Acute Coronary Syndrome in Indian Subcontinent Patients Residing in the Middle East: Results From Gulf Registry of Acute Coronary Events II.
We compared baseline characteristics, clinical presentation, and in-hospital outcomes between Middle Eastern Arabs and Indian subcontinent patients presenting with acute coronary syndrome (ACS). Of the 7930 patients enrolled in Gulf Registry of Acute Coronary Events II (RACE II), 23% (n = 1669) were from the Indian subcontinent. The Indian subcontinent patients, in comparison with the Middle Eastern Arabs, were younger (49 vs 60 years; P < .001), more were males (96% vs 80%; P < .001), had lower proportion of higher Global Registry of Acute Coronary Events risk score (8% vs 27%; P < .001), and less likely to be associated with diabetes (34% vs 42%; P < .001), hypertension (36% vs 51%; P < .001), and hyperlipidemia (29% vs 39%; P < .001) but more likely to be smokers (55% vs 29%; P < .001). After multivariable adjustment, the Middle Eastern Arabs were less likely to be associated with in-hospital congestive heart failure (odds ratio [OR], 0.65; 95% confidence interval [CI]: 0.50-0.86; P = .003) but more likely to be associated with recurrent ischemia (OR 1.33; 95% CI: 1.03-1.71; P = .026) when compared to the Indian subcontinent patients. Despite the baseline differences, there were largely no significant differences in in-hospital outcomes between the Indians and the Middle Eastern Arabs.
Department of Cardiology, Royal Hospital, Muscat, Oman.
Prashanth
P
Panduranga
Department of Cardiology, Royal Hospital, Muscat, Oman.
Kadhim J
KJ
Sulaiman
Department of Pharmacology & Clinical Pharmacy, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman Gulf Health Research, Muscat, Oman ial_zakwani@yahoo.com.
Ibrahim
I
Al-Zakwani
Department of Cardiac Sciences, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Khalid F
KF
Alhabib
Department of Cardiac Sciences, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Ahmad
A
Hersi
Department of Cardiology and Cardiovascular Surgery, Hamad General Hospital & Weill Cornell Medical College, Doha, Qatar.
Jassim Al
JA
Suwaidi
Institute of Cardiac Sciences, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates Institute for Clinical Research and Health Policy Studies, Tufts University School of Medicine, Boston, MA, USA.
Alawi A
AA
Alsheikh-Ali
Heart & Vascular Institute, Cleveland Clinic Abu Dhabi, United Arab Emirates.
Wael
W
Almahmeed
Saud Al Babtain Cardiac Centre, Dammam, Saudi Arabia.
Shukri Al
SA
Saif
Department of Cardiac Sciences, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Hussam
H
Al-Faleh
Non-Communicable Diseases Surveillance and Control, Ministry of Health, Muscat, Oman.
Jawad
J
Al-Lawati
Department of Cardiology and Cardiovascular Surgery, Hamad General Hospital & Weill Cornell Medical College, Doha, Qatar.
Nidal
N
Asaad
Faculty of Medicine, Sana'a University, Sana'a, Yemen.
Ahmed
A
Al-Motarreb
Department of Cardiology, Mohammed Bin Khalifa Cardiac Centre, Bahrain.
Haitham
H
Amin
D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000208:ethnology* / Q000401:mortality; D000328:Adult; D000368:Aged; D018912:Arabs; D044466:Asian People; D016009:Chi-Square Distribution; D005260:Female; D054624:Health Status Disparities; D017052:Hospital Mortality; D006760:Hospitalization; D006801:Humans; D007194:India / Q000208:ethnology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D008877:Middle East / Q000453:epidemiology / Q000208:ethnology; D015999:Multivariate Analysis; D016017:Odds Ratio; D011379:Prognosis; D011446:Prospective Studies; D012042:Registries; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors
Arabs; Indian subcontinent; Middle East; South Asians; acute coronary syndrome