PMID- 27543475
OWN - NLM
STAT- MEDLINE
DCOM- 20170522
LR  - 20181113
IS  - 2213-3763 (Electronic)
IS  - 0019-4832 (Print)
IS  - 0019-4832 (Linking)
VI  - 68
IP  - 4
DP  - 2016 Jul-Aug
TI  - STEMI vs NSTEACS management trends in non-invasive hospital.
PG  - 519-22
LID - S0019-4832(15)00838-X [pii]
LID - 10.1016/j.ihj.2015.11.006 [doi]
AB  - OBJECTIVES: To compare the clinical features, management, and in-hospital 
      outcomes of patients with ST elevation myocardial infarction (STEMI) and non-ST 
      elevation acute coronary syndrome (NSTEACS), in the Western Region of Saudi 
      Arabia. METHODS: A total of 71 patients were enrolled in a longitudinal study at 
      a tertiary hospital without cardiac catheterization facility. These data were 
      collected from Saudi Project for Assessment of Coronary Events registry. RESULTS: 
      Twenty-three patients with STEMI were compared to 48 patients with NSTEACS. Mean 
      age for STEMI was younger, 57.4+/-13.7 years compared to 63.2+/-13.9 years 
      respectively (p=0.19). Forty-four percent arrived at the hospital by ambulance. 
      History of hypertension and hyperlipidemia were more frequent in NSTEACS 
      (p=0.05), while both groups showed no difference in diabetes mellitus, 17% vs 22% 
      and smoking, 30% vs 17%. In-hospital medications were: Aspirin (100%) both 
      groups, Clopidogrel (91% vs 100%) (p=0.03). There was more aggressive use of 
      beta-blockers (74% vs 95%) (p=0.01) and statins (87% vs 100%) (p=0.01) in 
      NSTEACS. In-hospital outcomes showed one recurrent myocardial infarction and one 
      death in NSTEACS group (2%). Other outcome in the two groups showed recurrent 
      ischemia (13% vs 29%) (p=0.14) and cardiogenic shock (9% vs 2%) (p=0.17). No 
      stroke or major bleeding was reported in both groups. CONCLUSION: NSTEACS 
      patients in western province of KSA present at an older age are mostly males and 
      have higher prevalence of hypertension and hyperlipidemia compared with STEMI 
      patients. It is therefore important to identify patients with high-risk profile 
      and put implement measures to reduce these factors.
CI  - Copyright (c) 2015 Cardiological Society of India. Published by Elsevier B.V. All 
      rights reserved.
FAU - Kinsara, Abdulhalim Jamal
AU  - Kinsara AJ
AD  - King Saud bin Abdulaziz University for Health Sciences, COM, King Abdul Aziz 
      Medical City-WR, King Faisal Cardiac Center, Mail Code 6599, P.O. Box 9515, 
      Jeddah 21423, Saudi Arabia. Electronic address: Kinsaraaj@ngha.med.sa.
FAU - Alrahimi, Jamilah Saad
AU  - Alrahimi JS
AD  - King Saud bin Abdulaziz University for Health Sciences, COM, King Abdul Aziz 
      Medical City-WR, King Faisal Cardiac Center, Mail Code 6599, P.O. Box 9515, 
      Jeddah 21423, Saudi Arabia.
FAU - Yusuf, Oyindamola B
AU  - Yusuf OB
AD  - Department of Epidemiology & Medical Statistics, COM, University of Ibadan, 
      Ibadan, Nigeria.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20160112
PL  - India
TA  - Indian Heart J
JT  - Indian heart journal
JID - 0374675
RN  - 0 (Fibrinolytic Agents)
SB  - IM
MH  - Acute Coronary Syndrome/diagnosis/epidemiology/*therapy
MH  - Cause of Death/trends
MH  - *Disease Management
MH  - *Electrocardiography
MH  - Female
MH  - Fibrinolytic Agents/*therapeutic use
MH  - Follow-Up Studies
MH  - Hospital Mortality/trends
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Recurrence
MH  - ST Elevation Myocardial Infarction/diagnosis/epidemiology/*therapy
MH  - Saudi Arabia/epidemiology
MH  - *Tertiary Care Centers
MH  - Thrombolytic Therapy/*methods
MH  - Treatment Outcome
PMC - PMC4990765
OTO - NOTNLM
OT  - Jeddah
OT  - Non-ST elevation acute coronary syndrome
OT  - SPACE
OT  - ST elevation myocardial infarction
OT  - Saudi Arabia
EDAT- 2016/08/21 06:00
MHDA- 2017/05/23 06:00
PMCR- 2017/07/01
CRDT- 2016/08/21 06:00
PHST- 2015/07/04 00:00 [received]
PHST- 2015/08/21 00:00 [revised]
PHST- 2015/11/05 00:00 [accepted]
PHST- 2016/08/21 06:00 [entrez]
PHST- 2016/08/21 06:00 [pubmed]
PHST- 2017/05/23 06:00 [medline]
PHST- 2017/07/01 00:00 [pmc-release]
AID - S0019-4832(15)00838-X [pii]
AID - 10.1016/j.ihj.2015.11.006 [doi]
PST - ppublish
SO  - Indian Heart J. 2016 Jul-Aug;68(4):519-22. doi: 10.1016/j.ihj.2015.11.006. Epub 
      2016 Jan 12.