Cardiogenic Shock Among Yemeni Patients Presented With Acute Coronary Syndrome (ACS). Data From Gulf Registry of Acute Coronary Events Phase (Gulf Race I)

Abstract

Introductions & Aims: Acute Coronary Syndrome (ACS) and its magnitudes is one of the most common cardiac diseases world-wide. Yet in Yemen; GULF RACE I data are the first nation- wide information that highlight the magnitude of this problem. Cardiogenic shock is a miserable complication of ACS. Pointing out this problem among Yemeni with ACS, its prognostic importance and impact in patients outcomes is a major aim of this study.
 Methods and Patients: Yemen data arm was a part from the GULF RACE I, which is a prospective, multinational, multicentres survey of consecutive patients hospitalized with the final diagnosis of ACS in six Arabian Peninsula/Gulf countries over a period of six month. Yemeni patients were 1054 patients included from 20 major hospitals all over the country with ACS including cases of ST Elevation Acute Myocardial Infarction (STEMI), non ST Elevation Acute Myocardial Infarction (NSTEMI), newly developed Left Bundle Branch Block (LBBB) and unstable angina pectoris (UA). Patients with Acute Heart Failure (AHF) and presented with cardiogenic shock were pointed out. The end point of this study was all causes of in-hospital mortality.
 Results: Out of 1054 hospitalized with ACS, 181 patients (17.3%) had AHF on presenting to the hospital or during hospitalization itself. Out of those patients with AHF there were 74 patients who developed Cardiogenic Shock. They were relatively older 64.7±9.7 (SD) years (P