1
|
Chabrak S, Haggui A, Allouche E, Ouali S, Ben Halima A, Kacem S, Krichen S, Marrakchi S, Fehri W, Mourali MS, Jabbari Z, Ben Halima M, Neffati E, Heraiech A, Slim M, Kachboura S, Gamra H, Hassine M, Kraiem S, Kammoun S, Bezdah L, Jridi G, Bouraoui H, Kammoun S, Hammami R, Chettaoui R, Ben Ameur Y, Azaiez F, Tlili R, Battikh K, Ben Slima H, Chrigui R, Fazaa S, Sanaa I, Ellouz Y, Mosrati M, Milouchi S, Jarmouni S, Ayadi W, Akrout M, Razgallah R, Neffati W, Drissa M, Charfeddine S, Abdessalem S, Abid L, Zakhama L. National Tunisian Study of Cardiac Implantable Electronic Devices: Design and Protocol for a Nationwide Multicenter Prospective Observational Study. JMIR Res Protoc 2024; 13:e47525. [PMID: 38588529 PMCID: PMC11036188 DOI: 10.2196/47525] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 10/29/2023] [Accepted: 10/31/2023] [Indexed: 04/10/2024] Open
Abstract
BACKGROUND In Tunisia, the number of cardiac implantable electronic devices (CIEDs) is increasing, owing to the increase in patient life expectancy and expanding indications. Despite their life-saving potential and a significant reduction in population morbidity and mortality, their increased numbers have been associated with the development of multiple early and late complications related to vascular access, pockets, leads, or patient characteristics. OBJECTIVE The study aims to identify the rate, type, and predictors of complications occurring within the first year after CIED implantation. It also aims to describe the demographic and epidemiological characteristics of a nationwide sample of patients with CIED in Tunisia. Additionally, the study will evaluate the extent to which Tunisian electrophysiologists follow international guidelines for cardiac pacing and sudden cardiac death prevention. METHODS The Tunisian National Study of Cardiac Implantable Electronic Devices (NATURE-CIED) is a national, multicenter, prospectively monitored study that includes consecutive patients who underwent primary CIED implantation, generator replacement, and upgrade procedure. Patients were enrolled between January 18, 2021, and February 18, 2022, at all Tunisian public and private CIED implantation centers that agreed to participate in the study. All enrolled patients entered a 1-year follow-up period, with 4 consecutive visits at 1, 3, 6, and 12 months after CIED implantation. The collected data are recorded electronically on the clinical suite platform (DACIMA Clinical Suite). RESULTS The study started on January 18, 2021, and concluded on February 18, 2023. In total, 27 cardiologists actively participated in data collection. Over this period, 1500 patients were enrolled in the study consecutively. The mean age of the patients was 70.1 (SD 15.2) years, with a sex ratio of 1:15. Nine hundred (60%) patients were from the public sector, while 600 (40%) patients were from the private sector. A total of 1298 (86.3%) patients received a conventional pacemaker and 75 (5%) patients received a biventricular pacemaker (CRT-P). Implantable cardioverter defibrillators were implanted in 127 (8.5%) patients. Of these patients, 45 (3%) underwent CRT-D implantation. CONCLUSIONS This study will establish the most extensive contemporary longitudinal cohort of patients undergoing CIED implantation in Tunisia, presenting a significant opportunity for real-world clinical epidemiology. It will address a crucial gap in the management of patients during the perioperative phase and follow-up, enabling the identification of individuals at particularly high risk of complications for optimal care. TRIAL REGISTRATION ClinicalTrials.gov NCT05361759; https://classic.clinicaltrials.gov/ct2/show/NCT05361759. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR1-10.2196/47525.
