Abstract
The aim of this study was to examine the management of acute coronary syndrome (ACS) at King Abdul Aziz Cardiac Center (KACC) and to compare our practice with that of the European population of Euro Heart Survey-2009 (EHS 2009). This is a study of 3233 consecutive ACS patients who presented to KACC from January 2010 to December 2013. The data describing baseline characteristics, treatment, and outcome were collected and compared with that of EHS-2009 population. The diagnosis of ST elevation myocardial infarction (STEMI) and non-STEMI at KACC compared with EHS 2009 was 30 vs. 70% and 60.5 vs. 39.5%, respectively. Our population was younger with more male patients. Smoking, obesity, hypertension, hyperlipidaemia, diabetes, and renal failure were more common in the KACC population. More echocardiograms were performed at KACC, while the diagnostic angiograms performed were comparable in the two populations. More PCI procedures were performed for non-STEMI at KACC, while similar number of primary PCI was performed in two populations of STEMI. The adherence to the recommended medical therapy was more frequent in KACC population. Despite high burden of risk factors, the in-hospital mortality trend was lower at KACC compared with EHS-2009 population. KACC population was younger, with more risk factors for coronary artery disease and better adherence to guidelines recommended medical treatment. More PCI were performed at KACC for non-STEMI patients. The in-hospital mortality was lower at KACC compared with EHS-2009 population.