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Hammoudeh A, Qabbaa L, Alhaddad I, Izraiq M, Jarrah M, Shami D, Hattar M, Dahabreh Z, Al-Jarrah M, Othman A, Al-Kouz M, Shahwan Y, Alfawara M. Utilization of Guidelines-recommended secondary cardiovascular preventive medications in a decade or more survivors after coronary revascularization in the Middle East; analysis form the DECADE PLUS S. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
There is scarcity of studies from the Middle East had address the use of guideline-recommended secondary cardiovascular prevention medications among individuals who survived at least one decade after coronary revascularization (CR) by percutaneous coronary intervention (PCI) or coronary bypass graft surgery (CABG).
Purpose
An objective of the DECADE-PLUS study was to evaluate the use of antiplatelet agents (APA), statins, beta blockers (BB) and renin-angiotensin system inhibitors (RASI) in such patients.
Methods
We enrolled consecutive patients seen at ambulatory or in-patient settings with the following inclusion criteria: patient had PCI or CABG >10 years ago, age >18 years at the time of the index CR, and availability of data of currently used medications.
Results
Of 892 patients enrolled, 600 (67.3%) had PCI and 292 (32.7%) had CABG. Patients had CR >20 years ago (100; 11.2%), 11–19 years ago (536; 60.1%) or 10 years ago (256; 28.7%). Women comprised 13.8% of the whole cohort, and mean age at index CR was 53.4+9.4 years. Hypertension, diabetes mellitus, and dyslipidemia were present in 398 (44.6%), 351 (39.3%) and 290 (32.5%), respectively at the time of CR. Overall, aspirin was used in 745 (83.5%), and a second APA in 329 (36.9%). Statins, BB and RASI were used in 83.7%, 71.7% and 54.3%, respectively. Univariate analysis of predictors of lower rates of use of these medications showed that survival time (10 years vs. >20 years), and revascularization type (PCI vs. CABG) had no impact on use of these medications. However, nondiabetics were less often prescribed second APA (odds ratio (OR) 0.78, p=0.005) and RASI (OR 0.85, p=0.007) compared with diabetics. Furthermore, compared with men, women were less often prescribed aspirin (OR 0.66, p<0.0001), statin (OR 0.67, p<0.0001), BB (OR 0.71, p=0.005), and RASI (OR 0.79, p=0.005).
Conclusion
Middle East patients surviving at least one decade after coronary revascularization have a high rate of utilization of secondary cardiovascular medications compared with western data. However, women and non-diabetic individuals have lower rate of use of these medications compared with diabetics and men, respectively. Larger studies are warranted to explore the reasons behind these discrepancies and thus represent potential targets for positive intervention.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
| | - L Qabbaa
- Islamic Hospital, Deparment of Medicine, Cardiology Section, Amman, Jordan
| | - I.A Alhaddad
- Jordan Hospital, Department of Medicine, Cardiology Section, Amman, Jordan
| | - M Izraiq
- Specialist Hospital, Department of Medicine, Cardiology Section, Amman, Jordan
| | - M Jarrah
- King Abdulah University Hospital, Department of Medicine, Cardiology Section, Amman, Jordan
| | - D Shami
- Jordan University Hospital, Amman, Jordan
| | - M Hattar
- Jordan University Hospital, Amman, Jordan
| | | | - M Al-Jarrah
- King Abdulah University Hospital, Department of Medicine, Cardiology Section, Amman, Jordan
| | - A Othman
- King Abdulah University Hospital, Department of Medicine, Cardiology Section, Amman, Jordan
| | - M Al-Kouz
- Jordan University Hospital, Amman, Jordan
| | - Y Shahwan
- Islamic Hospital, Deparment of Medicine, Cardiology Section, Amman, Jordan
| | - M Alfawara
- Islamic Hospital, Deparment of Medicine, Cardiology Section, Amman, Jordan
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Alfaqih MA, Al-Mughales F, Al-Shboul O, Al Qudah M, Khader YS, Al-Jarrah M. Association of Adiponectin and rs1501299 of the ADIPOQ Gene with Prediabetes in Jordan. Biomolecules 2018; 8:biom8040117. [PMID: 30360393 PMCID: PMC6316320 DOI: 10.3390/biom8040117] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Revised: 10/07/2018] [Accepted: 10/08/2018] [Indexed: 01/17/2023] Open
Abstract
