professor chris gale in leeds. good to see you. the explanation for men and women getting different treatment? well, it is likely to be a multitude of factors. what we do know is that women more often present with a heart attack with more unusual symptoms. a typical heart would be perhaps in a gentleman who has risk factors, that presents with crushing, central chest pains that radiate down the arms or of the neck. in women, we found that while these are the symptoms, they can also have more atypical systems such asa also have more atypical systems such as a stabbing chest pain or an aching chest pain, or even no pain at all in the chest, rather than pain in the neck. sometimes we see women presenting with fatigue, palpitations or breathlessness. this can sometimes clouded the patient‘s perception as to whether they are having a heart attack or not, as well as that of the clinician. the doctor misdiagnosed and then gives the wrong medicine? it is a combination of factors, not necessarily the health care professional. what is key is