Background: Little is known about the epidemiology of atrial fibrillation (AF) among patients adm... more Background: Little is known about the epidemiology of atrial fibrillation (AF) among patients admitted with acute heart failure (HF) in the Middle East. Here, we describe the prevalence of AF and c...
OBJECTIVES: Although community acquired infections (CAI) are one of the most common causes for ho... more OBJECTIVES: Although community acquired infections (CAI) are one of the most common causes for hospitalization of patients with heart failure (HF), yet very few studies have systematically examined...
AimsThe purpose of this study was to describe the clinical characteristics, management, and outco... more AimsThe purpose of this study was to describe the clinical characteristics, management, and outcomes of acute heart failure (HF) patients from the Gulf acute heart failure registry (Gulf CARE).Methods and resultsData from 5005 HF patients admitted to 47 hospitals in seven Gulf countries during February to November 2012 were analysed. Fifty‐five per cent of patients presented with acute decompensated chronic HF, while 45% had new‐onset HF. Mean age was 59 ± 15 years, 63% were males, and 83% were Gulf citizens. Co‐morbid conditions were hypertension (61%), diabetes mellitus (50%), CAD (47%), and atrial fibrillation or flutter (14%). The median LVEF was 35% (25–45%) with 69% presenting as HF with reduced EF (HFrEF). CAD was the most prevalent aetiology (53%) followed by idiopathic cardiomyopathy (18%), hypertensive heart disease (16%), and valvular heart disease (9%). At discharge, 71% and 78% of patients received beta‐blockers and ACE inhibitors/ARBs, respectively. Use of coronary intervention and device therapy was <10%. In‐hospital mortality was 6.3%. Re‐hospitalization and cumulative mortality at 3 and 12 months were 18%/13% and 40%/20%, respectively.ConclusionsGulf CARE results show that patients from this region are a decade younger than their Western counterparts, with a high prevalence of diabetes and HFrEF, and a lower prevalence of AF. Use of coronary intervention and device therapy was low, with high re‐hospitalization rates. Short‐ and long‐term mortality rates were similar to those of Western registries, but should be interpreted in the light of the younger age of Gulf CARE patients.
Background: Atrial Fibrillation (AF) and heart failure (HF) are two common prevalent conditions t... more Background: Atrial Fibrillation (AF) and heart failure (HF) are two common prevalent conditions that may present independent of each other or coexist. The impact of AF on mortality in patients with HF and reduced (HFrEF) or preserved ejection fraction (HFpEF) is unclear with conflicting results. Methods: We analyzed data from the Gulf acute HF registry, a prospective, multinational registry of patients admitted with acute HF in 47 hospitals in 7 Middle Eastern Arab Gulf countries (recruited between February 13, 2012 and November 13, 2012). We compared the 12-month mortality in patients with AF versus sinus rhythm (SR) in both types of HF (HFrEF and HFpEF). Results: Among 5005 patients admitted with HF, 835 patients (16.7%) had AF and 3964 (79.2 %) had no history of AF and were in SR. Remaining percentage included patients with rhythms other than AF or SR (e.g. junctional rhythm). After excluding patients with no available echocardiography and those with other rhythms, the number of patients in our study p...
OBJECTIVES: No previous studies have specifically examined the effects of ethnicity on factors pr... more OBJECTIVES: No previous studies have specifically examined the effects of ethnicity on factors precipitating hospital admissions for heart Failure (HF). The aim of the current study was to identify...
OBJECTIVES: Although factors precipitating hospital admissions for heart Failure (HF) have been i... more OBJECTIVES: Although factors precipitating hospital admissions for heart Failure (HF) have been identified in overall cohorts of HF registries, however. It remains unknown whether these factors are different in women and if there is gender variations in these factors. The aim of the current study was to identify factors precipitating HF hospitalizations peculiar to women and to compare them to those for men using a large multinational multicenter registry from the Middle-East. METHODS: From February 2012 to November 2013, consecutive patients hospitalized with HF were enrolled from 47 hospitals in 7 Middle East countries. Identifiable factors contributing to HF hospitalization were captured at admission and included myocardial ischemia, arrhythmia, nonadherence to medications or diet, salt retaining drugs, anemia, community acquired infections, hypertension, and worsening renal function. Patients were divided into 2 groups according to gender and the 2 groups were compared. RESULTS:...
The purpose of this study is to report the prevalence, clinical characteristics, precipitating fa... more The purpose of this study is to report the prevalence, clinical characteristics, precipitating factors, management and outcome of patients with prior stroke hospitalised with acute heart failure (HF). Retrospective analysis of prospectively collected data. Data were derived from Gulf CARE (Gulf aCute heArt failuRe rEgistry), a prospective multicentre study of consecutive patients hospitalised with acute HF in 2012 in seven Middle Eastern countries and analysed according to the presence or absence of prior stroke; demographics, management and outcomes were compared. A total of 5005 patients with HF. In-hospital and 1-year outcome. The prevalence of prior stroke in patients with HF was 8.1%. Patients with stroke with HF were more likely to be admitted under the care of internists rather than cardiologists. When compared with patients without stroke, patients with stroke were more likely to be older and to have diabetes mellitus, hypertension, atrial fibrillation, hyperlipidaemia, chro...
