatment modalities utilized. Not only were discrepancies found in relation to gender but also in age. It is the opinion of the authors that education of patients, nurses, advanced practice nurses and physicians is instrumental in initiating change. Only when these differences are recognized and addressed will the medical community see a decline in mortality of CAD in women.

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