Background: Individuals with established cardiovascular disease (CVD) and risk factors such as age, smoking,\nhypertension, and diabetes mellitus are at an increased risk of recurrent cardiovascular events and death. The\nincidence rate of recurrent CVD events varies between countries and populations. The United Arab Emirates (UAE)\nhas one of the highest age-standardized death rates for CVD worldwide. The aim of our study was to estimate the\nincidence rates and determine the predictors of recurrent CVD events among UAE nationals.\nMethods: We investigated an outpatient-based cohort of patients with a history of CVD visiting Tawam Hospital\nbetween April 1, 2008 and December 31, 2008. They were followed-up until July 31, 2018. Univariable and\nmultivariable Cox proportional hazards regression models were used to determine the association between major\nCVD risk factors and the risk of CVD recurrence.\nResults: A total of 216 patients (167 males, 49 females) with a history of CVD were included. They were followed\nfor a median (interquartile range) of 8.1 (5.5â??9.3) years, with a total of 1184 patient-years of follow-up. The overall\nincidence rate of recurrent CVD events was 92.1 per 1000 patient-years. The 8-year cumulative incidence was 73.7%.\nAge, female sex, and diabetes mellitus were significant predictors of recurrent CVD events, where females had a\n1.96 times higher risk of recurrent CVD events than males.\nConclusion: Significant predictors of recurrent CVD events are older age, female sex, and diabetes mellitus. The\nincidence rate of recurrent CVD events was 92.1 per 1000 patient-years. Preventive measures, based on international\nguidelines for CVD management, may improve CVD morbidity and mortality in the UAE population.
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