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ORIGINAL ARTICLE
Year : 2013  |  Volume : 14  |  Issue : 4  |  Page : 159-164

Clinical presentation, management and outcome of acute coronary syndrome in Yemen: Data from GULF RACE - 2 registry


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
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Source of Support: None, Conflict of Interest: None


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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