Abstract:BACKGROUND AND OBJECTIVESGender associations with acute coronary syndrome (ACS), remain inconsistent. Gender-specific data in the Saudi Project for Assessment of Coronary Events registry, launched in December 2005 and currently with 17 participating hospitals, were explored.DESIGN AND SETTINGSA prospective multicenter study of patient with ACS in secondary and tertiary care centers in Saudi Arabia were included in this analysis.PATIENTS AND METHODSPatients enrolled from December 2005 until December 2007 includ… Show more
“…22 Likewise, Birkemeyer et al reported that women were significantly older, with a higher prevalence of HTN and DM, and men were more likely to be current smokers. 23 Also, consistent with some other reports, 24,25 this study found no significant differences in treatment with primary PCI for women and men; however, DTB and STB were delayed slightly in women compared to men. These results support the findings of previous studies that women typically experienced a delay in DTB and STB.…”
Section: Discussionsupporting
confidence: 91%
“…20 Also, Hersi and colleagues' survey in Saudi Arabia showed that female gender was an independent risk factor for in-hospital mortality in STEMI. 24 Likewise, in a study conducted by Lawesson et al, female sex was independently linked to higher in-hospital mortality. 34 Differences in inclusion criteria and patients' selection, sample size, clinical and socio-demographic characteristics, and treatment strategies might unfold these different results.…”
IntroductionAcute coronary syndrome (ACS), including myocardial infarction (MI), is a costly condition and the leading cause of mortality in both women and men throughout the world. 1,2 The incidence of MI is constantly increasing worldwide, mostly due to population aging and sedentary lifestyle. 3,4 Many risk factors, directly or indirectly, may affect the outcomes of patients with MI. 5 The outcomes disparity between women and men after acute myocardial infarction (AMI) has been reported frequently but with a wide variety in different ethnic and demographic groups. [5][6][7][8][9] The reasons for the sex-based differences have not been clear yet, though, the known risk factors for MI such as diabetes mellitus (DM), hypercholesterolemia, and hypertension (HTN) in women are more frequent than men. 10-12 After adjustment for possible confounders such as age and other risk factors, some researchers found no differences in the mortality rate between men and
“…22 Likewise, Birkemeyer et al reported that women were significantly older, with a higher prevalence of HTN and DM, and men were more likely to be current smokers. 23 Also, consistent with some other reports, 24,25 this study found no significant differences in treatment with primary PCI for women and men; however, DTB and STB were delayed slightly in women compared to men. These results support the findings of previous studies that women typically experienced a delay in DTB and STB.…”
Section: Discussionsupporting
confidence: 91%
“…20 Also, Hersi and colleagues' survey in Saudi Arabia showed that female gender was an independent risk factor for in-hospital mortality in STEMI. 24 Likewise, in a study conducted by Lawesson et al, female sex was independently linked to higher in-hospital mortality. 34 Differences in inclusion criteria and patients' selection, sample size, clinical and socio-demographic characteristics, and treatment strategies might unfold these different results.…”
IntroductionAcute coronary syndrome (ACS), including myocardial infarction (MI), is a costly condition and the leading cause of mortality in both women and men throughout the world. 1,2 The incidence of MI is constantly increasing worldwide, mostly due to population aging and sedentary lifestyle. 3,4 Many risk factors, directly or indirectly, may affect the outcomes of patients with MI. 5 The outcomes disparity between women and men after acute myocardial infarction (AMI) has been reported frequently but with a wide variety in different ethnic and demographic groups. [5][6][7][8][9] The reasons for the sex-based differences have not been clear yet, though, the known risk factors for MI such as diabetes mellitus (DM), hypercholesterolemia, and hypertension (HTN) in women are more frequent than men. 10-12 After adjustment for possible confounders such as age and other risk factors, some researchers found no differences in the mortality rate between men and
“…Similarly, Hersi A et al (2013) found in a study conducted in coronary syndrome patients, that males were predominant (77%). [33] In the current study, the percentage of Vitamin D deficiency individuals among the study population amounted to 46% and Vitamin D insufficiency 33%. Similarly, Luis et al (2013) confirmed high vitamin D deficiency among coronary syndrome patients (98%).…”
“…This finding was different from reports from South Africa (Ranjith et al, 2005). Males constituted more than half of patients admitted with ACS (56%), while reports from Saudi Arabia showed male predominance of 77% (Hersi et al, 2013).…”
A b s t r a c t A r t i c l e I n f oIn the presence of increasing risk factors like hypertension, diabetes mellitus, and obesity in our community, acute coronary syndrome appears to be a real health problem. This study aimed to determine the clinical profile and risk factors of acute coronary syndrome among patients admitted to Cardiac Care Unit at Elobied Teaching hospital. This is a hospital-based retrospective study done by reviewing records of 84 patients who were admitted to the Cardiac Care Unit with the clinical diagnosis of acute coronary syndrome from the period July 2014 to November 2015. The data were obtained through well-designed data sheet including age, gender, and residence. Clinical presentation, risk factors like hypertension diabetes and cigarette smoking. The data sheet also included ECG findings, complications and outcome of the patients. The data were analyzed using SPSS version 14. More than half of patients were above 60 years (65%). More than half of patients were males (56%). Chest pain was the predominant presenting complaint (98%). More than half of patients were hypertensive (57%) while one third were diabetic (33%). One third of patients were smokers. Troponin was positive in 63% of patients, ECG was abnormal in 68 % of patients and 61 % of the patients were referred for coronary angiography. This study showed that hypertension, diabetes mellitus and smoking are the major risk factors for acute coronary syndrome, early detection and management of hypertension and diabetes are indicated. Establishment of catheter laboratory in our setting should be given a priority.
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