A key symptom of ischemic heart disease is chest pain.However,angina equivalents may include exertional dyspnea.Angina equivalents are important because:

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Angina equivalents, such as exertional dyspnea, are important because women with ischemic heart disease may not have chest pain as their primary symptom, and some patients may present with atypical symptoms or no symptoms at all. This can lead to a delay in diagnosis and treatment, and in some cases, diagnosis may only be made at the time of an actual myocardial infarction. Elderly patients may also have more severe symptoms, but this is not directly related to the importance of angina equivalents.

A Key Symptom of Ischemic Heart Disease Is Chest Pain