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. 2010 Oct 5;2(1):118-21.
doi: 10.1136/ha.2009.001495. eCollection 2010.

Acute coronary syndrome registry from four large centres in United Arab Emirates (UAE-ACS Registry)

Afzalhussein M Yusufali  1 , Wael AlMahmeed  2 , Sadeq Tabatabai  1 , Kabad Rao  3 , Azan Binbrek  3
Affiliations

Acute coronary syndrome registry from four large centres in United Arab Emirates (UAE-ACS Registry)

Afzalhussein M Yusufali et al. Heart Asia. .

Abstract

Objective: To identify the characteristics, treatments and hospital outcomes of patients diagnosed as having acute coronary syndrome (ACS) in the United Arab Emirates (UAE).

Design: A 3-year prospective registry.

Setting: Four tertiary care hospitals in three major cities of UAE from December 2003 to December 2006.

Patients: 1842 eligible consecutive patients with suspected ACS.

Interventions: None.

Main outcome measures: Characteristics, treatments and in-hospital outcomes were recorded.

Results: The mean age was 50.8±10.0 years, and 93.1% were male. More than half (51%) had ST elevation myocardial infarction (STEMI). The smoking rate was 46.4%, and diabetes was present in 38.9%. Only a minority (17.3%) used the ambulance services. For patients with STEMI, the median symptom to hospital time was 127 (IQR 60-256) min, and the median diagnostic ECG to thrombolysis time was 28 (IQR 16-50) min. Reperfusion in STEMI was in 81.4% (64.8% thrombolysis and 16.6% primary percutaneous coronary intervention). During hospitalisation, only a minority of the patients did not receive antiplatelets, anticoagulants, beta-blockers, ACE inhibitors and statin therapy. In-hospital complications were not common in our registry cohort. In-hospital mortality was 1.68%.

Conclusions: ACS patients in UAE are young but have higher risk factors such as smoking and diabetes. Almost half present as STEMI. Only a minority use ambulance services.

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Conflict of interest statement

Competing interests: None.

Figures

Figure 1
Figure 1
Reperfusion therapy for ST elevation myocardial infarction.
See this image and copyright information in PMC

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