title: Gender differences in acute coronary syndrome in Arab Emirati women--implications for clinical management.
abstract: Gender differences exist in many aspects of acute coronary syndrome (ACS), including presentation and delay in diagnosis and treatment. The aim of the study was to evaluate gender-related differences in ACS patients in the United Arab Emirates (UAE). We analyzed a subset (n = 1697) of the Gulf Registry of Acute Coronary Events (Gulf RACE) data collected in 2007 of patients with ACS from 18 UAE hospitals. Women were significantly older (mean age: 64.0 ± 12.4 years for females and 50.9 ± 10.6 years for males, P < .001), more often had cardiac risk factors and were significantly less treated with β-blockers and reperfusion therapy. The adjusted mortality rate of women was 4.6% versus 1.2% in men (P < .001). Heart failure was higher in females compared with men (24.6% vs 12.5%; P < .001). Reasons for the high in-hospital mortality in women need to be investigated further.
authors.affiliation: Department of Internal Medicine, UAE University, Al Ain, United Arab Emirates. a.shehab@uaeu.ac.ae
authors.forename: Abdulla
authors.initials: A
authors.lastname: Shehab
authors.forename: Javed
authors.initials: J
authors.lastname: Yasin
authors.forename: Muhammad Jawad
authors.initials: MJ
authors.lastname: Hashim
authors.forename: Bayan
authors.initials: B
authors.lastname: Al-Dabbagh
authors.forename: Wael Al
authors.initials: WA
authors.lastname: Mahmeed
authors.forename: Nazar
authors.initials: N
authors.lastname: Bustani
authors.forename: Amrish
authors.initials: A
authors.lastname: Agrawal
authors.forename: Afzalhussein
authors.initials: A
authors.lastname: Yusufali
authors.forename: Adel
authors.initials: A
authors.lastname: Wassef
authors.forename: Abdulla
authors.initials: A
authors.lastname: Alnaeemi
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis* / Q000453:epidemiology* / Q000401:mortality; D005260:Female; D005783:Gender Identity; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D011446:Prospective Studies; D012307:Risk Factors; D012737:Sex Factors; D016896:Treatment Outcome; D014479:United Arab Emirates / Q000453:epidemiology