TY - JOUR
T1 - Coronary artery disease prevalence and outcome in patients hospitalized with acute heart failure
T2 - an observational report from seven Middle Eastern countries
AU - Salam, Amar M.
AU - Sulaiman, Kadhim
AU - Al-Zakwani, Ibrahim
AU - Alsheikh-Ali, Alawi
AU - Aljaraallah, Mohammed
AU - Al Faleh, Husam
AU - Elasfar, Abdelfatah
AU - Panduranga, Prasanth
AU - Singh, Rajvir
AU - Abi Khalil, Charbel
AU - Al Suwaidi, Jassim
PY - 2016/12/1
Y1 - 2016/12/1
N2 - OBJECTIVES: The purpose of this study was to report prevalence, clinical characteristics, precipitating factors, management and outcome of patients with coronary artery disease (CAD) among patients hospitalized with heart failure (HF) in seven Middle Eastern countries and compare them to non-CAD patients.METHODS: Data were derived from Gulf CARE (Gulf aCute heArt failuRe rEgistry), a prospective multicenter study of 5005 consecutive patients hospitalized with acute HF during February-November 2012 in 7 Middle Eastern countries.RESULTS: The prevalence of CAD among Acute Heart Failure (AHF) patients was 60.2% and varied significantly among the 7 countries (Qatar 65.7%, UAE 66.6%, Kuwait 68.0%, Oman 65.9%, Saudi Arabia 62.5%, Bahrain 52.7% and Yemen 49.1%) with lower values in the lower income countries. CAD patients were older and more likely to have diabetes, hypertension, dyslipidemia and chronic kidney disease. Moreover, CAD patients were more likely to have history of cerebrovascular and peripheral vascular disease when compared to non-CAD patients. In-hospital mortality rates were comparable although CAD patients had more frequent re-hospitalization and worse long-term outcome. However, CAD was not an independent predictor of poor outcome.CONCLUSION: The prevalence of CAD amongst patients with HF in the Middle East is variable and may be related to healthcare sources. Regional and national studies are needed for assessing further the impact of various etiologies of HF and for developing appropriate strategies to combat this global concern.
AB - OBJECTIVES: The purpose of this study was to report prevalence, clinical characteristics, precipitating factors, management and outcome of patients with coronary artery disease (CAD) among patients hospitalized with heart failure (HF) in seven Middle Eastern countries and compare them to non-CAD patients.METHODS: Data were derived from Gulf CARE (Gulf aCute heArt failuRe rEgistry), a prospective multicenter study of 5005 consecutive patients hospitalized with acute HF during February-November 2012 in 7 Middle Eastern countries.RESULTS: The prevalence of CAD among Acute Heart Failure (AHF) patients was 60.2% and varied significantly among the 7 countries (Qatar 65.7%, UAE 66.6%, Kuwait 68.0%, Oman 65.9%, Saudi Arabia 62.5%, Bahrain 52.7% and Yemen 49.1%) with lower values in the lower income countries. CAD patients were older and more likely to have diabetes, hypertension, dyslipidemia and chronic kidney disease. Moreover, CAD patients were more likely to have history of cerebrovascular and peripheral vascular disease when compared to non-CAD patients. In-hospital mortality rates were comparable although CAD patients had more frequent re-hospitalization and worse long-term outcome. However, CAD was not an independent predictor of poor outcome.CONCLUSION: The prevalence of CAD amongst patients with HF in the Middle East is variable and may be related to healthcare sources. Regional and national studies are needed for assessing further the impact of various etiologies of HF and for developing appropriate strategies to combat this global concern.
KW - Coronary artery disease
KW - heart failure
KW - Middle East
KW - morbidity
KW - mortality
UR - http://www.scopus.com/inward/record.url?scp=85021852165&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85021852165&partnerID=8YFLogxK
M3 - Article
C2 - 27737597
AN - SCOPUS:85021852165
SN - 2154-8331
VL - 44
SP - 242
EP - 251
JO - Hospital practice (1995)
JF - Hospital practice (1995)
IS - 5
ER -