The prevalence and outcome of excess body weight among middle eastern patients presenting with acute coronary syndrome

Hadi A.R. Hadi, Mohammad Zubaid, Wael Al Mahmeed, Ayman A. El-Menyar, Alawi A. Alsheikh-Ali, Rajivir Singh, Abdulrahman Al-Nabti, Nidal Assad, Kadhim Sulaiman, Mouaz H. Al-Mallah, Haitham Amin, Ahmed Al-Motarreb, Hisham Mahmoud, Jassim Al Suwaidi

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

We evaluated the effect of body weight on the outcome of Middle Eastern patients presenting with acute coronary syndrome (ACS). Analysis of the Gulf Registry of Acute Coronary Events (Gulf RACE) survey that included 7843 consecutive patients hospitalized with ACS was made. Patients were categorized as normal weight, overweight, or obese based on their body mass index (BMI). Overall, 67% of patients were overweight or obese; obese and overweight patients were more likely to be female and have diabetes mellitus, hypertension, dyslipidemia, and less likely to be smokers. In-hospital mortality, congestive heart failure, cardiogenic shock, and strokes were comparable between the groups, although patients with obesity were more likely to have recurrent ischemia and major bleeding complication in the ST-elevation myocardial infarction group. Excess body weight with ACS is associated with higher risk profile characteristics without an increase in hospital mortality or cardiovascular events.

Original languageEnglish (US)
Pages (from-to)456-464
Number of pages9
JournalAngiology
Volume61
Issue number5
DOIs
StatePublished - Jul 2010
Externally publishedYes

Keywords

  • ST-elevation myocardial infarction
  • acute coronary syndrome
  • body mass index
  • non-ST elevation myocardial infarction
  • obesity

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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