Impact of diabetes and smoking epidemic in the Middle East on the presentation with acute coronary syndrome in very young patients.

Abstract:

:We describe the baseline characteristics, management, and outcomes of acute coronary syndrome (ACS) in patients of age ≤ 40 in the Gulf region of the Middle East. We studied 8176 hospitalized patients (≤ 40 years) with ACS. Ten percent (805) of the recruited patients were ≤ 40 years. The mean age was 37 years and 89% were males. The prevalence of smoking and diabetes in the young patients was high (58% and 21%, respectively). The most common ACS was ST elevation myocardial infarction. Younger patients were more aggressively treated with more frequent use of glycoprotein inhibitors, thrombolytics, and primary percutaneous coronary intervention. They had less in-hospital heart failure, left ventricular dysfunction, shock, stroke, and low rate of in-hospital mortality (1%). Measures to combat the rising prevalence of diabetes and smoking are needed.

journal_name

Angiology

journal_title

Angiology

authors

Alanbaei M,Zubaid M,Al-Mallah MH,Rashed WA,Shehab A,Al-Lawati J,Chb M,Amin H,Al Suwaidi J,Al-Hamdan R,Zubair S

doi

10.1177/0003319711406255

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

48-54

issue

1

eissn

0003-3197

issn

1940-1574

pii

0003319711406255

journal_volume

63

pub_type

杂志文章
  • ACE inhibitors in the elderly.

    abstract::As the population with hypertension becomes older, it is important to determine the properties of angiotensin-converting enzyme (ACE) inhibitors in the elderly. The pharmacokinetics and efficacy of captopril, enalapril, and a new once-daily ACE inhibitor, quinapril for the treatment of hypertension in young and elderl...

    journal_title:Angiology

    pub_type: 杂志文章,评审

    doi:10.1177/000331979104200506

    authors: Posvar EL,Sedman AJ

    更新日期:1991-05-01 00:00:00

  • Nonselective left internal mammary artery angiography during right transradial coronary angiography: a simple, rapid, and safe technique.

    abstract::Internal mammary artery angiography is increasingly required, but the technique for left internal mammary artery (LIMA) angiography during right transradial coronary angiography is not well established. The authors investigated the feasibility and safety of a new, simple, and rapid nonselective technique. Following ri...

    journal_title:Angiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/000331970105201107

    authors: Cha KS,Kim MH,Hung JS,Woo JS,Kim YD,Kim JS

    更新日期:2001-11-01 00:00:00

  • Effect of pentoxifylline on microvascular blood flow velocity.

    abstract::Pentoxifylline (PF), known to increase red blood cell (RBC) deformability, has recently attracted much attention because of its possible effect of reducing capillary resistance. There has been practically no reliable demonstration of an increase in capillary blood flow by this drug. This study was intended to examine ...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978103201103

    authors: Ohshima N,Sato M

    更新日期:1981-11-01 00:00:00

  • Nutraceuticals in lipid-lowering treatment: a narrative review on the role of chitosan.

    abstract::Lipid-lowering drugs may cause adverse effects and, although lipid targets may be achieved, a substantial residual cardiovascular (CV) risk remains. Treatment with agents mimicking proteins present in the body, such as incretin-based therapies, provided promising results. However, in order to improve lipids and CV ris...

    journal_title:Angiology

    pub_type: 杂志文章,评审

    doi:10.1177/0003319714542999

    authors: Patti AM,Katsiki N,Nikolic D,Al-Rasadi K,Rizzo M

    更新日期:2015-05-01 00:00:00

  • Treatment of patients with thromboangiitis obliterans with cyclophosphamide.

    abstract::This report describes a small, nonrandomized trial of cyclophosphamide in the treatment of patients with advanced thromboangiitis obliterans (TAO) with modest results. The rationale of the treatment was based on the immunopathogenesis of the disease, ie, autoimmune vasculitis of peripheral arteries. Twelve male patien...

    journal_title:Angiology

    pub_type: 临床试验,杂志文章

    doi:10.1177/000331970105200605

    authors: Saha K,Chabra N,Gulati SM

    更新日期:2001-06-01 00:00:00

  • Treatment of vascular inner ear disease with pentoxifylline: a 4-week, controlled, randomized trial.

    abstract::The efficacy of pentoxifylline (PXF) in vascular inner ear disease (VIED) was studied comparing PXF and placebo in a 4-week study; 60 patients with unilateral loss of hearing, vertigo, dizziness, tinnitus (analyzed with an analogue scale line), and cochlear flow reduction were included. The aim of the study was to stu...

