Comparison of Indian subcontinent and Middle East acute heart failure patients: Results from the Gulf Acute Heart Failure Registry

Prashanth Panduranga*, Ibrahim Al-Zakwani, Kadhim Sulaiman, Khalid Al-Habib, Alawi Alsheikh-Ali, Jassim Al-Suwaidi, Wael Al-Mahmeed, Hussam Al-Faleh, Abdelfatah Elasfar, Mustafa Ridha, Bassam Bulbanat, Mohammed Al-Jarallah, Nidal Asaad, Nooshin Bazargani, Ahmed Al-Motarreb, Haitham Amin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Objective: To compare Middle East Arabs and Indian subcontinent acute heart failure (AHF) patients. Methods: AHF patients admitted from February 14, 2012 to November 14, 2012 in 47 hospitals among 7 Middle East countries. Results: The Middle Eastern Arab group (4157) was older (60 vs. 54 years), with high prevalence of coronary artery disease (48% vs. 37%), valvular heart disease (14% vs. 7%), atrial fibrillation (12% vs. 7%), and khat chewing (21% vs. 1%). Indian subcontinent patients (382) were more likely to be smokers (36% vs. 21%), alcohol consumers (11% vs. 2%), diabetic (56% vs. 49%) with high prevalence of AHF with reduced ejection fraction (76% vs. 65%), and with acute coronary syndrome (46% vs. 26%). In-hospital mortality was 6.5% with no difference, but 3-month and 12-month mortalities were significantly high among Middle East Arabs, (13.7% vs. 7.6%) and (22.8% vs. 17.1%), respectively. Conclusions: AHF patients from this region are a decade younger than Western patients with high prevalence of ischemic heart disease, diabetes mellitus, and AHF with reduced ejection fraction. There is an urgent need to control risk factors among both groups, as well as the need for setting up heart failure clinics for better postdischarge management.

Original languageEnglish
JournalIndian Heart Journal
DOIs
Publication statusAccepted/In press - Oct 19 2015

Keywords

  • Acute heart failure
  • Heart failure
  • Indian subcontinent
  • Middle East
  • South Asians

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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