Collapse
Affiliation(s)
- Sonia Chabrak
- Pasteur Clinic, General and Cardiovascular Clinic of Tunis, Tunis, Tunisia
| | - Abdeddayem Haggui
- Military Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Emna Allouche
- Cardiology Department, Faculty of Medicine of Tunis, Charles Nicole Hospital, University of Tunis, Tunis, Tunisia
| | - Sana Ouali
- Cardiology Department, Faculty of Medicine of Tunis, La Rabta Hospital, University of Tunis, Tunis, Tunisia
| | - Afef Ben Halima
- Abderrahmen Mami Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | | | | | - Sonia Marrakchi
- Cardiology Department, Versailles Cardiology Center, Paris, France
| | - Wafa Fehri
- Cardiology Department, Faculty of Medicine of Tunis, Military Hospital, University of Tunis, Tunis, Tunisia
| | - Mohamed Sami Mourali
- Cardiology Department, Faculty of Medicine of Tunis, La Rabta Hospital, University of Tunis, Tunis, Tunisia
| | - Zeineb Jabbari
- Cardiology Department, Faculty of Medicine of Tunis, La Rabta Hospital, University of Tunis, Tunis, Tunisia
| | - Manel Ben Halima
- Cardiology Department, Faculty of Medicine of Tunis, Abderrahmen Mami Hospital, University of Tunis, Tunis, Tunisia
| | - Elyes Neffati
- Cardiology Department, Faculty of Medicine of Sousse, Sahloul Hospital, University of Sousse, Sousse, Tunisia
| | - Aymen Heraiech
- Cardiology Department, Faculty of Medicine of Sousse, Sahloul Hospital, University of Sousse, Sousse, Tunisia
| | - Mehdi Slim
- Cardiology Department, Faculty of Medicine of Sousse, Sahloul Hospital, University of Sousse, Sousse, Tunisia
| | - Salem Kachboura
- Cardiology Department, Faculty of Medicine of Tunis, Abderrahmen Mami Hospital, University of Tunis, Tunis, Tunisia
| | - Habib Gamra
- Cardiology A Department, Fattouma Bourguiba Hospital, Monastir, Tunisia
| | - Majed Hassine
- Cardiology A Department, Fattouma Bourguiba Hospital, Monastir, Tunisia
| | - Sondes Kraiem
- Cardiology Department, Faculty of Medicine of Tunis, Habib Thameur Hospital, University of Tunis, Tunis, Tunisia
| | - Sofien Kammoun
- Cardiology Department, Faculty of Medicine of Tunis, Habib Thameur Hospital, University of Tunis, Tunis, Tunisia
| | - Leila Bezdah
- Cardiology Department, Faculty of Medicine of Tunis, Charles Nicole Hospital, University of Tunis, Tunis, Tunisia
| | - Gouider Jridi
- Cardiology Department, Faculty of Medicine of Sousse, Farhat Hached Hospital, University of Sousse, Sousse, Tunisia
| | - Hatem Bouraoui
- Cardiology Department, Faculty of Medicine of Sousse, Farhat Hached Hospital, University of Sousse, Sousse, Tunisia
| | - Samir Kammoun
- Cardiology Department, Faculty of Medicine of Sfax, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - Rania Hammami
- Cardiology Department, Faculty of Medicine of Sfax, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Rafik Chettaoui
- Pasteur Clinic, General and Cardiovascular Clinic of Tunis, Tunis, Tunisia
| | - Youssef Ben Ameur
- Cardiology Department, Faculty of Medicine of Tunis, Mongi Slim Hospital, University of Tunis, Tunis, Tunisia
| | - Fares Azaiez
- Cardiology Department, Faculty of Medicine of Tunis, Mongi Slim Hospital, University of Tunis, Tunis, Tunisia
| | - Rami Tlili
- Cardiology Department, Faculty of Medicine of Tunis, Mongi Slim Hospital, University of Tunis, Tunis, Tunisia
| | | | - Hedi Ben Slima
- Cardiology Department, Faculty of Medicine of Tunis, Menzel Bourguiba Hospital, University of Tunis, Bizerte, Tunisia
| | - Rim Chrigui
- Pasteur Clinic, General and Cardiovascular Clinic of Tunis, Tunis, Tunisia
| | - Samia Fazaa
- Pasteur Clinic, General and Cardiovascular Clinic of Tunis, Tunis, Tunisia
| | - Islem Sanaa
- General & Cardiovascular Clinic, Tunis, Tunisia
| | - Yassine Ellouz
- Pasteur Clinic, General and Cardiovascular Clinic of Tunis, Tunis, Tunisia
| | | | - Sami Milouchi
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
- Cardiology Department, Habib Bourguiba Hospital, University of Sfax, Medenine, Tunisia
