Table 1.
>12 h N=929 | ≤12 h N=2268 | ||
---|---|---|---|
Age, y | 57 (50–67) | 51 (45–60) | <0.0001 |
Female gender | 19 | 11 | <0.0001 |
Country | <0.0001 | ||
Bahrain (n=88) | 9 | 91 | |
Kuwait (n=754) | 15 | 85 | |
Oman (n=479) | 22 | 78 | |
Qatar (n=155) | 15 | 85 | |
UAE (n=750) | 14 | 86 | |
Yemen (n=971) | 59 | 41 | |
HT | 32 | 33 | 0.56 |
DM | 30 | 32 | 0.26 |
Prior MI | 14 | 13 | 0.34 |
Prior PCI | 3 | 6 | 0.0018 |
Prior CABG | 2 | 1 | 0.08 |
Smoking | 45 | 53 | 0.0002 |
HL | 14 | 18 | 0.001 |
Family history of CAD | 11 | 14 | 0.0066 |
MI location | <0.0001 | ||
Anterior | 58 | 53 | |
Inferior | 32 | 41 | |
Prior stroke | 5 | 2 | <0.0001 |
Chest pain | 87 | 95 | <0.0001 |
Resting HR (bpm) | 88 (77–100) | 80 (70–95) | <0.001 |
SBP (mm Hg) | 130 (110–150) | 135 (120–154) | <0.001 |
Peak CPK (mg/dL) | 455 (210–1208) | 1319 (446–2753) | <0.001 |
Peak CKMB (mg/dL) | 71 (40–130) | 111 (50–234) | <0.001 |
Ambulance use | 12 | 19 | <0.0001 |
Door‐to‐ECG time (min) | 15 (8–21) | 10 (5–18) | <0.0001 |
Killip class | <0.0001 | ||
I (n=2555) | 71 | 83 | |
II (n=388) | 18 | 10 | |
III (n=153) | 7 | 4 | |
IV (n=94) | 4 | 3 | |
GRACE score | <0.0001 | ||
Low (n=1131) | 28 | 47 | |
Intermediate (n=812) | 30 | 30 | |
High (n=734) | 42 | 23 | |
Medication use | |||
Aspirin | 98 | 98 | 0.30 |
Clopidogrel | 59 | 59 | 0.96 |
Unfractionated heparin | 74 | 63 | <0.0001 |
LMW heparin | 22 | 31 | <0.0001 |
IIb/IIIa inhibitors | 6 | 9 | 0.0013 |
β‐Blockers | 55 | 65 | <0.0001 |
ACEIs | 71 | 65 | 0.0006 |
Statins | 88 | 91 | 0.0233 |
Nitrates | 79 | 72 | <0.0001 |
Diuretics | 22 | 16 | <0.0001 |
Coronary angiography | 12 | 20 | <0.0001 |
EF (n=2207) | 48 (40–55) | 46 (39–55) | 0.08 |
Outcomes | |||
Death | 10.4 | 3.9 | <0.0001 |
Cardiogenic shock | 13 | 6 | <0.0001 |
New‐onset heart failure | 11 | 6 | <0.0001 |
Major bleeding | 1 | 1 | 0.72 |
Stroke | 1 | 2 | 0.035 |
Abbreviations: ACEI, angiotensin‐converting enzyme inhibitor; CABG, coronary artery bypass graft; CAD, coronary artery disease; CK, creatine kinase; CK‐MB, creatine kinase isoenzyme MB; DM, diabetes mellitus; ECG, electrocardiography; EF, ejection fraction; GRACE, Global Registry of Acute Coronary Events; HL, hyperlipidemia; HR, heart rate; HT, hypertension; LMW, low molecular weight; MI, myocardial infarction; n, number of patients; PCI, percutaneous coronary intervention; SBP, systolic blood pressure; UAE, United Arab Emirates.
Continuous variables are summarized as median and interquartile ranges, and categorical variables are summarized as percentages