Coronary artery diseaseComparison of Characteristics, Management Practices, and Outcomes of Patients Between the Global Registry and the Gulf Registry of Acute Coronary Events
Section snippets
Methods
Full details of the Global Registry of Acute Coronary Events (GRACE) and Gulf Registry of Acute Coronary Events (Gulf RACE) projects have been previously published.1, 2, 3, 4
Gulf RACE is a prospective registry of all patients hospitalized with an ACS in 65 centers in 6 Arab Middle Eastern countries (Kuwait, Oman, United Arab Emirates, Yemen, Qatar, and Bahrain). Patients were enrolled in this observational study from January through June 2007. All hospitals that care for patients with ACS in
Results
In total 11,151 patients (4,445 from GRACE and 6,706 from Gulf RACE) with a confirmed diagnosis of ACS admitted in 2007 constituted our study population. Of patients in Gulf RACE 39% had an STEMI; of patients enrolled in GRACE 34% developed STEMI.
Patients in Gulf RACE were on average nearly a decade younger than patients enrolled in GRACE. The proportion of patients <55 years old in Gulf RACE was approximately 2 times that in GRACE, whereas the proportion of patients ≥75 years old in Gulf RACE
Discussion
The present study is the first to compare the characteristics, management practices, and hospital outcomes of patients with ACS in the Arab Middle East to a large multinational and predominantly “Western” population hospitalized with ACS. Our study shows that patients with ACS in the Arab Middle East were younger, more likely to have diabetes, and currently smoke cigarettes. They were more likely to present to participating hospitals after prolonged delay after the onset of acute coronary
Acknowledgment
We greatly appreciate the contributions and support of Gordon FitzGerald, PhD.
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This work was supported by an unrestricted educational grant from Sanofi Aventis, Bridgewater, New Jersey.