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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Kuwait Acute Coronary Syndromes Registry: Baseline characteristics, management practices and in-hospital outcomes of patients hospitalized with acute coronary syndromes in Kuwait
Medical Principles and Practice, Volume 16, No. 6, Year 2007
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Description
Objectives: To identify the characteristics of patients with acute coronary syndromes (ACS), their hospital management and in-hospital outcomes, through a prospective registry system in Kuwait. Subjects and Methods: A registry involving all 7 general hospitals in Kuwait was set up. Consecutive patients diagnosed as having ACS over a period of 6 months were enrolled. Results: Of 2,129 patients enrolled, 718 (34%) had ST segment elevation myocardial infarction (STEMI), 576 (27%) non-ST segment elevation myocardial infarction (NSTEMI) and 835 (39%) unstable angina (UA). Thrombolytic therapy was used in 556 (77%) patients with STEMI. The median time from diagnostic electrocardiogram to administration of thrombolytic therapy was 38 min. Almost all patients with ACS (2,050, 96%) received aspirin during hospitalization. Only a minority received clopidogrel, 18 (3%) STEMI, 36 (6%) NSTEMI and 96 (12%) UA patients. The use of glycoprotein IIb/IIIa antagonists was minimal (38 patients, 2%). β-Blockers were used in 1,473 (69%) patients, while 982 (46%) received angiotensin-converting enzyme inhibitors. Coronary angiography during hospitalization was performed in 119 (17%), 120 (21%) and 126 (15%) patients with STEMI, NSTEMI and UA, respectively. In-hospital mortality occurred in 31 (4%) myocardial infarction patients and 4 (0.5%) UA patients (p < 0.0001). Conclusion: This registry has enabled us to determine the incidence and characteristics of ACS patients in Kuwait. It has also enabled us to identify some barriers that we need to overcome for the full implementation of published guidelines for the management of patients with ACS. Copyright © 2007 S. Karger AG.
Authors & Co-Authors
Zubaid, Mohammad
Kuwait, Kuwait City
Kuwait University
Rashed, Wafa A.
Kuwait, Safat
Mubarak Al-kabeer Hospital
Saad, Hisham
Kuwait, Safat
Mubarak Al-kabeer Hospital
Attiya, Ali
Kuwait, Safat
Mubarak Al-kabeer Hospital
Al-Banat, Bassam Abu
Kuwait, Safat
Al-amiri Hospital
Ridha, Mustafa
Kuwait, Safat
Al-adan Hospital
Al-Kandari, Mohammad H.
Kuwait, Sabah Al-nasser
Al-farwaniya Hospital
Baidas, Ghassan
Kuwait
Al-sabah Hospital
al-Hamdan, Rashed
Kuwait, Safat
Al-jahra Hospital
Zubair, Shahid
Kuwait, Al Ahmadi
Kuwait Oil Company
Thalib, Lukman
Kuwait, Kuwait City
Kuwait University
Statistics
Citations: 23
Authors: 11
Affiliations: 8
Identifiers
Doi:
10.1159/000107732
ISSN:
10117571
Research Areas
Health System And Policy
Study Design
Cohort Study