The prevalence and outcome of excess body weight among Middle Eastern patients presenting with acute coronary syndrome.
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.
Hadi
Hadi A R
HA
Department of Cardiology, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
Zubaid
Mohammad
M
Al Mahmeed
Wael
W
El-Menyar
Ayman A
AA
Alsheikh-Ali
Alawi A
AA
Singh
Rajivir
R
Al-Nabti
Abdulrahman
A
Assad
Nidal
N
Sulaiman
Kadhim
K
Al-Mallah
Mouaz H
MH
Amin
Haitham
H
Al-Motarreb
Ahmed
A
Mahmoud
Hisham
H
Al Suwaidi
Jassim
J
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