title: Comparison of Indian subcontinent and Middle East acute heart failure patients: Results from the Gulf Acute Heart Failure Registry.
abstract: OBJECTIVE
  To compare Middle East Arabs and Indian subcontinent acute heart failure (AHF) patients.
  
  
  METHODS
  AHF patients admitted from February 14, 2012 to November 14, 2012 in 47 hospitals among 7 Middle East countries.
  
  
  RESULTS
  The Middle Eastern Arab group (4157) was older (60 vs. 54 years), with high prevalence of coronary artery disease (48% vs. 37%), valvular heart disease (14% vs. 7%), atrial fibrillation (12% vs. 7%), and khat chewing (21% vs. 1%). Indian subcontinent patients (382) were more likely to be smokers (36% vs. 21%), alcohol consumers (11% vs. 2%), diabetic (56% vs. 49%) with high prevalence of AHF with reduced ejection fraction (76% vs. 65%), and with acute coronary syndrome (46% vs. 26%). In-hospital mortality was 6.5% with no difference, but 3-month and 12-month mortalities were significantly high among Middle East Arabs, (13.7% vs. 7.6%) and (22.8% vs. 17.1%), respectively.
  
  
  CONCLUSIONS
  AHF patients from this region are a decade younger than Western patients with high prevalence of ischemic heart disease, diabetes mellitus, and AHF with reduced ejection fraction. There is an urgent need to control risk factors among both groups, as well as the need for setting up heart failure clinics for better postdischarge management.
authors.affiliation: Department of Cardiology, Royal Hospital, Oman. Electronic address: prashanthp_69@yahoo.co.in.
authors.forename: Prashanth
authors.initials: P
authors.lastname: Panduranga
authors.affiliation: Pharmacology & Clinical Pharmacy, College of Medicine & Health Sciences, Sultan Qaboos University, Oman.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Al-Zakwani
authors.affiliation: Department of Cardiology, Royal Hospital, Oman.
authors.forename: Kadhim
authors.initials: K
authors.lastname: Sulaiman
authors.affiliation: Cardiac Sciences, King Fahad Cardiac Center, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Khalid
authors.initials: K
authors.lastname: Al-Habib
authors.affiliation: Institute of Cardiac Sciences, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates; Institute for Clinical Research and Health Policy Studies, Tufts Medical Center and Tufts University School of Medicine, Boston, MA, USA.
authors.forename: Alawi
authors.initials: A
authors.lastname: Alsheikh-Ali
authors.affiliation: Adult Cardiology, Hamad Medical Corporation and Qatar Cardiovascular Research Center, Doha, Qatar.
authors.forename: Jassim
authors.initials: J
authors.lastname: Al-Suwaidi
authors.affiliation: Heart and Vascular Institute, Cleveland Clinic Abu Dhabi, United Arab Emirates.
authors.forename: Wael
authors.initials: W
authors.lastname: Al-Mahmeed
authors.affiliation: Cardiac Sciences, King Fahad Cardiac Center, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Hussam
authors.initials: H
authors.lastname: Al-Faleh
authors.affiliation: Adult Cardiology, King Salman Heart Center, King Fahad Medical City, Riyadh, Saudi Arabia; Tanta University, Egypt.
authors.forename: Abdelfatah
authors.initials: A
authors.lastname: Elasfar
authors.affiliation: Cardiology, Adan Hospital, Kuwait.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Ridha
authors.affiliation: Cardiology, Sabah Al Ahmed Cardiac Center, Kuwait.
authors.forename: Bassam
authors.initials: B
authors.lastname: Bulbanat
authors.affiliation: Cardiology, Sabah Al Ahmed Cardiac Center, Kuwait.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Al-Jarallah
authors.affiliation: Adult Cardiology, Hamad Medical Corporation and Qatar Cardiovascular Research Center, Doha, Qatar.
authors.forename: Nidal
authors.initials: N
authors.lastname: Asaad
authors.affiliation: Cardiology, Dubai Hospital, Dubai, United Arab Emirates.
authors.forename: Nooshin
authors.initials: N
authors.lastname: Bazargani
authors.affiliation: Internal Medicine, Faculty of Medicine, Sana'a University, Sana'a, Yemen.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Al-Motarreb
authors.affiliation: Mohammed Bin Khalifa Cardiac Centre, Bahrain.
authors.forename: Haitham
authors.initials: H
authors.lastname: Amin
mesh_terms: D000208:Acute Disease; D019468:Disease Management; D005260:Female; D006333:Heart Failure / Q000453:epidemiology*; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D008297:Male; D008875:Middle Aged; D008877:Middle East / Q000453:epidemiology; D015995:Prevalence; D011446:Prospective Studies; D012042:Registries; D018570:Risk Assessment; D012307:Risk Factors; D015996:Survival Rate / Q000639:trends
keywords: Acute heart failure; Heart failure; Indian subcontinent; Middle East; South Asians