Yusufali Afzalhussein M, AlMahmeed Wael, Tabatabai Sadeq, Rao Kabad, Binbrek Azan
Dubai Heart Centre, DHA, Dubai, UAE.
Sheikh Khalifa Medical City, Abu Dhabi, UAE.
Heart Asia. 2010 Oct 5;2(1):118-21. doi: 10.1136/ha.2009.001495. eCollection 2010.
To identify the characteristics, treatments and hospital outcomes of patients diagnosed as having acute coronary syndrome (ACS) in the United Arab Emirates (UAE).
A 3-year prospective registry.
Four tertiary care hospitals in three major cities of UAE from December 2003 to December 2006.
1842 eligible consecutive patients with suspected ACS.
None.
Characteristics, treatments and in-hospital outcomes were recorded.
The mean age was 50.8±10.0 years, and 93.1% were male. More than half (51%) had ST elevation myocardial infarction (STEMI). The smoking rate was 46.4%, and diabetes was present in 38.9%. Only a minority (17.3%) used the ambulance services. For patients with STEMI, the median symptom to hospital time was 127 (IQR 60-256) min, and the median diagnostic ECG to thrombolysis time was 28 (IQR 16-50) min. Reperfusion in STEMI was in 81.4% (64.8% thrombolysis and 16.6% primary percutaneous coronary intervention). During hospitalisation, only a minority of the patients did not receive antiplatelets, anticoagulants, beta-blockers, ACE inhibitors and statin therapy. In-hospital complications were not common in our registry cohort. In-hospital mortality was 1.68%.
ACS patients in UAE are young but have higher risk factors such as smoking and diabetes. Almost half present as STEMI. Only a minority use ambulance services.
确定在阿拉伯联合酋长国（阿联酋）被诊断为急性冠状动脉综合征（ACS）患者的特征、治疗方法及住院结局。
一项为期3年的前瞻性登记研究。
2003年12月至2006年12月期间，阿联酋三个主要城市的四家三级护理医院。
1842例符合条件的疑似ACS连续患者。
无。
记录患者的特征、治疗方法及住院结局。
患者平均年龄为50.8±10.0岁，93.1%为男性。超过半数（51%）患者为ST段抬高型心肌梗死（STEMI）。吸烟率为46.4%，糖尿病患病率为38.9%。仅少数患者（17.3%）使用了救护车服务。对于STEMI患者，症状出现至入院的中位时间为127（四分位间距60 - 256）分钟，诊断性心电图至溶栓的中位时间为28（四分位间距16 - 50）分钟。STEMI患者的再灌注率为81.4%（64.8%接受溶栓治疗，16.6%接受直接经皮冠状动脉介入治疗）。住院期间，仅少数患者未接受抗血小板、抗凝、β受体阻滞剂、血管紧张素转换酶抑制剂及他汀类药物治疗。在我们的登记队列中，住院并发症并不常见。住院死亡率为1.68%。
阿联酋的ACS患者较为年轻，但吸烟和糖尿病等危险因素较高。近半数患者表现为STEMI。仅少数患者使用救护车服务。
