Ashraf Reda1, Mohamed Ashraf2, Mahmoud Soliman3, Hany Ragy2, Ahmed El Kersh3, Waleed Abdou2, Tamer Mostafa4, Mohammed Hassan5, Elsayed Farag4, Hazem Khamis6, Moheb Wadie7, Atef Elbahry8, Sameh Salama5, Ghada Kazamel2, Mohammed Sadaka9, Morsy Mostafa3, Akram Abd El-Bary10, Osama Sanad11, Samir Rafla9, Yaser Abd El-Hady12, Mohammed Selim2, Nabil Farag13, Helmy El-Ghawaby12, Hosam El-Araby14, Sameh Emil15, Morad Beshay3, Ahmed Shawky13, Mahmoud Yusef7, Mohammed Abd El-Ghany5, Awni Gamal3, Yaser Baghdady5, Taymour Mostafa16, Mohammed Zahran13, Khaled El Rabat11, Ahmed Bendary11, Amany El Shorbagy17. 1. Department of Cardiology, Faculty of Medicine, Menofia University, Menofia, Egypt. Email: ashrafreda5555@gmail.com. 2. National Heart Institute, Ministry of Health, Giza, Egypt. 3. Department of Cardiology, Faculty of Medicine, Menofia University, Menofia, Egypt. 4. Department of Cardiology, Faculty of Medicine, Zagazig University, Zagazig, Egypt. 5. Department of Cardiology, Faculty of Medicine, Cairo University, Cairo, Egypt. 6. Department of Cardiology, Faculty of Medicine, October University, Cairo, Egypt. 7. Department of Cardiology, Faculty of Medicine, Mansoura University, Mansoura, Egypt. 8. Cardiology Unit, Port Foad Centre, Port Foad, Egypt. 9. Department of Cardiology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt. 10. Critical Care Department, Faculty of Medicine, Cairo University, Cairo, Egypt. 11. Department of Cardiology, Faculty of Medicine, Banha University, Banha, Egypt. 12. Department of Cardiology, Faculty of Medicine, Bany Swef University, Egypt. 13. Department of Cardiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt. 14. Department of Cardiology, Faculty of Medicine, Assuit University, Assuit, Egypt. 15. Cardiology Unit, Maady Military Hospital, Cairo, Egypt. 16. Department of Cardiology, Faculty of Medicine, Tanta University, Tanta, Egypt. 17. Department of Physiology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt.
Abstract
BACKGROUND: Egypt is the most populous country in the Middle East and North Africa and has more than 15% of the cardiovascular deaths in the region, but little is known about the prevalence of traditional risk factors and treatment strategies in acute coronary syndrome (ACS) patients across Egypt. METHODS: From November 2015 to August 2017, data were collected from 1 681 patients with ACS in 30 coronary care centres, covering 11 governorates across Egypt, spanning the Mediterranean coast, Nile Delta and Upper Egypt, with a focus on risk factors and management strategies. RESULTS: Women constituted 25% of the patients. Premature ACS was common, with 43% of men aged less than 55 years, and 67% of women under 65 years. Most men had ST-elevation myocardial infarction (STEMI) (49%), while a larger percentage of women had unstable angina and non-ST-elevation myocardial infarction (NSTEMI) (32% each; p < 0.001). Central obesity was present in 80% of men and 89% of women, with 32% of men and women having atherogenic dyslipidaemia. Current smoking was reported by 62% of men and by 72% of men under 55 years. A larger proportion of women had type 2 diabetes (53 vs 34% of men), hypertension (69 vs 49%), dyslipidaemia, and obesity (71 vs 41%) (p < 0.001 for all). There were no gender differences in most diagnostic and therapeutic procedures, but among STEMI patients, 51% of men underwent primary percutaneous coronary intervention compared to 46% of women (p = 0.064). CONCLUSIONS: Central obesity and smoking are extremely prevalent in Egypt, contributing to an increased burden of premature ACS, which warrants tailored prevention strategies. The recognised tendency worldwide to treat men more aggressively was less pronounced than expected.
BACKGROUND: Egypt is the most populous country in the Middle East and North Africa and has more than 15% of the cardiovascular deaths in the region, but little is known about the prevalence of traditional risk factors and treatment strategies in acute coronary syndrome (ACS) patients across Egypt. METHODS: From November 2015 to August 2017, data were collected from 1 681 patients with ACS in 30 coronary care centres, covering 11 governorates across Egypt, spanning the Mediterranean coast, Nile Delta and Upper Egypt, with a focus on risk factors and management strategies. RESULTS:Women constituted 25% of the patients. Premature ACS was common, with 43% of men aged less than 55 years, and 67% of women under 65 years. Most men had ST-elevation myocardial infarction (STEMI) (49%), while a larger percentage of women had unstable angina and non-ST-elevation myocardial infarction (NSTEMI) (32% each; p < 0.001). Central obesity was present in 80% of men and 89% of women, with 32% of men and women having atherogenic dyslipidaemia. Current smoking was reported by 62% of men and by 72% of men under 55 years. A larger proportion of women had type 2 diabetes (53 vs 34% of men), hypertension (69 vs 49%), dyslipidaemia, and obesity (71 vs 41%) (p < 0.001 for all). There were no gender differences in most diagnostic and therapeutic procedures, but among STEMI patients, 51% of men underwent primary percutaneous coronary intervention compared to 46% of women (p = 0.064). CONCLUSIONS:Central obesity and smoking are extremely prevalent in Egypt, contributing to an increased burden of premature ACS, which warrants tailored prevention strategies. The recognised tendency worldwide to treat men more aggressively was less pronounced than expected.
Authors: Simeon Isezuo; Mahmoud Umar Sani; Abdullahi Talle; Adeyemi Johnson; Abiodun-Moshood Adeoye; Mehmet S Ulgen; Amam Mbakwem; Okechukwu Ogah; Emmanuel Edafe; Philip Kolo; Murtala Nagabea; Rasaaq Adebayo; Eze Nwafor; Folasade Daniel; Muiyawa Zagga; Hayatu Umar; Isa Oboirien; Balarabe A Sulaiman; Umar Abdullahi; Muhammad Sani Mijinyawa; Farouk Buba; Akinyemi Aje; Henry Okolie; Muhammad Nazir Shehu; Umar Adamu; Akinsanya Olusegun-Joseph; Ranti Familoni; Nwuriku Chibuzor; Taiwo Olabisi Olunuga; Emmanuel Ejim; Awodu Rasheed Olaide; Dike Ojji; Bushra Sanni; Jane N Ajuluchukwu; Michael O Balogun; Ayodele B Omotoso; Mullasari Ajit; Ayodele O Falase Journal: J Am Heart Assoc Date: 2021-12-22 Impact factor: 6.106
Authors: Taimur Salar Butt; Eyad Bashtawi; Badis Bououn; Bhawoodin Wagley; Bandar Albarrak; Hani El Sergani; Salman Ibn Mujtaba; Jehad Buraiki Journal: Ann Saudi Med Date: 2020-08-06 Impact factor: 1.526