Staff Members - Benha University
Epidemiological Variation of Acute Myocardial Infarction Relevant to In-Hospital Outcomes-Tertiary Center Experience-Saudi Arabia Follow
Journal of the Saudi Heart Association • 2020
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Journal of the Saudi Heart Association
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International
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Abstract
Background: Epidemiological related differences in patients presenting with ST-elevation myocardial infarction
(STEMI) have not yet been fully characterized in the Middle East countries. The aim of this study was to assess gender,
ethnic and racial variation in clinical profiles, presentation and treatment strategies with relation to the in-hospital
outcomes.
Method: This is a retrospective, single center study reviewing the epidemiological details of STEMI patients who were
admitted to our center during the period between October 2015 and August 2019.
Result: Out of 3079 patients presented with STEMI, 498 (16%) were women, 2170 (70%) were from Middle Eastern
Countries and only 1200 (39%) were non- Arabic speakers. Women were older in age compared to men (60.04 ± 11.2 vs
55.35 ± 11.8; P < 0.001). They showed significantly higher rates of cardiovascular risk factors (P < 0.001 for diabetes
mellitus (DM), hypertension (HTN) and obesity) and lower prevalence of smoking and old history of previous revascularization
(P < 0.001 and 0.007, respectively). Middle Eastern Countries- STEMI patients were elderly, showed higher
prevalence of DM, HTN, smoking and obesity compared to South Asian patients (p ¼ 0.001, 0.057,
(STEMI) have not yet been fully characterized in the Middle East countries. The aim of this study was to assess gender,
ethnic and racial variation in clinical profiles, presentation and treatment strategies with relation to the in-hospital
outcomes.
Method: This is a retrospective, single center study reviewing the epidemiological details of STEMI patients who were
admitted to our center during the period between October 2015 and August 2019.
Result: Out of 3079 patients presented with STEMI, 498 (16%) were women, 2170 (70%) were from Middle Eastern
Countries and only 1200 (39%) were non- Arabic speakers. Women were older in age compared to men (60.04 ± 11.2 vs
55.35 ± 11.8; P < 0.001). They showed significantly higher rates of cardiovascular risk factors (P < 0.001 for diabetes
mellitus (DM), hypertension (HTN) and obesity) and lower prevalence of smoking and old history of previous revascularization
(P < 0.001 and 0.007, respectively). Middle Eastern Countries- STEMI patients were elderly, showed higher
prevalence of DM, HTN, smoking and obesity compared to South Asian patients (p ¼ 0.001, 0.057,