title: The prevalence and outcome of excess body weight among Middle Eastern patients presenting with acute coronary syndrome.
abstract: We evaluated the effect of body weight on the outcome of Middle Eastern patients presenting with acute coronary syndrome (ACS). Analysis of the Gulf Registry of Acute Coronary Events (Gulf RACE) survey that included 7843 consecutive patients hospitalized with ACS was made. Patients were categorized as normal weight, overweight, or obese based on their body mass index (BMI). Overall, 67% of patients were overweight or obese; obese and overweight patients were more likely to be female and have diabetes mellitus, hypertension, dyslipidemia, and less likely to be smokers. In-hospital mortality, congestive heart failure, cardiogenic shock, and strokes were comparable between the groups, although patients with obesity were more likely to have recurrent ischemia and major bleeding complication in the ST-elevation myocardial infarction group. Excess body weight with ACS is associated with higher risk profile characteristics without an increase in hospital mortality or cardiovascular events.
authors.affiliation: Department of Cardiology, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
authors.forename: Hadi A R
authors.initials: HA
authors.lastname: Hadi
authors.forename: Mohammad
authors.initials: M
authors.lastname: Zubaid
authors.forename: Wael
authors.initials: W
authors.lastname: Al Mahmeed
authors.forename: Ayman A
authors.initials: AA
authors.lastname: El-Menyar
authors.forename: Alawi A
authors.initials: AA
authors.lastname: Alsheikh-Ali
authors.forename: Rajivir
authors.initials: R
authors.lastname: Singh
authors.forename: Abdulrahman
authors.initials: A
authors.lastname: Al-Nabti
authors.forename: Nidal
authors.initials: N
authors.lastname: Assad
authors.forename: Kadhim
authors.initials: K
authors.lastname: Sulaiman
authors.forename: Mouaz H
authors.initials: MH
authors.lastname: Al-Mallah
authors.forename: Haitham
authors.initials: H
authors.lastname: Amin
authors.forename: Ahmed
authors.initials: A
authors.lastname: Al-Motarreb
authors.forename: Hisham
authors.initials: H
authors.lastname: Mahmoud
authors.forename: Jassim
authors.initials: J
authors.lastname: Al Suwaidi
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology*; D000328:Adult; D000367:Age Factors; D000368:Aged; D018912:Arabs; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000208:ethnology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology*; D005260:Female; D006801:Humans; D006937:Hypercholesterolemia / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology*; D008297:Male; D008875:Middle Aged; D008877:Middle East; D009203:Myocardial Infarction / Q000175:diagnosis / Q000453:epidemiology / Q000208:ethnology; D009765:Obesity / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology*; D050177:Overweight / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology*; D012042:Registries; D012737:Sex Factors