Gender Differences in Acute Coronary Syndrome in Arab Emirati Women—Implications for Clinical Management. (January 2013)

• Record Type: Journal Article
• Authors: Shehab, Abdulla; Yasin, Javed; Hashim, Muhammad Jawad; Al-Dabbagh, Bayan; Mahmeed, Wael Al; Bustani, Nazar; Agrawal, Amrish; Yusufali, Afzalhussein; Wassef, Adel; Alnaeemi, Abdulla
• Is Part Of: Angiology. Volume 64:Number 1(2013)
• Page Start: 9
• Page End: 14
• Publication Date: 2013-01
• Subjects: acute coronary syndrome -- gender -- United Arab Emirates (UAE); Blood-vessels -- Diseases -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; 616.13005
• DOI: 10.1177/0003319712443891
• Languages: English
• ISSNs: 0003-3197

Abstract

Gender differences exist in many aspects of acute coronary syndrome (ACS), including presentation and delay in diagnosis and treatment. The aim of the study was to evaluate gender-related differences in ACS patients in the United Arab Emirates (UAE). We analyzed a subset (n = 1697) of the Gulf Registry of Acute Coronary Events (Gulf RACE) data collected in 2007 of patients with ACS from 18 UAE hospitals. Women were significantly older (mean age: 64.0 ± 12.4 years for females and 50.9 ± 10.6 years for males, P < .001), more often had cardiac risk factors and were significantly less treated with β-blockers and reperfusion therapy. The adjusted mortality rate of women was 4.6% versus 1.2% in men ( P < .001). Heart failure was higher in females compared with men (24.6% vs 12.5%; P < .001). Reasons for the high in-hospital mortality in women need to be investigated further.