Table of Contents Author Guidelines Submit a Manuscript
The Scientific World Journal
Volume 2012, Article ID 698597, 6 pages
http://dx.doi.org/10.1100/2012/698597
Research Article

Characteristics, Management, and In-Hospital Outcomes of Diabetic Patients with Acute Coronary Syndrome in the United Arab Emirates

1Department of Internal Medicine, Faculty of Medicine and Health Sciences, United Arab Emirates University, P.O. Box 17666, Al Ain, UAE
2Heart and Vascular Institute, Sheikh Khalifa Medical City, P.O. Box 51900, Abu Dhabi, UAE
3Department of Cardiology, Fujairah Hospital, P.O. Box 10, Fujairah, UAE
4Dubai Heart Centre, Dubai Hospital, P.O. Box 7272, Dubai, UAE
5Obaidallah Hospital (Saif Hospital), MOH, P.O. Box 4727, Ras Al-Khaimah, UAE
6Department of Cardiology, Zayed Military Hospital, P.O. Box 3740, Abu Dhabi, UAE
7Institute for Clinical Research and Health Policy Studies and Tufts University School of Medicine, Boston, MA 02111, USA

Received 25 March 2012; Accepted 14 April 2012

Academic Editors: T. D. Karamitsos and R. Moreno Gomez

Copyright © 2012 Abdulla Shehab et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We describe the baseline characteristics, management, and in-hospital outcomes of patients in the United Arab Emirates (UAE) with DM admitted with an acute coronary syndrome (ACS) and assess the influence of DM on in-hospital mortality. Data was analyzed from 1697 patients admitted to various hospitals in the UAE with a diagnosis of ACS in 2007 as part of the 1st Gulf RACE (Registry of Acute Coronary Events). Of 1697 patients enrolled, 668 (39.4%) were diabetics. Compared to patients without DM, diabetic patients were more likely to have a past history of coronary artery disease (49.1% versus 30.1%, 𝑃 < 0 . 0 0 1 ), hypertension (67.2% versus 36%, 𝑃 < 0 . 0 0 1 ), and prior revascularization (21% versus 11.4%, 𝑃 < 0 . 0 0 1 ). They experienced more in-hospital recurrent ischemia (8.5% versus 5.1%; 𝑃 = 0 . 0 0 4 ) and heart failure (20% versus 10%; 𝑃 < 0 . 0 0 1 ). The mortality rate was 2.7% for diabetics and 1.6% for nondiabetics ( 𝑃 = 0 . 1 0 5 ). After age adjustment, in-hospital mortality increased by 3.5% per year of age ( 𝑃 = 0 . 0 1 6 ). This mortality was significantly higher in females than in males ( 𝑃 = 0 . 0 4 ). ACS patients with DM have different clinical characteristics and appear to have poorer outcomes.