    journal_title:Angiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Incandela L,Cesarone MR,Belcaro G,De Sanctis MT,Nicolaides AN,Griffin M,Geroulakos G,Ramaswami G

    更新日期:2002-01-01 00:00:00

  • Coumarin-induced skin necrosis following heparin-induced thrombocytopenia and thrombosis. A case report.

    abstract::A severe thrombotic thrombocytopenic status, induced by heparin in a sixty-nine-year-old woman undergoing total hip joint arthroplasty, was treated by switching the anticoagulant therapy to coumarin, which induced skin necrosis. There appeared to be a possible causal relation between the severe immune reaction to hepa...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979604700715

    authors: Shahak A,Pósán E,Szücs G,Rigó J,Boda Z

    更新日期:1996-07-01 00:00:00

  • Morphodynamics and pathology of blood vessels III--comparative morphologic study of contraction of smooth muscle cells of hollow viscera and its application to vasoconstriction and vasospasm.

    abstract::The morphologic changes in the walls of hollow viscera caused by contraction and relaxation of smooth muscle cells were studied from autopsy and surgical specimens. The specimens studied included: esophageal spasm (corkscrew and nutcracker esophagus), contraction of the lower esophageal sphincter with marked esophagea...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979804900701

    authors: Lin CS,Goldfischer M,Sicular A,Landais G,Cohen LB

    更新日期:1998-07-01 00:00:00

  • The acute effects of nifedipine on calf and forefoot blood flow in patients with peripheral arterial insufficiency.

    abstract::The calcium-blocking agent nifedipine, which possesses vasodilating potency, was tested in 8 patients with peripheral arterial insufficiency. 10 mg sublingually significantly decreased systolic arm and ankle blood pressure. Neither blood flow nor local peripheral resistance in the calf and the forefoot at rest and the...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978303400106

    authors: Lorentsen E,Landmark K

    更新日期:1983-01-01 00:00:00

  • Atrial Fibrillation in Patients Hospitalized With Heart Failure: Patient Characteristics and Outcomes From the HEARTS Registry.

    abstract::Effect of atrial fibrillation (AF) on short- and long-term outcomes in heart failure (HF) is controversial. Accordingly, we examined this relationship in a national multicenter project using data from the Hearts Function Assessment Registry Trial in Saudi Arabia that studied the clinical features and outcomes of patie...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319717711764

    authors: Ajlan M,Almazroa L,AlHabib KF,Elasfar AA,Alfaleh H,Albackr H,Kashour T,Hersi A,Hussein GA,Mimish L,Almasood A,AlHabeeb W,AlGhamdi S,Alsharari M,Chakra E,Malik A,Soomro R,Ghabashi A,Al-Murayeh M,Abuosa A

    更新日期:2018-02-01 00:00:00

  • The impact of valvular oxidative stress on the development of venous stasis ulcer valvular oxidative stress and venous ulcers.

    abstract:BACKGROUND:It is widely believed that venous ulcers result from venous insufficiency related to venous valve damages. To further investigate the pathogenesis of venous ulcers, we compared the influence of oxidative stress in venous valvular tissue on stasis ulcer formation in patients with venous ulcers secondary to su...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319709343177

    authors: Karatepe O,Unal O,Ugurlucan M,Kemik A,Karahan S,Aksoy M,Kurtoglu M

    更新日期:2010-04-01 00:00:00

  • Intimal cell population and location in arteries of Japanese children and youth.

    abstract::It seems important to study initial changes in any sort of disease to elucidate its pathologenesis. Arterial atherosclerosis varies in its severity and extent between each artery. By macroscopic and immunocytochemical studies on aortas and coronary arteries of young Japanese people, the following results were obtained...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979204300308

    authors: Nakamura H,Sakurai I

    更新日期:1992-03-01 00:00:00

  • Aorticopulmonary window associated with tetralogy of Fallot. Report of one case and review of the literature.

    abstract::A case of aorticopulmonary window associated with tetralogy of Fallot is reported with its clinical, hemodynamic, angiocardiographic, surgical, and necropsy findings. The difficulty in diagnosing a tetralogy of Fallot in the presence of a large aorticopulmonary shunt is emphasized. It is also noted that the only means...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331977602700906

    authors: Pérez-Martinez V,Burgueros M,Quero M,Pérez Leon J,Hafer G

    更新日期:1976-09-01 00:00:00

  • Protection by flunarizine against endothelial cell injury in vivo.

