Background: Epidemiological related differences in patients presenting with ST- elevation myocardial infarction (STEMI) have not yet been fully characterized in the Middle East countries. The aim of this study was to assess gender, ethnic and racial variation in clinical profiles, presentation and treatment strategies with relation to the in-hospital outcomes.
Method: This is a retrospective, single center study reviewing the epidemiological details of STEMI patients who were admitted to our center during the period between October 2015 and August 2019.
Result: Out of 3079 patients presented with STEMI, 498(16%) were women, 2170 (70%) were from Middle Eastern Countries and only 1200 (39%) were non- Arabic speakers. Women were older in age compared to men (60.04± 11.2 vs 55.35± 11.8; Pand lower prevalence of smoking and old history of previous revascularization (P
Conclusion: Our study demonstrates that there are gender, ethnic/racial- related differences in the demographics and clustered cardiovascular risk factors. However, there were no significant detected variation between both genders and different ethnic groups regarding post MI complications, management provided, and hospital outcomes except for increased the mortality rates among women. Old age, presence of multi-vessel disease and severe left ventricular systolic dysfunction have the greatest effect on in-hospital mortality among STEMI patients.
Khaled, Sheeren; Almalki, Mohammad; Shalaby, Ghada; Niazi, Azmat K.; Ahmed, Sara; Alsilami, Asma; Alhazmi, Mohannd; Bukhary, Zeyad; and Jaha, Najeeb
"Epidemiological Variation of Acute Myocardial Infarction Relevant to In-Hospital Outcomes-Tertiary Center Experience-Saudi Arabia,"
Journal of the Saudi Heart Association: Vol. 32
, Article 1.
Available at: https://doi.org/10.37616/2212-5043.1139
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.