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To compare clinical characteristics, management and outcomes of OHCA patients according to ethnicity (Middle Eastern Arabs (MEA) vs. South Asians (SA)).
Retrospective analysis of the 20-year registry data (Jan 1991 to Dec 2010) of OHCA patients hospitalized at Hamad General Hospital and Qatar Heart Hospital, Doha, Qatar.
987 patients were admitted with OHCA, 558 were MEA, 305 were SA and 124 of other ethnicities. Compared to MEA, SA were younger (49±12 vs. 62±15 years, P=0.001), more likely to be male (88 vs. 63%, P=0.001). SA were less likely to have hypertension (27 vs. 53%, P=0.001), Diabetes (31 vs. 52%, P=0.001), BMI>30(14 vs.41%) and chronic renal failure (3 vs.11%, p=0.001), but, more likely to be current smoker (26 vs.15%, P=0.001). There was no significant difference in ejection fraction (33 vs.36%, P=0.11). SA were more likely to receive antithrombotic, antiplatelet and fibrinolytic therapy, but the rate of undergoing coronary angiogram was similar (13 vs.10%, P=0.30). The mortality was not statistically different between SA and MEA(62 vs.57%, P=0.15).
Despite their younger age and the lower rate of co morbid conditions, SA patients with OHCA have similar mortality to MEA patients.
Poster Sessions, Expo North
Saturday, March 09, 2013, 10:00 a.m.-10:45 a.m.
Session Title: MI Complications: Shock, Arrest and Cardiac Rupture
Abstract Category: 1. Acute Coronary Syndromes: Clinical
Presentation Number: 1126-175
- 2013 American College of Cardiology Foundation