Comparison of Women Versus Men Hospitalized With Heart Failure (From a 20-Year Registry in a Middle-Eastern Country 1991–2010)

Suwaidi, Jassim Al; Al‐Qahtani, Awad; Asaad, Nidal; Al-Mulla, Abdul Wahid; Singh, Rajvir; Albinali, Hajar

doi:10.1016/j.amjcard.2011.09.026

Cited by 25 publications

(24 citation statements)

References 29 publications

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“…Use of adjunct therapy during hospitalization was recorded for every patient. Cardiovascular risk factors were defined previously [20]–[21]. The presence of diabetes mellitus (DM) was determined by the previous or current medical record of the patient reporting the diagnosis of DM that had been treated with oral medications or insulin.…”

Section: Methodsmentioning

confidence: 99%

Mortality Trends in Women and Men Presenting with Acute Coronary Syndrome: Insights from a 20-Year Registry

et al. 2013

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BackgroundCoronary artery disease (CAD) is the leading cause of mortality worldwide. The present study evaluated the impact of gender in patients hospitalized with acute coronary syndromes (ACS) over a 20-year period in Qatar.MethodsData were collected retrospectively from the registry of the department of cardiology for all patients admitted with ACS during the study period (1991–2010) and were analyzed according to gender.ResultsAmong 16,736 patients who were admitted with ACS, 14262 (85%) were men and 2474 (15%) were women. Cardiovascular risk factors were more prevalent among women in comparison to men. On admission, women presented mainly with non-ST-elevation ACS and were more likely to be undertreated with β-blockers (BB), antiplatelet agents and reperfusion therapy in comparison to men. However, from 1999 through 2010, the use of aspirin, angiotensin-converting enzyme inhibitors and BB increased from 66% to 79%, 27% to 41% and 17% to 49%, respectively in women. In the same period, relative risk reduction for mortality was 64% in women and 51% in men. Across the 20-year period, the mortality rate decreased from 27% to 7% among the Middle Eastern Arab women. Multivariate logistic regression analysis showed that female gender was independent predictor of in-hospital mortality (odd ratio 1.51, 95% CI 1.27–1.79).ConclusionsWomen presenting with ACS are high-risk population and their in-hospital mortality remains higher for all age groups in comparison to men. Although, substantial improvement in the hospital outcome has been observed, guidelines adherence and improvement in the hospital care have not yet been optimized.

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Section: Methodsmentioning

confidence: 99%

Mortality Trends in Women and Men Presenting with Acute Coronary Syndrome: Insights from a 20-Year Registry

et al. 2013

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“…Cardiology Inpatient Data forms were completed by physicians at the time of patient discharge from the hospital according to predefined criteria. These records have been coded and registered at the cardiology department since January 1991 [7,8]. Data registered into a computer by a data entry operator were randomly checked by physicians at the cardiology department.…”

Section: Methodsmentioning

confidence: 99%

“…The presence of hypertension (HTN) was determined by any documentation in the medical record of HTN or if the patient was on treatment. Smoking history: patients were divided into current cigarette smokers, past smokers (defined as more than 6 months abstinence from smoking) and those who never smoked [7]. …”

Section: Definitionsmentioning

confidence: 99%

Effect of Age on Clinical Presentation and Outcome of Patients Hospitalized with Acute Coronary Syndrome: A 20-Year Registry in a Middle Eastern Country

Ahmed

El‐Menyar²,

Singh³

et al. 2012

TOCMJ

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Introduction:Despite the fact that the elderly constitute an increasingly important group of patients with acute coronary syndrome (ACS), they are often excluded from clinical trials and are underrepresented in clinical registries.Aims:To evaluate the impact of age in patients hospitalized with ACS.Methods:Data collected for all patients presenting with ACS (n=16,744) who were admitted in Qatar during the period (1991-2010) and were analyzed according to age into 3 groups (≤50 years [41.4%], 51-70 years [48.7%] and >70 years [9.8%]).Results:Older patients were more likely to be women and have hypertension, diabetes mellitus, and renal failure, while younger patients were more likely to be smokers. Non-ST-elevation myocardial infarction and heart failure were more prevalent in older patients. Older age was associated with undertreatment with evidence-based therapies and had higher mortality rate. Age was independent predictor for mortality. Over the study period, the relative reduction in mortality rates was higher in the younger compared with the older patients (61, 45.9 and 35.5%).Conclusions:Despite being a higher-risk group, older patients were undertreated with evidence based therapy and had worse short-term outcome. Guidelines adherence and improvement in hospital care for elderly patients with ACS may potentially reduce morbidity and mortality.

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“…A recent sub-Saharan African registry of acute HF patients hospitalized in urban centers has somewhat expanded the knowledge 49 ; yet, information on chronic HF outpatients and data on knowledge/perceptions on HF and barriers' assessments are lacking.…”

Section: Limitations Of Current Data Africamentioning

confidence: 98%

Heart failure in low- and middle-income countries: Background, rationale, and design of the INTERnational Congestive Heart Failure Study (INTER-CHF)

Dokainish¹,

Teo²,

Zhu³

et al. 2015

American Heart Journal

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Comparison of Women Versus Men Hospitalized With Heart Failure (From a 20-Year Registry in a Middle-Eastern Country 1991–2010)

Cited by 25 publications

References 29 publications

Mortality Trends in Women and Men Presenting with Acute Coronary Syndrome: Insights from a 20-Year Registry

Mortality Trends in Women and Men Presenting with Acute Coronary Syndrome: Insights from a 20-Year Registry

Effect of Age on Clinical Presentation and Outcome of Patients Hospitalized with Acute Coronary Syndrome: A 20-Year Registry in a Middle Eastern Country

Heart failure in low- and middle-income countries: Background, rationale, and design of the INTERnational Congestive Heart Failure Study (INTER-CHF)

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