Abstract

Acute Coronary Syndrome and its consequences is one of the most common cardiac diseases world-wide. Yet in Yemen; Gulf registry of acute coronary events (GULF RACE I) data are the first nation-wide information that highlight the magnitude of this problem. We would like to point out the problem of congestive heart failure among Yemeni Acute Coronary Syndrome population, its prognostic importance and impact in patients outcomes. Yemen data arm and was a part from the GULF RACE phase I.Out of 1054 hospitalized with acute coronary syndrome, 181 patients (17.3%) had congestive heart failure on presenting to the hospital or during hospitalization itself. They were relatively older 63.2 ±10.7 years (P <0.001) with males predominance (72.4%). In spite of Anterior /Anteriolateral ST Elevation, Acute Myocardial Infarction was a common feature of presentation (69.6%), still Left Bundle Branch Block Myocardial Infarction were more predominant. Echocardiographic feature was more consistent with congestive heart failure group, Left Ventricular Ejection Fraction was (40% Vs 51% P <0.001). Those patients were in co-morbid condition more than the rest of the group of acute coronary syndrome. Evidently they were less treated utilizing evidence based treatments. Congestive heart failure was linked to higher in hospital mortality (30.4 % Vs 4.8% with P < 0.001).We concluded that acute coronary syndrome in Yemeni patients is complicated with congestive heart failure and had more worse prognosis regarding in-hospital morbidity and mortality.