Acute coronary syndrome registry from four large centres in United Arab Emirates (UAE-ACS Registry).
OBJECTIVE
To identify the characteristics, treatments and hospital outcomes of patients diagnosed as having acute coronary syndrome (ACS) in the United Arab Emirates (UAE).


METHODS
A 3-year prospective registry.


METHODS
Four tertiary care hospitals in three major cities of UAE from December 2003 to December 2006.


METHODS
1842 eligible consecutive patients with suspected ACS.


METHODS
None.


METHODS
Characteristics, treatments and in-hospital outcomes were recorded.


RESULTS
The mean age was 50.8±10.0 years, and 93.1% were male. More than half (51%) had ST elevation myocardial infarction (STEMI). The smoking rate was 46.4%, and diabetes was present in 38.9%. Only a minority (17.3%) used the ambulance services. For patients with STEMI, the median symptom to hospital time was 127 (IQR 60-256) min, and the median diagnostic ECG to thrombolysis time was 28 (IQR 16-50) min. Reperfusion in STEMI was in 81.4% (64.8% thrombolysis and 16.6% primary percutaneous coronary intervention). During hospitalisation, only a minority of the patients did not receive antiplatelets, anticoagulants, beta-blockers, ACE inhibitors and statin therapy. In-hospital complications were not common in our registry cohort. In-hospital mortality was 1.68%.


CONCLUSIONS
ACS patients in UAE are young but have higher risk factors such as smoking and diabetes. Almost half present as STEMI. Only a minority use ambulance services.
Dubai Heart Centre, DHA, Dubai, UAE.
Afzalhussein M
AM
Yusufali
Sheikh Khalifa Medical City, Abu Dhabi, UAE.
Wael
W
AlMahmeed
Dubai Heart Centre, DHA, Dubai, UAE.
Sadeq
S
Tabatabai
Rashid Hospital, DHA, Dubai, UAE.
Kabad
K
Rao
Rashid Hospital, DHA, Dubai, UAE.
Azan
A
Binbrek