TY - JOUR
T1 - Impact of diabetes and smoking epidemic in the Middle East on the presentation with acute coronary syndrome in very young patients
AU - Alanbaei, Muath
AU - Zubaid, Mohammad
AU - Al-Mallah, Mouaz H.
AU - Rashed, Wafa A.
AU - Shehab, Abdullah
AU - Al-Lawati, Jawad
AU - Amin, Haitham
AU - Suwaidi, Jassim Al
AU - Al-Hamdan, Rashed
AU - Zubair, Shahid
PY - 2012/1
Y1 - 2012/1
N2 - We describe the baseline characteristics, management, and outcomes of acute coronary syndrome (ACS) in patients of age ≤40 in the Gulf region of the Middle East. We studied 8176 hospitalized patients (≤40 years) with ACS. Ten percent (805) of the recruited patients were ≤40 years. The mean age was 37 years and 89% were males. The prevalence of smoking and diabetes in the young patients was high (58% and 21%, respectively). The most common ACS was ST elevation myocardial infarction. Younger patients were more aggressively treated with more frequent use of glycoprotein inhibitors, thrombolytics, and primary percutaneous coronary intervention. They had less in-hospital heart failure, left ventricular dysfunction, shock, stroke, and low rate of in-hospital mortality (1%). Measures to combat the rising prevalence of diabetes and smoking are needed.
AB - We describe the baseline characteristics, management, and outcomes of acute coronary syndrome (ACS) in patients of age ≤40 in the Gulf region of the Middle East. We studied 8176 hospitalized patients (≤40 years) with ACS. Ten percent (805) of the recruited patients were ≤40 years. The mean age was 37 years and 89% were males. The prevalence of smoking and diabetes in the young patients was high (58% and 21%, respectively). The most common ACS was ST elevation myocardial infarction. Younger patients were more aggressively treated with more frequent use of glycoprotein inhibitors, thrombolytics, and primary percutaneous coronary intervention. They had less in-hospital heart failure, left ventricular dysfunction, shock, stroke, and low rate of in-hospital mortality (1%). Measures to combat the rising prevalence of diabetes and smoking are needed.
KW - acute coronary syndrome
KW - acute myocardial infarction
KW - diabetes
KW - smoking
KW - young adults
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U2 - 10.1177/0003319711406255
DO - 10.1177/0003319711406255
M3 - Article
C2 - 21555310
AN - SCOPUS:82955187954
SN - 0003-3197
VL - 63
SP - 48
EP - 54
JO - Angiology
JF - Angiology
IS - 1
ER -