Abstract
We evaluated in-hospital outcomes of acute coronary syndrome (ACS) patients with metabolic syndrome (MetS) in Oman. We analyzed the records of 1392 patients admitted with a diagnosis of ACS as part of the Gulf Registry of Acute Coronary Events. The prevalence of MetS among patients with ACS was 66%, with female preponderance (80% vs 57%; P <.001). MetS was associated with several characteristics including diabetes (45% vs 19%; P <.001), hyperlipidemia (40% vs 23%; P <.001), hypertension (62% vs 34%; P <.001), renal impairment (9.3% vs 3.4%; P <.001), Killip score > II (13% vs 8%; P =.004), and non-ST segment elevation myocardial infarction (78% vs 68%; P <.001). After multivariate adjustment, MetS was associated with higher risk of in-hospital heart failure (odds ratio [OR], 1.37; 95% CI: 1.03-1.81; P =.028) and mortality (OR, 4.42; 95% CI: 1.25-15.5; P =.020). Prevalence of MetS among patients with ACS in Oman is high. MetS was associated with higher in-hospital heart failure and mortality.
Original language | English |
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Pages (from-to) | 381-389 |
Number of pages | 9 |
Journal | Angiology |
Volume | 62 |
Issue number | 5 |
DOIs | |
Publication status | Published - Jul 2011 |
Externally published | Yes |
Keywords
- HDL-C
- Oman
- acute coronary syndrome
- diabetes mellitus
- heart failure
- hypertension
- in-hospital mortality
- metabolic syndrome
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine