Above, u/Onion01 has a very good answer. What I will add is that we have learned a lot about the variable presentation of angina over the last few decades, particularly in women and other previously-inadequately studied populations.

The phrases you are referring to are important for medical school tests, historical context and for estimating pre-test probability in a very formal way (as would be done for a clinical trial). In real practice, part of the clinician's job is to assess pretest probability based on a lot more data and experience than this simple model incorporates. In addition to variable symptoms, we look at things like medical history and risk factors to make a clinical judgement.