Comparison of Indian subcontinent and Middle East acute heart failure patients: Results from the Gulf Acute Heart Failure Registry

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• 作者：Prashanth Panduranga^a ; ^{prashanthp_69@yahoo.co.in" class="auth_mail" title="E-mail the corresponding author} ; Ibrahim Al-Zakwani^b ; Kadhim Sulaiman^a ; Khalid Al-Habib^c ; Alawi Alsheikh-Ali^d ; ^e ; Jassim Al-Suwaidi^f ; Wael Al-Mahmeed^g ; Hussam Al-Faleh^c ; Abdelfatah Elasfar^h ; ⁱ ; Mustafa Ridha^j ; Bassam Bulbanat^k ; Mohammed Al-Jarallah^k ; Nidal Asaad^f ; Nooshin Bazargani^l ; Ahmed Al-Motarreb^m ; Haitham Aminⁿ
• 关键词：Acute heart failure ; Heart failure ; Middle East ; Indian subcontinent ; South Asians
• 刊名：Indian Heart Journal
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：68
• 期：supp_S1
• 页码：S36-S44
• 全文大小：386 K

文摘

To compare Middle East Arabs and Indian subcontinent acute heart failure (AHF) patients.

Methods

AHF patients admitted from February 14, 2012 to November 14, 2012 in 47 hospitals among 7 Middle East countries.

Results

The Middle Eastern Arab group (4157) was older (60 vs. 54 years), with high prevalence of coronary artery disease (48% vs. 37%), valvular heart disease (14% vs. 7%), atrial fibrillation (12% vs. 7%), and khat chewing (21% vs. 1%). Indian subcontinent patients (382) were more likely to be smokers (36% vs. 21%), alcohol consumers (11% vs. 2%), diabetic (56% vs. 49%) with high prevalence of AHF with reduced ejection fraction (76% vs. 65%), and with acute coronary syndrome (46% vs. 26%). In-hospital mortality was 6.5% with no difference, but 3-month and 12-month mortalities were significantly high among Middle East Arabs, (13.7% vs. 7.6%) and (22.8% vs. 17.1%), respectively.

Conclusions

AHF patients from this region are a decade younger than Western patients with high prevalence of ischemic heart disease, diabetes mellitus, and AHF with reduced ejection fraction. There is an urgent need to control risk factors among both groups, as well as the need for setting up heart failure clinics for better postdischarge management.