TY - JOUR
T1 - Prevalence, characteristics, and in-hospital outcomes of metabolic syndrome among acute coronary syndrome patients from Oman
AU - Al-Rasadi, Khalid
AU - Sulaiman, Kadhim
AU - Panduranga, Prashanth
AU - Al-Zakwani, Ibrahim
PY - 2011/7
Y1 - 2011/7
N2 - 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.
AB - 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.
KW - HDL-C
KW - Oman
KW - acute coronary syndrome
KW - diabetes mellitus
KW - heart failure
KW - hypertension
KW - in-hospital mortality
KW - metabolic syndrome
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U2 - 10.1177/0003319710382419
DO - 10.1177/0003319710382419
M3 - Article
C2 - 21596697
AN - SCOPUS:79957466476
SN - 0003-3197
VL - 62
SP - 381
EP - 389
JO - Angiology
JF - Angiology
IS - 5
ER -