Abstract 19025: Management and Outcomes of Acute Coronary Syndromes in Developing Countries: A Systematic Review

Introduction: Cardiovascular disease is the leading cause of death among adults in developing countries. However, a comprehensive assessment of acute coronary syndrome (ACS) care is lacking. We performed a systematic review of ACS care in developing countries in the Middle East, Africa, and Southeast Asia. Methods: We performed searches on PubMed and Embase for studies published between 1995 and 2017 related to ACS care in Middle Eastern, Northern African, and Subsaharan African countries, including STEMI door-to-needle and -balloon times, thrombolytic and PCI rates, and in-hospital mortality. Our Pubmed keywords included “Africa,” “ACS,” “Southeast Asia,” “myocardial infarction,” and “Middle East.” We included studies with u003e 30 patients that included STEMI and NSTEMI patients or STEMI patients alone. Our searches returned 763 studies. Countries were listed with nominal Gross Domestic Product (GDP) global rankings. Results: Fifteen studies met inclusion criteria (Table 1) including 33,844 patients (13,730...