Type 2 diabetes mellitus (T2DM) is a worldwide health problem caused by resistance to insulin action. This chronic debilitating diseaseis preceded by a stage, known as prediabetes, in which a healthy lifestyle can delay the disease. The discovery of biochemical changes in prediabetes is important to identify individuals at risk of developing T2DM and in explaining disease pathogenesis. Adiponectin is secreted by fat cells and is linked with insulin resistance. Adiponectin levels are dysregulated in prediabetic subjects. This relationship had not been tested in Jordan. We recruited 130 subjects with prediabetes and 130 control subjects. We measured serum levels of adiponectin and genotyped subjects for three single nucleotide polymorphisms (SNPs) in the ADIPOQ gene; rs266729, rs1501299 and rs2241766. In multivariate analysis, we found that serum adiponectin lowers the risk of prediabetes (p = 0.002; odds ratio (OR), 0.764; 95% confidence interval (CI), 0.646⁻0.905). The rs1501299 SNP of the ADIPOQ gene was associated with prediabetes in our population (p = 0.041). Specifically, in multivariate analysis, the GT genotype of rs1501299 increased the risk of prediabetes (p = 0.010; OR, 2.350; 95% CI, 1.231⁻4.486) as well as the TT genotype (p = 0.006; OR, 4.774; 95% CI, 1.551⁻14.693). Our findings indicate that serum adiponectin and SNPs in the ADIPOQ gene are associated with prediabetes in Jordan.
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Affiliation(s)
- Mahmoud A Alfaqih
- Department of Physiology and Biochemistry, School of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.
| | - Faheem Al-Mughales
- Department of Physiology and Biochemistry, School of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.
| | - Othman Al-Shboul
- Department of Physiology and Biochemistry, School of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.
| | - Mohammad Al Qudah
- Department of Family Medicine and Public Health, School of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.
| | - Yousef S Khader
- Department of Family Medicine and Public Health, School of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.
| | - Muhammad Al-Jarrah
- Department of Rehabilitation Sciences, School of Applied Medical Sciences, Jordan University of Science and Technology, Irbid 22110, Jordan.
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Jamous M, Barbarawi M, Samrah S, Khabaz MN, Al-Jarrah M, Dauod S. Emergency decompressive craniectomy for trauma patients with Glasgow Coma Scale of 3 and bilateral fixed dilated pupils. Eur J Trauma Emerg Surg 2010; 36:465-9. [DOI: 10.1007/s00068-010-0002-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2009] [Accepted: 11/14/2009] [Indexed: 11/24/2022]
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Zaidan Z, Alwash R, Al-Hussaini A, Al-Jarrah M. Psychiatric morbidity in Northern Jordan: a ten-year review. J Sci Res Med Sci 2000; 2:43-7. [PMID: 24019705 PMCID: PMC3174698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
OBJECTIVE To study the psychiatric morbidity in the northern part of Jordan and to determine the frequency distribution of various psychiatric disorders, for planning services. METHOD All records of 2,335 psychiatric patients attending the only psychiatric clinic in Northern part of Jordan during a ten-year period from 1984 to 1993 were extensively reviewed and subjected to computerized analysis. Diagnosis was made as per ICD-9. RESULTS Out of the 2335 patients who attended the clinic, 55% were males and 45% were females. Those in the age group 25-44 recorded the maximum attendance. Among the male attendees of the clinic, schizophrenia was the commonest diagnosis(19.9%), while among females, affective disorders were the commonest(15.9%). CONCLUSION Schizophrenia was found to be the commonest diagnosis in general among attendance of the clinic for the ten-year research period, while anxiety disorders were the commonest diagnosis among attendance of the clinic for the year 1993.
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Affiliation(s)
- Z Zaidan
- Department of Behavioural Medicine, College of Medicine, Sultan Qaboos University, P.O.Box: 35, Postal Code: 123, Muscat, Sultanate of Oman
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