Hypertension in middle eastern arab and south asian patients with atrial fibrillation: From a 20-year hospital registry in Qatar (1990-2010)

Background: The vast majority of literature on atrial fibrillation (AF) is based on studies from the developed world that mainly includes Caucasian patients. Data on AF in other ethnicities is very limited. The aim of this hospital-based study is to evaluate the effect of concomitant hypertension (H...

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Main Authors: Amar M Salam, Imtiaz Salim, Rasha Kaddoura, Rajvir Singh, Nidal Asaad, Awad Al-Qahtani, Jassim Al Suwaidi, Hajar A AlBinali
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Heart Views
Subjects:
Online Access:http://www.heartviews.org/article.asp?issn=1995-705X;year=2021;volume=22;issue=4;spage=256;epage=263;aulast=Salam
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author Amar M Salam
Imtiaz Salim
Rasha Kaddoura
Rajvir Singh
Nidal Asaad
Awad Al-Qahtani
Jassim Al Suwaidi
Hajar A AlBinali
author_facet Amar M Salam
Imtiaz Salim
Rasha Kaddoura
Rajvir Singh
Nidal Asaad
Awad Al-Qahtani
Jassim Al Suwaidi
Hajar A AlBinali
author_sort Amar M Salam
collection DOAJ
description Background: The vast majority of literature on atrial fibrillation (AF) is based on studies from the developed world that mainly includes Caucasian patients. Data on AF in other ethnicities is very limited. The aim of this hospital-based study is to evaluate the effect of concomitant hypertension (HTN) on the characteristics and outcomes of Middle Eastern Arab and South Asian patients with AF in the state of Qatar. Materials and Methods and Results: During the 20-year period, 3850 AF patients were hospitalized; 1483 (38.5%) had HTN, and 2367 (61.5%) without HTN. Patients with HTN were 11 years older, compared to non-HTN patients, and had a significantly higher prevalence of diabetes mellitus, chronic kidney disease, and dyslipidemia, compared to non-HTN patients. Furthermore, underlying coronary artery disease and heart failure were significantly more common but not valvular and rheumatic heart diseases which were more common in those without HTN. The rates of in-hospital mortality and stroke were significantly higher in the presence of HTN (5.3% versus 3.5%, and 0.7% versus 0.2% respectively, P = 0.001), compared to non-HTN patients. Conclusions: HTN is significantly associated with more comorbidities and worse clinical outcomes when it coexists with AF in hospitalized Middle Eastern Arab and South Asian patients.
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spelling doaj.art-542cc59b57b944b3b34477840ec6a8dd2022-12-21T20:04:08ZengWolters Kluwer Medknow PublicationsHeart Views1995-705X2021-01-0122425626310.4103/HEARTVIEWS.HEARTVIEWS_33_21Hypertension in middle eastern arab and south asian patients with atrial fibrillation: From a 20-year hospital registry in Qatar (1990-2010)Amar M SalamImtiaz SalimRasha KaddouraRajvir SinghNidal AsaadAwad Al-QahtaniJassim Al SuwaidiHajar A AlBinaliBackground: The vast majority of literature on atrial fibrillation (AF) is based on studies from the developed world that mainly includes Caucasian patients. Data on AF in other ethnicities is very limited. The aim of this hospital-based study is to evaluate the effect of concomitant hypertension (HTN) on the characteristics and outcomes of Middle Eastern Arab and South Asian patients with AF in the state of Qatar. Materials and Methods and Results: During the 20-year period, 3850 AF patients were hospitalized; 1483 (38.5%) had HTN, and 2367 (61.5%) without HTN. Patients with HTN were 11 years older, compared to non-HTN patients, and had a significantly higher prevalence of diabetes mellitus, chronic kidney disease, and dyslipidemia, compared to non-HTN patients. Furthermore, underlying coronary artery disease and heart failure were significantly more common but not valvular and rheumatic heart diseases which were more common in those without HTN. The rates of in-hospital mortality and stroke were significantly higher in the presence of HTN (5.3% versus 3.5%, and 0.7% versus 0.2% respectively, P = 0.001), compared to non-HTN patients. Conclusions: HTN is significantly associated with more comorbidities and worse clinical outcomes when it coexists with AF in hospitalized Middle Eastern Arab and South Asian patients.http://www.heartviews.org/article.asp?issn=1995-705X;year=2021;volume=22;issue=4;spage=256;epage=263;aulast=Salamatrial fibrillationhypertensionregistry
spellingShingle Amar M Salam
Imtiaz Salim
Rasha Kaddoura
Rajvir Singh
Nidal Asaad
Awad Al-Qahtani
Jassim Al Suwaidi
Hajar A AlBinali
Hypertension in middle eastern arab and south asian patients with atrial fibrillation: From a 20-year hospital registry in Qatar (1990-2010)
Heart Views
atrial fibrillation
hypertension
registry
title Hypertension in middle eastern arab and south asian patients with atrial fibrillation: From a 20-year hospital registry in Qatar (1990-2010)
title_full Hypertension in middle eastern arab and south asian patients with atrial fibrillation: From a 20-year hospital registry in Qatar (1990-2010)
title_fullStr Hypertension in middle eastern arab and south asian patients with atrial fibrillation: From a 20-year hospital registry in Qatar (1990-2010)
title_full_unstemmed Hypertension in middle eastern arab and south asian patients with atrial fibrillation: From a 20-year hospital registry in Qatar (1990-2010)
title_short Hypertension in middle eastern arab and south asian patients with atrial fibrillation: From a 20-year hospital registry in Qatar (1990-2010)
title_sort hypertension in middle eastern arab and south asian patients with atrial fibrillation from a 20 year hospital registry in qatar 1990 2010
topic atrial fibrillation
hypertension
registry
url http://www.heartviews.org/article.asp?issn=1995-705X;year=2021;volume=22;issue=4;spage=256;epage=263;aulast=Salam
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