| ORIGINAL ARTICLE |
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| Year : 2013 | Volume
: 14
| Issue : 4 | Page : 159-164 |
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Clinical presentation, management and outcome of acute coronary syndrome in Yemen: Data from GULF RACE - 2 registry
Al-Motarreb Ahmed, Al-Matry Abdulwahab, Al-Fakih Hesham, Wather Nawar
Department of Internal Medicine, Faculty of Medicine, Sanaa University and Cardiac Centre, Al-Thawarah Hospital, Sanaa, Yemen
Correspondence Address:
Al-Motarreb Ahmed
Department of Internal Medicine, Faculty of Medicine, Sanaa University, Sanaa
Yemen
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1995-705X.126880
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Background: Acute Coronary Syndrome (ACS) is increasing in Yemen in recent years and there are no data available on its short and long-term outcome. We evaluated the clinical pictures, management, in-hospital, and long-term outcomes of the ACS patients in Yemen.
Design and Setting: A 9-month prospective, multi-center study conducted in 26 hospitals from 9 governorates. The study included 30-day and 1-year mortality follow-up.
Patients and Methods: One thousand seven hundred and sixty one patients with ACS were collected prospectively during the 9-month period. Patients with ST-elevation myocardial infarction (STEMI) and non-ST-elevation acute coronary syndrome (NSTEACS), including non-ST-elevation myocardial infarction and unstable angina were included .
Conclusions: ACS patients in Yemen present at a relatively young age with high prevalence of Smoking, khat chewing and hypertension. STEMI patients present late, and their acute management is poor. In-hospital evidence-based medication rates are high, but coronary revascularization procedures were very low. In-hospital mortality was high and long-term mortality rates increased two folds compared with the in-hospital mortality. |
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