1. The first survey of the Saudi Acute Myocardial Infarction Registry Program: Main results and long-term outcomes (STARS-1 Program).
- Author
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Khalid F Alhabib, Abdulhalim J Kinsara, Saleh Alghamdi, Mushabab Al-Murayeh, Gamal Abdin Hussein, Shukri AlSaif, Hassan Khalaf, Hussam Alfaleh, Ahmad Hersi, Tarek Kashour, Ayman Al-Saleh, Mohammad Ali, Anhar Ullah, Hassan Mhish, Abdulrahman Nouri Abdo, Fawaz Almutairi, Mohammed R Arafah, Raed AlKutshan, Mubarak Aldosari, Basel Y AlSabatien, Mohammad Alrazzaz, Adel M Maria, Aziza H Aref, Muhammed M Selim, Ayman M Morsy, Fathi A AlTohari, Ammar A Alrifai, Awatif A Awaad, Hassan El-Sayed, Sherief Mansour, Ashraf A Atwa, Salah Abdelkader, Naif Altamimi, Elnatheer Saleh, Wael Alhaidari, El Husseini A ElShihawy, Ali H Busaleh, Mohammed Abdalmoutaleb, Essam M Fawzy, Zaki Mokhtar, Adil M Saleh, Mohammed A Ahmad, Adel Almasswary, Mohammed Alshehri, Khalid M Abohatab, Turki AlGarni, Modaser Butt, Ibrahim Altaj, Farhan Abdullah, Yahya Alhosni, Hadia B Osman, Najeebullah Bugti, Atif A Aziz, Abdulrahman Alarabi, and Ibrahim A AlHarbi
- Subjects
Medicine ,Science - Abstract
BACKGROUND:Prior acute coronary syndrome (ACS) registries in Saudi Arabia might not have accurately described the true demographics and cardiac care of patients with ACS. We aimed to evaluate the clinical characteristics, management, and outcomes of a representative sample of patients with acute myocardial infarction (AMI) in Saudi Arabia. METHODS:We conducted a 1-month snap-shot, prospective, multi-center registry study in 50 hospitals from various health care sectors in Saudi Arabia. We followed patients for 1 month and 1 year after hospital discharge. Patients with AMI included those with or without ST-segment elevation (STEMI or NSTEMI, respectively). This program survey will be repeated every 5 years. RESULTS:Between May 2015 and January 2017, we enrolled 2233 patients with ACS (mean age was 56 [standard deviation = 13] years; 55.6% were Saudi citizens, 85.7% were men, and 65.9% had STEMI). Coronary artery disease risk factors were high; 52.7% had diabetes mellitus and 51.2% had hypertension. Emergency Medical Services (EMS) was utilized in only 5.2% of cases. Revascularization for patients with STEMI included thrombolytic therapy (29%), primary percutaneous coronary intervention (PCI); (42.5%), neither (29%), or a pharmaco-invasive approach (3%). Non-Saudis with STEMI were less likely to undergo primary PCI compared to Saudis (35.8% vs. 48.7%; respectively, p
- Published
- 2019
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