TY - JOUR
T1 - Comparison of Indian subcontinent and Middle East acute heart failure patients
T2 - Results from the Gulf Acute Heart Failure Registry
AU - Panduranga, Prashanth
AU - Al-Zakwani, Ibrahim
AU - Sulaiman, Kadhim
AU - Al-Habib, Khalid
AU - Alsheikh-Ali, Alawi
AU - Al-Suwaidi, Jassim
AU - Al-Mahmeed, Wael
AU - Al-Faleh, Hussam
AU - Elasfar, Abdelfatah
AU - Ridha, Mustafa
AU - Bulbanat, Bassam
AU - Al-Jarallah, Mohammed
AU - Asaad, Nidal
AU - Bazargani, Nooshin
AU - Al-Motarreb, Ahmed
AU - Amin, Haitham
N1 - Funding Information:
Gulf CARE is an investigator-initiated study conducted under the auspices of the Gulf Heart Association and funded by Servier, Paris, France, and (for centers in Saudi Arabia) by the Saudi Heart Association.
Publisher Copyright:
© 2015 Cardiological Society of India.
PY - 2016/4/1
Y1 - 2016/4/1
N2 - 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.
AB - 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.
KW - Acute heart failure
KW - Heart failure
KW - Indian subcontinent
KW - Middle East
KW - South Asians
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U2 - 10.1016/j.ihj.2015.11.019
DO - 10.1016/j.ihj.2015.11.019
M3 - Article
C2 - 27056651
AN - SCOPUS:84949665188
SN - 0019-4832
VL - 68
SP - S36-S44
JO - Indian Heart Journal
JF - Indian Heart Journal
ER -