TY - JOUR
T1 - Acute Coronary Syndrome in Indian Subcontinent Patients Residing in the Middle East
T2 - Results from Gulf Registry of Acute Coronary Events II
AU - Panduranga, Prashanth
AU - Sulaiman, Kadhim J.
AU - Al-Zakwani, Ibrahim
AU - AlHabib, Khalid F.
AU - Hersi, Ahmad
AU - Suwaidi, Jassim Al
AU - Alsheikh-Ali, Alawi A.
AU - Almahmeed, Wael
AU - Saif, Shukri Al
AU - Al-Faleh, Hussam
AU - Al-Lawati, Jawad
AU - Asaad, Nidal
AU - Al-Motarreb, Ahmed
AU - Amin, Haitham
N1 - Publisher Copyright:
© 2015 SAGE Publications.
PY - 2015/10/9
Y1 - 2015/10/9
N2 - We compared baseline characteristics, clinical presentation, and in-hospital outcomes between Middle Eastern Arabs and Indian subcontinent patients presenting with acute coronary syndrome (ACS). Of the 7930 patients enrolled in Gulf Registry of Acute Coronary Events II (RACE II), 23% (n = 1669) were from the Indian subcontinent. The Indian subcontinent patients, in comparison with the Middle Eastern Arabs, were younger (49 vs 60 years; P <.001), more were males (96% vs 80%; P <.001), had lower proportion of higher Global Registry of Acute Coronary Events risk score (8% vs 27%; P <.001), and less likely to be associated with diabetes (34% vs 42%; P <.001), hypertension (36% vs 51%; P <.001), and hyperlipidemia (29% vs 39%; P <.001) but more likely to be smokers (55% vs 29%; P <.001). After multivariable adjustment, the Middle Eastern Arabs were less likely to be associated with in-hospital congestive heart failure (odds ratio [OR], 0.65; 95% confidence interval [CI]: 0.50-0.86; P =.003) but more likely to be associated with recurrent ischemia (OR 1.33; 95% CI: 1.03-1.71; P =.026) when compared to the Indian subcontinent patients. Despite the baseline differences, there were largely no significant differences in in-hospital outcomes between the Indians and the Middle Eastern Arabs.
AB - We compared baseline characteristics, clinical presentation, and in-hospital outcomes between Middle Eastern Arabs and Indian subcontinent patients presenting with acute coronary syndrome (ACS). Of the 7930 patients enrolled in Gulf Registry of Acute Coronary Events II (RACE II), 23% (n = 1669) were from the Indian subcontinent. The Indian subcontinent patients, in comparison with the Middle Eastern Arabs, were younger (49 vs 60 years; P <.001), more were males (96% vs 80%; P <.001), had lower proportion of higher Global Registry of Acute Coronary Events risk score (8% vs 27%; P <.001), and less likely to be associated with diabetes (34% vs 42%; P <.001), hypertension (36% vs 51%; P <.001), and hyperlipidemia (29% vs 39%; P <.001) but more likely to be smokers (55% vs 29%; P <.001). After multivariable adjustment, the Middle Eastern Arabs were less likely to be associated with in-hospital congestive heart failure (odds ratio [OR], 0.65; 95% confidence interval [CI]: 0.50-0.86; P =.003) but more likely to be associated with recurrent ischemia (OR 1.33; 95% CI: 1.03-1.71; P =.026) when compared to the Indian subcontinent patients. Despite the baseline differences, there were largely no significant differences in in-hospital outcomes between the Indians and the Middle Eastern Arabs.
KW - Arabs
KW - Indian subcontinent
KW - Middle East
KW - South Asians
KW - acute coronary syndrome
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U2 - 10.1177/0003319714556812
DO - 10.1177/0003319714556812
M3 - Article
C2 - 25381144
AN - SCOPUS:84941060463
SN - 0003-3197
VL - 66
SP - 818
EP - 825
JO - Angiology
JF - Angiology
IS - 9
ER -