Hossain M M, Kotekar N D, Dhar V K, Sunny P F
Department of Community Medicine, Faculty of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.
Int J Cardiol. 1997 Jan 3;58(1):77-82. doi: 10.1016/s0167-5273(96)02843-4.
Little published information about the clinical epidemiology of acute myocardial infarction (AMI) in the United Arab Emirates (UAE) is available. To fill this knowledge gap, all patients with confirmed AMI who were treated at the intensive care unit of the Kuwait Hospital, Sharjah, during 1991 were prospectively studied. This hospital, primarily for expatriate patients, provides outpatient and hospital care to expatriates for a nominal fee and to UAE citizens free of charge. It is estimated that about 80% of all expatriate AMI patients in Sharjah receive initial treatment at this hospital. Of all 153 were recorded in 30.2 (39/129), 17.8 (27/152) and 14.6% (22/151) of the patients, respectively. Overall, 73.7% (112/152) of the patients were current cigarette smokers. Of all 153 patients, 48.4, 35.9, 7.2 and 8.5% had anterior, inferior, lateral and 'other' types of AMI, respectively. Of 152 patients with available data, 15 (9.9%) died in the hospital. In a multivariate logistic regression model including all significant univariate correlates of in-hospital death (age, nationality, history of hypertension and current smoking practice) as independent variables, only being a current cigarette smoker was significantly related to a lower risk of in-hospital death in the study patients (O.R. = 0.27; 95% C.I.: 0.08-0.96). Also, UAE Arab nationality and preexisting hypertension were notable, though nonsignificant, positive correlates of in-hospital death in this model. These finding should guide future in-depth studies of the clinical epidemiology of AMI in Sharjah and elsewhere in the UAE.
关于阿拉伯联合酋长国（阿联酋）急性心肌梗死（AMI）临床流行病学的公开信息很少。为填补这一知识空白，对1991年在沙迦科威特医院重症监护室接受治疗的所有确诊AMI患者进行了前瞻性研究。这家医院主要服务外籍患者，向外籍人士收取少量费用提供门诊和住院治疗，为阿联酋公民免费提供服务。据估计，沙迦所有外籍AMI患者中约80%在这家医院接受初始治疗。在所有153例患者中，分别有30.2%（39/129）、17.8%（27/152）和14.6%（22/151）的患者记录了[此处原文似乎不完整]。总体而言，73.7%（112/152）的患者目前吸烟。在所有153例患者中，分别有48.4%、35.9%、7.2%和8.5%患有前壁、下壁、侧壁和“其他”类型的AMI。在152例有可用数据的患者中，15例（9.9%）在医院死亡。在一个多变量逻辑回归模型中，将所有与院内死亡有显著单变量相关性的因素（年龄、国籍、高血压病史和当前吸烟习惯）作为自变量，在研究患者中，只有当前吸烟者与较低的院内死亡风险显著相关（比值比=0.27；95%置信区间：0.08 - 0.96）。此外，在该模型中，阿联酋阿拉伯国籍和既往高血压虽然不显著，但与院内死亡呈明显正相关。这些发现应指导未来对沙迦及阿联酋其他地区AMI临床流行病学的深入研究。
