Amar M Salam1, Kadhim Sulaiman2, Ibrahim Al-Zakwani3, Alawi Alsheikh-Ali4, Mohammed Aljaraallah5, Husam Al Faleh6, Abdelfatah Elasfar7, Prasanth Panduranga2, Rajvir Singh1, Charbel Abi Khalil8, Jassim Al Suwaidi9. 1. a Department of Cardiology , Al-khor Hospital, Hamad Medical Corporation , Doha , Qatar. 2. b Department of Cardiology , Royal Hospital , Muscat , Oman. 3. c Department of Pharmacology & Clinical Pharmacy , Sultan Qaboos University , Muscat , Oman. 4. d College of Medicine , Mohammed Bin Rashid Medical University , Dubai , United Arab Emirates. 5. e Sabah Alahmad Cardiac Center , Kuwait , Kuwait. 6. f Department of Cardiology and Cardiovascular Surgery , King Saud University , Riyadh , Saudi Arabia. 7. g Department of Cardiology , Prince Salman Hospital , Riyadh , Saudi Arabia. 8. h Department of Genetic Medicine and Department of Medicine , Weill Cornell Medical College in Qatar , Doha , Qatar. 9. i Department of Adult Cardiology and Cardiovascular Surgery , Heart Hospital, Hamad Medical Corporation , Doha , Qatar.
Abstract
OBJECTIVES: The purpose of this study was to report prevalence, clinical characteristics, precipitating factors, management and outcome of patients with coronary artery disease (CAD) among patients hospitalized with heart failure (HF) in seven Middle Eastern countries and compare them to non-CAD patients. METHODS: Data were derived from Gulf CARE (Gulf aCute heArt failuRe rEgistry), a prospective multicenter study of 5005 consecutive patients hospitalized with acute HF during February-November 2012 in 7 Middle Eastern countries. RESULTS: The prevalence of CAD among Acute Heart Failure (AHF) patients was 60.2% and varied significantly among the 7 countries (Qatar 65.7%, UAE 66.6%, Kuwait 68.0%, Oman 65.9%, Saudi Arabia 62.5%, Bahrain 52.7% and Yemen 49.1%) with lower values in the lower income countries. CAD patients were older and more likely to have diabetes, hypertension, dyslipidemia and chronic kidney disease. Moreover, CAD patients were more likely to have history of cerebrovascular and peripheral vascular disease when compared to non-CAD patients. In-hospital mortality rates were comparable although CAD patients had more frequent re-hospitalization and worse long-term outcome. However, CAD was not an independent predictor of poor outcome. CONCLUSION: The prevalence of CAD amongst patients with HF in the Middle East is variable and may be related to healthcare sources. Regional and national studies are needed for assessing further the impact of various etiologies of HF and for developing appropriate strategies to combat this global concern.
OBJECTIVES: The purpose of this study was to report prevalence, clinical characteristics, precipitating factors, management and outcome of patients with coronary artery disease (CAD) among patients hospitalized with heart failure (HF) in seven Middle Eastern countries and compare them to non-CAD patients. METHODS: Data were derived from Gulf CARE (Gulf aCute heArt failuRe rEgistry), a prospective multicenter study of 5005 consecutive patients hospitalized with acute HF during February-November 2012 in 7 Middle Eastern countries. RESULTS: The prevalence of CAD among Acute Heart Failure (AHF) patients was 60.2% and varied significantly among the 7 countries (Qatar 65.7%, UAE 66.6%, Kuwait 68.0%, Oman 65.9%, Saudi Arabia 62.5%, Bahrain 52.7% and Yemen 49.1%) with lower values in the lower income countries. CAD patients were older and more likely to have diabetes, hypertension, dyslipidemia and chronic kidney disease. Moreover, CAD patients were more likely to have history of cerebrovascular and peripheral vascular disease when compared to non-CAD patients. In-hospital mortality rates were comparable although CAD patients had more frequent re-hospitalization and worse long-term outcome. However, CAD was not an independent predictor of poor outcome. CONCLUSION: The prevalence of CAD amongst patients with HF in the Middle East is variable and may be related to healthcare sources. Regional and national studies are needed for assessing further the impact of various etiologies of HF and for developing appropriate strategies to combat this global concern.
Authors: Abdulmgeed Fahhad H Alruways; Nemer Abdulaziz Alotaibi; Mohammad Azhar Rashikh; Ali Alhumaidi Alnufeie; Yosef Jazza D Alshammari; Majed Rashed Alharthy; Faisal Jamal M Alanazi Journal: J Family Med Prim Care Date: 2020-11-30
Authors: Haitham M Albar; Riyadh Ahmed Alahmdi; Abdulmalik A Almedimigh; Riyaz Ahmed Shaik; Mohammad Shakil Ahmad; Abdulaziz Badar Almutairi; Waleed Khalid Z Alghuyaythat; Shouq Yaseen Alaoufi; Worud Omar Aloyari; Rand Muslat S Alanazi Journal: Front Cardiovasc Med Date: 2022-09-08