    abstract::Flunarizine in vivo protects against endothelial cell damage induced by intravenous injection of citrate, CaCl2, or lactate in rats. Its effect is optimal at the low oral dose of 0.1 mg/kg, corresponding to the clinically used one. It lasts for at least 8 hours. Edema formation, platelet activation, and venostatic thr...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978103200702

    authors: Hladovec J,De Clerck F

    更新日期:1981-07-01 00:00:00

  • Prognostic Value of the Neutrophil-to-Lymphocyte Ratio in Patients With Myocardial Infarction With Non-obstructive Coronary Arteries.

    abstract::Myocardial infarction with non-obstructive coronary arteries (MINOCA) is a heterogeneous entity with an inflammatory etiopathogenesis. This study investigated the prognostic value of the neutrophil-to-lymphocyte ratio (NLR) in patients with MINOCA. Coronary angiographies performed between June 2015 and August 2018 wer...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319720938621

    authors: Gürdal A,Keskin K,Siğirci S,Yildiz SS,Kiliçkesmez KO

    更新日期:2020-10-01 00:00:00

  • A comparison of transradial and transfemoral approaches for percutaneous coronary intervention in elderly patients based on a propensity score analysis.

    abstract::The transradial approach (TRA) has been used as access site for percutaneous coronary intervention (PCI) for years. However, no large sample study has evaluated the effect of TRA in elderly patients. A total of 1098 elderly patients (age ≥ 75 years) who underwent PCI by TRA or transfemoral approach were recruited. A 1...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319714535971

    authors: He PY,Yang YJ,Qiao SB,Xu B,Yao M,Wu YJ,Yuan JQ,Chen J,Liu HB,Dai J,Tang XR,Wang Y,Li W,Gao RL

    更新日期:2015-05-01 00:00:00

  • Sinus node suppression in acute strokes--case reports.

    abstract::The authors report on 5 patients, 4 of them observed over a period of only two months in one community hospital, who developed profound sinus node suppression in the early phase following acute strokes. This complication resulted in the death of 2; in the remaining 3, it was controlled by electrical cardiac pacing or ...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978803901208

    authors: Bashour TT,Cohen MS,Ryan C,Antonini C Sr

    更新日期:1988-12-01 00:00:00

  • The effect of Valsalva maneuver on P wave in 12-lead surface electrocardiography in patients with paroxysmal atrial fibrillation.

    abstract::The previous studies relating to the effect of the Valsalva maneuver on P wave do not provide detailed information. In those studies, the parameters related to P wave duration during the release phase of the Valsalva maneuver were evaluated. The authors evaluated P wave amplitude as well as P wave duration during the ...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331970205300411

    authors: Altunkeser BB,Ozdemir K,Gök H,Yazici M,Içli A

    更新日期:2002-07-01 00:00:00

  • Lymphangiomyomatosis--newer concepts in pathogenesis and management--case reports.

    abstract::Lymphangiomyomatosis was first reported more than forty years ago. Although its incidence is rare, its occurrence is being increasingly recognized and has been the subject of a growing number of cases reports in recent years. This study adds 2 more cases to the file. Both cases involved young women with the characteri...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979004101110

    authors: Naegeli CD,Cordasco EM,Meden G,O'Donnell JK,MacIntyre WJ,Dishner W

    更新日期:1990-11-01 00:00:00

  • Preservation of skin vasoconstrictor responses in chronic atherosclerotic peripheral vascular disease.

    abstract::Peripheral neuropathy is often found in ischemic limbs with nondiabetic atherosclerotic peripheral vascular disease (PVD). Sensory symptoms such as burning pain are common in severely ischemic limbs, and sympathectomy has been undertaken for ischemic rest pain. The authors assessed noninvasive quantitative skin vasomo...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979804900303

    authors: Nukada H,van Rij AM,Packer SG,Patterson A

    更新日期:1998-03-01 00:00:00

  • A young girl with vasospastic angina associated with mutation in endothelial nitric oxide synthase gene--a case report.

    abstract::A 13-year-old girl was successfully recuperated from cardiopulmonary arrest shortly after running 80 m in a competition. The electrocardiogram, echocardiogram and 123I-MIBG myocardial scintigraphic imaging indicated myocardial ischemia in the anteroseptal wall of the left ventricle. Coronary angiography during the rec...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331970305400214

    authors: Fukuda N,Kurokawa S,Maeda K,Iseki S,Takahasi M,Niwano H,Nakazato K,Niwano S,Kurosawa T,Izumi T

    更新日期:2003-03-01 00:00:00

  • Spontaneous coronary artery dissection in an elderly woman with acute inferior myocardial infarction. A case report.

    abstract::Spontaneous coronary artery dissection is a rare cause of acute myocardial infarction. It usually occurs in relatively young patients and is frequently found at autopsy. Because of the low incidence, the treatment of choice for spontaneous coronary artery dissection is still not settled. Here the authors report a sixt...

