title: Cardiovascular disease in Hajj pilgrims.
abstract: The changing pattern of hospital admissions during Hajj, the Muslims yearly pilgrimage attracting millions of pilgrims from all around the globe, has gradually seen infectious causes of hospital admission replaced by cardiovascular diseases as a leading cause of both intensive care unit admission and death. While this trend is partly associated with the high quality of medical services and awareness programs targeted at reducing the spread of infections, at the same time it underscores an urgent need to establish a pragmatic system to manage the challenge of cardiovascular morbidities and mortality during Hajj.
  A PubMed Central (PMC) literature search without date restrictions was performed for articles reporting on the medical experience during Hajj. There were 109 articles were returned using "Hajj" and "mortality" as search terms. After determining relevance to the current theme based on both direct and indirect reference to the pattern hospital admission during Hajj, 20 articles reporting on conducted studies were obtained. Data from these studies reporting on the pattern and outcome of hospitalization during Hajj were examined and helped in arriving at the conclusions presented in this review.
authors: Intensive Care Department, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
authors: Abdullah
authors: A
authors: Al Shimemeri
keywords: COPD, chronic obstructive pulmonary disorder; Cardiovascular diseases; Hajj; ICU, intensive care units; Makkah; Mortality; Pilgrim; Saudi Arabia
references: Saudi Med J. 2006 Sep;27(9):1373-80
references: 16951776
references: Saudi Med J. 2006 Jul;27(7):937-41
references: 16830008
references: Lancet. 2006 Mar 25;367(9515):1008-15
references: 16564364
references: Sultan Qaboos Univ Med J. 2006 Jun;6(1):47-50
references: 21748127
references: Ann Saudi Med. 1999 Jan-Feb;19(1):55-7
references: 17337989
references: Ann Saudi Med. 1995 Nov;15(6):619-21
references: 17589023
references: Ann Thorac Med. 2009 Apr;4(2):50-3
references: 19561924
references: J Pak Med Assoc. 2000 Jun;50(6):184-6
references: 10979625
references: Vaccine. 2000 Jul 1;18(26):2956-62
references: 10825596
references: J Travel Med. 2009 Nov-Dec;16(6):377-81
references: 19930376
references: Saudi Med J. 2003 Oct;24(10):1073-6
references: 14578971
references: Emerg Infect Dis. 2004 Oct;10(10):1882-3
references: 15515248
references: N Engl J Med. 1975 Mar 13;292(11):545-50
references: 1128551
references: Euro Surveill. 2005 Dec 15;10(12):E051215.2
references: 16794293
references: Saudi Med J. 2006 Jul;27(7):1049-53
references: 16830029
references: Ann Saudi Med. 2007 Mar-Apr;27(2):101-5
references: 17356316