Author + information
- Amar Salam,
- Khalid Al Habib,
- Rajvir Singh,
- Nidal Asaad and
- Jassim Suwaidi
Objectives: Data is scarce about the benefits of coronary artery bypass graft (CABG) in women when performed early during an acute coronary syndrome (ACS) event and its impact on prognosis as compared to percutaneous coronary interventions (PCI) and conservative management. Accordingly, we examined that in a multicenter multinational ACS registry from the Middle East.
Methods: For a period of 9 months in 2008 to 2009, 1686 consecutive women with ACS were enrolled from 65 hospitals in 6 Middle East countries. Those undergoing early CABG during hospitalization were compared to PCI and conservative medical management. Clinical feature, coronary anatomy, in-hospital, and one-year mortality were examined.
Results: During the study period, 40 women (2.4%) underwent CABG during the index hospitalization (group A), and 177 women (10.5%) were submitted to PCI (group B) and 1469 women (87.1%) were not submitted to mechanical revascularization (group C). Patients from group A more frequently had diabetes mellitus, hypertension, and dyslipidemia (all P< 0.001) compared to groups B and C. They had significantly more severe coronary anatomy: 3 vessel disease (72.5% vs. 22% vs. 5.3%, P<0.001) and the culprit lesion was more frequently on the left main (30% versus 2.8% versus 1.1%, P<0.001). There were no significant difference between the 3 groups in in-hospital and one year mortality.
Conclusions: the observed low rates of early interventions in women with ACS in our region warrants further study
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Revascularization and Myocardial Preservation in Acute and Stable Ischemic Heart Disease
Abstract Category: 3. Acute and Stable Ischemic Heart Disease: Therapy
Presentation Number: 1165-306
- 2017 American College of Cardiology Foundation