To explore the role of patient preferences in explaining gender differences
in the use of invasive cardiac procedures, we surveyed 174 patients presen
ting for cardiac stress testing at a university hospital, Controlling for s
ociodemographic factors, health status, symptom severity, and history of pr
ior procedures, women expressed greater willingness than men to accept a ph
ysician's recommendation of cardiac catheterization (odds ratio 7.1; 95% co
nfidence interval 1.1, 45.3) and similar willingness to accept a recommenda
tion for coronary angioplasty or coronary artery bypass graft surgery. We c
onclude that patient preferences are unlikely to explain gender disparities
in the use of invasive cardiac procedures.