Characteristics, Management, and In-Hospital Outcomes of Diabetic Patients with Acute Coronary Syndrome in the United Arab Emirates. (18th June 2012)

• Record Type: Journal Article
• Authors: Shehab, Abdulla; Al-Dabbagh, Bayan; Almahmeed, Wael; Bustani, Nazar; Agrawal, Amrish; Yusufali, Afzal; Wassef, Adel; Alnaeemi, Abdulla; Alsheikh-Ali, Alawi A.
• Other Names: Karamitsos T. D. Academic Editor.; Moreno Gomez R. Academic Editor.
• Is Part Of: TheScientificWorldjournal. Volume 2012(2012)
• Publication Date: 2012-06-18
• Subjects: Science -- Periodicals; Technology -- Periodicals; Medicine -- Periodicals; 505
• DOI: 10.1100/2012/698597
• Languages: English
• ISSNs: 2356-6140

Abstract

Abstract : We describe the baseline characteristics, management, and in-hospital outcomes of patients in the United Arab Emirates (UAE) with DM admitted with an acute coronary syndrome (ACS) and assess the influence of DM on in-hospital mortality. Data was analyzed from 1697 patients admitted to various hospitals in the UAE with a diagnosis of ACS in 2007 as part of the 1st Gulf RACE (Registry of Acute Coronary Events). Of 1697 patients enrolled, 668 (39.4%) were diabetics. Compared to patients without DM, diabetic patients were more likely to have a past history of coronary artery disease (49.1% versus 30.1%, P < 0.001 ), hypertension (67.2% versus 36%, P < 0.001 ), and prior revascularization (21% versus 11.4%, P < 0.001 ). They experienced more in-hospital recurrent ischemia (8.5% versus 5.1%; P = 0.004 ) and heart failure (20% versus 10%; P < 0.001 ). The mortality rate was 2.7% for diabetics and 1.6% for nondiabetics (P = 0.105 ). After age adjustment, in-hospital mortality increased by 3.5% per year of age (P = 0.016 ). This mortality was significantly higher in females than in males (P = 0.04 ). ACS patients with DM have different clinical characteristics and appear to have poorer outcomes.