    journal_title:Angiology

    pub_type: 杂志文章,评审

    doi:10.1177/000331979504600913

    authors: Lee TM,Liau CS

    更新日期:1995-09-01 00:00:00

  • Hemodynamic effects of phentolamine in mitral stenosis and congestive cardiomyopahty.

    abstract::Nine patients with alcoholic cardiomyopathy and 8 patients with mitral stenosis were studied by right and left heart catheterization. Hemodynamic observations were made during control period and during the infusion of phentolamine at a rate of 0.3 mg per minute. The patients with the cardiomyopathy responded to phento...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331977903000708

    authors: Gould L,Reddy CV

    更新日期:1979-07-01 00:00:00

  • Magnesium treatment of torsade de pointes--a case report.

    abstract::An eighty-one-year-old woman received quinidine in order to convert atrial fibrillation to a sinus rhythm. The patient developed a prolonged QT interval on the EKG, as well as episodes of torsade de pointes. With the administration of intravenous magnesium sulfate, the abnormal rhythm was suppressed within minutes. Th...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979004100712

    authors: Gould LA,Betzu R,Vacek T,Muller RT,Pradeep V,Scafa A

    更新日期:1990-07-01 00:00:00

  • Endocan--a novel inflammatory indicator in newly diagnosed patients with hypertension: a pilot study.

    abstract::Endothelial dysfunction is regarded as the initial lesion in the development of atherosclerosis. Endocan, previously called endothelial cell-specific molecule 1 (ESM-1), is a new candidate immunoinflammatory marker that may be associated with cardiometabolic risk factors. Therefore, we assessed serum levels of endocan...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319713513492

    authors: Balta S,Mikhailidis DP,Demirkol S,Ozturk C,Kurtoglu E,Demir M,Celik T,Turker T,Iyisoy A

    更新日期:2014-10-01 00:00:00

  • Placebo-controlled, double-blind trial of hemodilution in peripheral occlusive arterial disease.

    abstract::A number of uncontrolled trials has suggested that hemodilution is effective in peripheral occlusive arterial disease. This study was aimed at proving or disproving the efficacy of hemodilution by using a randomized, placebo-controlled, double-blind crossover design. Twenty-four stable claudicants with long, collatera...

    journal_title:Angiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/000331978904000509

    authors: Ernst E,Matrai A,Kollar L

    更新日期:1989-05-01 00:00:00

  • Noninvasive measurement of the human peripheral circulation: relationship between laser Doppler flowmeter and photoplethysmograph signals from the finger.

    abstract::Under certain conditions laser Doppler flowmeter (LDF) signals obtained from the finger pulp may appear very similar to those obtained by use of a direct current (dc) photoplethysmograph (PPG). A combined LDF/PPG system was used in conjunction with a circumference strain gauge as an index of volume change to identify ...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978803900906

    authors: Almond NE,Jones DP,Cooke ED

    更新日期:1988-09-01 00:00:00

  • Fate of incidental, asymptomatic lesions discovered during percutaneous coronary intervention.

    abstract::The authors aimed to determine the incidence and angiographic features associated with plaque progression requiring nontarget lesion percutaneous coronary intervention after culprit lesion percutaneous coronary intervention. Of 945 consecutive percutaneous coronary interventions reviewed, 100 patients who required non...

    journal_title:Angiology

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0003319707303889

    authors: Caymaz HO,Yüksel G

    更新日期:2008-04-01 00:00:00

  • Pulsed Doppler assessment of deep femoral artery hemodynamics: a preliminary report.

    abstract::The functional capability of the deep femoral artery (DFA) as a collateral channel is an important feature in patients suffering peripheral arterial occlusive disease (PAOD). A noninvasive method of indirect quantification of the DFA blood flow volume is presented. In normal lower limbs, it was found that the common f...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978403500502

    authors: Marquis C,Meister JJ,Mooser E,Mosimann R

    更新日期:1984-05-01 00:00:00

  • Doxazosin withdrawal and ambulatory blood pressure monitoring in normotensive subjects.

    abstract::The effect of doxazosin withdrawal on normotensive subjects was examined by ambulatory blood pressure monitoring (ABPM) during twenty-four hours. Eight normotensive volunteers were treated with doxazosin for four weeks. ABPM was done the day before withdrawal and on the second and seventh days after withdrawal. The av...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979404500103

    authors: Takata Y,Yoshizumi T,Ito Y,Hirota Y,Fujishima M

    更新日期:1994-01-01 00:00:00