心血管疾患と診断

Clinical Spectrum of Acute Coronary Syndromes in Qatar

Abstract

Manish Barman and Bendaas Djamel

Objectives: The clinical profile among patients with acute coronary syndromes (ACS) is not well reported in Qatar. To determine the clinical characteristics and profile of patients having acute coronary syndromes presenting to a private tertiary hospital in Qatar.

Methods: Retrospective study conducted at a large tertiary center. Successive cases presenting with ACS to the coronary-care unit between January 2009 and December 2013 were included. Cases were grouped into ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction/unstable angina (NSTEMI/UA) for the purpose of analysis.

Results: Among 451 patients treated for ACS, 327(72.7%) were males and 123(27.3%) females. 36 (8%) patients had STEMI, 269 (59.8%) NSTEMI and 145(32.2%) had unstable angina. 343 (76.2%) had hypertension, 228 (50.7%) had diabetes mellitus and 195(43.3%) were smokers. In 238(52.9%) patients the time of onset and reaching hospital was between 12 am to 6 am. More than 70% patients with ACS were in the age group of 41 to 60 years of age.

Conclusions: In a varied, multi ethnic and rapidly growing economy of Qatar the number of males suffering ACS far exceeds the females. A high prevalence of cardiovascular risk factors implies a continuing burden of cardiovascular morbidity and mortality. Improving the lifestyles of patients in the region will be crucial for improving long-term outcomes. Appropriate vision and emphasis is required for the management of cardiovascular risk factors and cardiovascular disease in this part of the world. The patient profile and characteristics including the risk profile helps us to understand the demographic variation and prevalence in our mix of multi ethnic, migrant and expat population utilizing the private healthcare sector services.