Polyvascular disease in patients presenting with acute coronary syndrome: its predictors and outcomes. Academic Article uri icon

Overview

abstract

  • We evaluated prevalence and clinical outcome of polyvascular disease (PolyVD) in patients presenting with acute coronary syndrome (ACS). Data for 7689 consecutive ACS patients were collected from the 2nd Gulf Registry of Acute Coronary Events between October 2008 and June 2009. Patients were divided into 2 groups (ACS with versus without PolyVD). All-cause mortality was assessed at 1 and 12 months. Patients with PolyVD were older and more likely to have cardiovascular risk factors. On presentation, those patients were more likely to have atypical angina, high resting heart rate, high Killip class, and GRACE risk scoring. They were less likely to receive evidence-based therapies. Diabetes mellitus, renal failure, and hypertension were independent predictors for presence of PolyVD. PolyVD was associated with worse in-hospital outcomes (except for major bleedings) and all-cause mortality even after adjusting for baseline covariates. Great efforts should be directed toward primary and secondary preventive measures.

publication date

  • January 4, 2012

Research

keywords

  • Acute Coronary Syndrome
  • Vascular Diseases

Identity

PubMed Central ID

  • PMC3259691

Scopus Document Identifier

  • 84856390435

Digital Object Identifier (DOI)

  • 10.1100/2012/284851

PubMed ID

  • 22272171

Additional Document Info

volume

  • 2012