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. 2012 Jan-Feb;32(1):9–18. doi: 10.5144/0256-4947.2012.9

Table 2.

Comparison of acute coronary syndromes in developed and developing countries in the study.

NRMIa,b (9–12) GRACEc (13–17) GRACEd (18) EHS 1 and 2e (19–21) CREATEf (22) Gulf RACEg (6) Gulf RACE-2h (6) SPACEi

Patients, n 2 515 106 102 341 31 982 16 183 20 937 8176 7930 5055
Mean age (years) 65–70 63–69 65 63 57 56 56 58
History of DM, % 17–35 20–30 26 21–27 30 40 40 58
STEMI, % 47 30–40 30 42–47 61 39 46 41
NSTEACS, % 53 60–70 70 48–51 39 61 54 59
Symptom onset to hospital arrival, median (min) 132–96j 140–120j 133 170–145j 300 NA 178 150
Door-to-needle time, median (min) 59–29j 40–30j 32 40–37j 50 45 39 52
Thrombolytic therapy, % 52–28j 41–16j 33 37–41j 59 82 66 69
Primary PCI, % 2.6–43j 15–44j 16 40–58j 8 8 22.3 17.5
In-hospital mortality,l % 8/5.2 5.4/2 6.2/4.6 5.3/2.5 5.6m 6.2/1.9 7/2.5 4.5/2
30-day mortality,l % NA 8/3 NA 6.4/3.4 8.6/3.8 NA 9.9/5 NA
1-year mortality,l % NA 14.8k,m NA 7/5 NA NA 11.5/7.7 NA

DM: Diabetes mellitus; STEMI: ST-segment elevation myocardial infarction; NSTEACS: non–ST-segment elevation myocardial infarction; NA: not available; PCI: percutaneous coronary intervention; GRACE: Global Registry of Acute Coronary Events; Gulf RACE: Gulf Registry of Acute Coronary Events; SPACE: Saudi project for assessment of coronary events;

a

Did not include patients with unstable angina.

b

National registry of myocardial infarction in the USA.

c

Global Registry of Acute Coronary Syndromes.

d

Expanded Global Registry of Acute Coronary Syndromes.

e

European Heart Surveys 1 and 2.

f

Treatment and outcomes of acute coronary syndromes in India.

g

Gulf Registry of Acute Coronary Events.

h

Gulf Registry of Acute Coronary Events-Phase 2.

i

Saudi Project for Assessment of Coronary Events (in press).

j

Data reflect temporal trends chronologically over the years.

k

Total mortality was derived from 1143 acute coronary syndrome patients enrolled in New Zealand.

l

STEMI/NSTEACS.

m

Total in-hospital mortality.