Background: Little is known about the epidemiology of atrial fibrillation (AF) among patients adm... more Background: Little is known about the epidemiology of atrial fibrillation (AF) among patients admitted with acute heart failure (HF) in the Middle East. Here, we describe the prevalence of AF and c...
OBJECTIVES: Although community acquired infections (CAI) are one of the most common causes for ho... more OBJECTIVES: Although community acquired infections (CAI) are one of the most common causes for hospitalization of patients with heart failure (HF), yet very few studies have systematically examined...
AimsThe purpose of this study was to describe the clinical characteristics, management, and outco... more AimsThe purpose of this study was to describe the clinical characteristics, management, and outcomes of acute heart failure (HF) patients from the Gulf acute heart failure registry (Gulf CARE).Methods and resultsData from 5005 HF patients admitted to 47 hospitals in seven Gulf countries during February to November 2012 were analysed. Fifty‐five per cent of patients presented with acute decompensated chronic HF, while 45% had new‐onset HF. Mean age was 59 ± 15 years, 63% were males, and 83% were Gulf citizens. Co‐morbid conditions were hypertension (61%), diabetes mellitus (50%), CAD (47%), and atrial fibrillation or flutter (14%). The median LVEF was 35% (25–45%) with 69% presenting as HF with reduced EF (HFrEF). CAD was the most prevalent aetiology (53%) followed by idiopathic cardiomyopathy (18%), hypertensive heart disease (16%), and valvular heart disease (9%). At discharge, 71% and 78% of patients received beta‐blockers and ACE inhibitors/ARBs, respectively. Use of coronary intervention and device therapy was <10%. In‐hospital mortality was 6.3%. Re‐hospitalization and cumulative mortality at 3 and 12 months were 18%/13% and 40%/20%, respectively.ConclusionsGulf CARE results show that patients from this region are a decade younger than their Western counterparts, with a high prevalence of diabetes and HFrEF, and a lower prevalence of AF. Use of coronary intervention and device therapy was low, with high re‐hospitalization rates. Short‐ and long‐term mortality rates were similar to those of Western registries, but should be interpreted in the light of the younger age of Gulf CARE patients.
Background: Atrial Fibrillation (AF) and heart failure (HF) are two common prevalent conditions t... more Background: Atrial Fibrillation (AF) and heart failure (HF) are two common prevalent conditions that may present independent of each other or coexist. The impact of AF on mortality in patients with HF and reduced (HFrEF) or preserved ejection fraction (HFpEF) is unclear with conflicting results. Methods: We analyzed data from the Gulf acute HF registry, a prospective, multinational registry of patients admitted with acute HF in 47 hospitals in 7 Middle Eastern Arab Gulf countries (recruited between February 13, 2012 and November 13, 2012). We compared the 12-month mortality in patients with AF versus sinus rhythm (SR) in both types of HF (HFrEF and HFpEF). Results: Among 5005 patients admitted with HF, 835 patients (16.7%) had AF and 3964 (79.2 %) had no history of AF and were in SR. Remaining percentage included patients with rhythms other than AF or SR (e.g. junctional rhythm). After excluding patients with no available echocardiography and those with other rhythms, the number of patients in our study p...
OBJECTIVES: No previous studies have specifically examined the effects of ethnicity on factors pr... more OBJECTIVES: No previous studies have specifically examined the effects of ethnicity on factors precipitating hospital admissions for heart Failure (HF). The aim of the current study was to identify...
OBJECTIVES: Although factors precipitating hospital admissions for heart Failure (HF) have been i... more OBJECTIVES: Although factors precipitating hospital admissions for heart Failure (HF) have been identified in overall cohorts of HF registries, however. It remains unknown whether these factors are different in women and if there is gender variations in these factors. The aim of the current study was to identify factors precipitating HF hospitalizations peculiar to women and to compare them to those for men using a large multinational multicenter registry from the Middle-East. METHODS: From February 2012 to November 2013, consecutive patients hospitalized with HF were enrolled from 47 hospitals in 7 Middle East countries. Identifiable factors contributing to HF hospitalization were captured at admission and included myocardial ischemia, arrhythmia, nonadherence to medications or diet, salt retaining drugs, anemia, community acquired infections, hypertension, and worsening renal function. Patients were divided into 2 groups according to gender and the 2 groups were compared. RESULTS:...
The purpose of this study is to report the prevalence, clinical characteristics, precipitating fa... more The purpose of this study is to report the prevalence, clinical characteristics, precipitating factors, management and outcome of patients with prior stroke hospitalised with acute heart failure (HF). Retrospective analysis of prospectively collected data. Data were derived from Gulf CARE (Gulf aCute heArt failuRe rEgistry), a prospective multicentre study of consecutive patients hospitalised with acute HF in 2012 in seven Middle Eastern countries and analysed according to the presence or absence of prior stroke; demographics, management and outcomes were compared. A total of 5005 patients with HF. In-hospital and 1-year outcome. The prevalence of prior stroke in patients with HF was 8.1%. Patients with stroke with HF were more likely to be admitted under the care of internists rather than cardiologists. When compared with patients without stroke, patients with stroke were more likely to be older and to have diabetes mellitus, hypertension, atrial fibrillation, hyperlipidaemia, chro...
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