Baseline characteristics, management practices, and long-term outcomes among patients with first presentation acute myocardial infarction in the Second Gulf Registry of Acute Coronary Events (Gulf RACE-II)

BACKGROUND AND OBJECTIVES: Limited data are available highlighting the different clinical aspects of acute coronary syndrome (ACS) patients, especially in Gulf countries. In this study, we aimed to compare patients who presented with acute myocardial infarction (AMI) as the first presentation of pat...

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Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 30(2018), 3 vom: 14. Juli, Seite 233-239
1. Verfasser: Joury, Abdulaziz U (VerfasserIn)
Weitere Verfasser: Hersi, Ahmed S, Alfaleh, Hussam, Alhabib, Khalid F, Kashour, Tarek Seifaw, Gulf Registry of Acute Coronary Events Investigators
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2018
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article Acute coronary syndrome Acute myocardial infarction Middle East Mortality
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520 |a BACKGROUND AND OBJECTIVES: Limited data are available highlighting the different clinical aspects of acute coronary syndrome (ACS) patients, especially in Gulf countries. In this study, we aimed to compare patients who presented with acute myocardial infarction (AMI) as the first presentation of patients who have a history of ACS in terms of initial presentation, medical history, laboratory findings, and overall mortality 
520 |a METHODS: We used the Second Gulf Registry of Acute Coronary Events (Gulf RACE-II), which is a multinational observational study of 7930 ACS patients 
520 |a RESULTS: Among all patients, 4723 (59.6%) patients presented with AMI. First presentation AMI patients were older (mean age, 55 years vs. 53 years; p < 0.001) and had lower risk factors than patients with a history of ACS. Higher laboratory readings of cardiac markers and all aspects of mortality were significantly higher among patients with first presentation AMI. After adjustments for baseline variables, congestive heart failure [odds ratio (OR) = 1.08; 95% confidence interval (CI), 0.73-1.57], reinfarction (OR = 1.16; 95% CI, 0.58-2.30), cardiogenic shock (OR = 1.51; 95% CI, 0.74-3.08), stroke (OR = 2.30; 95% CI, 0.29-17.99), and overall mortality (OR = 1.16; 95% CI = 0.74-1.83) were independent predictive factors for first presentation AMI 
520 |a CONCLUSIONS: First presentation AMI patients tend to be older and to have lower rates of risk factors. Adverse clinical outcomes such as congestive heart failure, reinfarction, cardiogenic shock, and stroke were higher among patients with first presentation AMI compared to patients with a history of ACS 
650 4 |a Journal Article 
650 4 |a Acute coronary syndrome 
650 4 |a Acute myocardial infarction 
650 4 |a Middle East 
650 4 |a Mortality 
700 1 |a Hersi, Ahmed S  |e verfasserin  |4 aut 
700 1 |a Alfaleh, Hussam  |e verfasserin  |4 aut 
700 1 |a Alhabib, Khalid F  |e verfasserin  |4 aut 
700 1 |a Kashour, Tarek Seifaw  |e verfasserin  |4 aut 
700 0 |a Gulf Registry of Acute Coronary Events Investigators  |e verfasserin  |4 aut 
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773 1 8 |g volume:30  |g year:2018  |g number:3  |g day:14  |g month:07  |g pages:233-239 
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