The current guidelines recommend that patients with unstable angina/non-ST-segment elevation, acute coronary syndromes (UA/NSTEMI- ACS) be transferred to centers with cardiac catheterization facilities very early on if the risk profile is high. Although the outcome is distinctly different, whether the patient’s characteristics or referral bias to invasive hospital, influences the outcome, is an issue that needs to be looked at.
Aims
We present the TIMI risk profile of NSTEMI- ACS in diabetic patients in King Abdulaziz Medical City National Guard Hospital (KAMC) in Jeddah, a non-invasive facility and compared with 4 other hospitals in the Kingdom of Saudi Arabia with cath facilities. These hospitals were involved in a Multicenter International Diabetes – Acute Coronary Syndromes study. In addition, we compared the characterization of two therapeutic modalities, Glycoprotein IIb/IIIa inhibitors and coronary angiogram.
Settings and Design
The characterization of the risk profile of 35 diabetic patients from KAMC, non-invasive hospital were compared with 142 patients from four hospitals in KSA, and 3,624 patients from the international hospitals who had cath facility admitted with UA/NSTEMI- ACS.