| | - Soumaya Jarmouni
- Pasteur Clinic, General and Cardiovascular Clinic of Tunis, Tunis, Tunisia
| | | | | | | | | | - Meriem Drissa
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
- Cardiology Department, Faculty of Medicine of Tunis, Mongi Slim Hospital, University of Tunis, Tunis, Tunisia
| | - Selma Charfeddine
- Cardiology Department, Faculty of Medicine of Sfax, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Salem Abdessalem
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Leila Abid
- Cardiology Department, Faculty of Medicine of Sfax, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - Lilia Zakhama
- Cardiology Department, Hospital of the Interior Force Security, University of Tunis, Tunis, Tunisia
| |
Collapse
|
2
|
Ben Ahmed H, Bellali M, Allouche E, Allouche M, Belhadj A, Ben Khelil M, Shimi M, Razghallah R, Banasr A, Benzarti A, Bezdah L, Hamdoun M. [Circadian and septadian variation in sudden cardiac death : Autopsy registry of the Tunisian North]. Ann Cardiol Angeiol (Paris) 2023; 72:101597. [PMID: 37075563 DOI: 10.1016/j.ancard.2023.101597] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Revised: 02/26/2023] [Accepted: 03/21/2023] [Indexed: 04/21/2023]
Abstract
INTRODUCTION Several studies have suggested a circadian and septadian pattern of incidence of sudden cardiac death with a morning peak and a Monday peak. OBJECTIVE To analyze the circadian and septadian pattern of occurrence of sudden cardiac death in the eight northern Tunisian governorates. METHODS We prospectively collected epidemiological and autopsy data of sudden cardiac death victims occurring in the northern region of Tunisia between January 2013 and December 2019. RESULTS The population included 1834 men (79.6%) and 468 women (20.4%) with a mean age of 56.5 ± 14 years. Smoking (53.9%) was the most prevalent cardiovascular risk factor. One-fifth (20.9%) of victims had known heart disease, and 3% had a family history of sudden death. ischemic heart disease was the leading cause of sudden death (46.8% of cases). One- fourth (25.7%) of autopsies were negative. Analysis of the circadian pattern of occurrence of sudden cardiac death identified a peak (36.1%, p < 0.001) between midnight and 6 am. This nocturnal excess mortality was significant (p < 0.001) and independent of sex (34.1 % in men and 43.8 % in women) and cause of death (39.3 % of cases of sudden ischemic death and 33.3 % of cases of nonischemic death). Moreover, there was a significant septadian variability in the occurrence of sudden death (p: 0.0015), with a peak on Friday (15.8 %, p: 0.042). CONCLUSION This study showed a peak of sudden death between midnight and 6 am, and on Fridays, confirming the modification of the classic circadian and septadian pattern of sudden death occurrence. These results may help optimize the deployment of emergency mobile teams and structures during the most vulnerable periods.
Collapse
Affiliation(s)
- H Ben Ahmed
- Service de cardiologie, Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - M Bellali
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - E Allouche
- Service de cardiologie, Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie.
| | - M Allouche
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - A Belhadj
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - M Ben Khelil
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - M Shimi
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - R Razghallah
- Service de cardiologie, Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - A Banasr
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - A Benzarti
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - L Bezdah
- Service de cardiologie, Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - M Hamdoun
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| |
Collapse
|
3
|
Allouche E, Chetoui A, El Ayech F, Ben Jemaa H, Ben Ahmed H, Ouechtati Ben Attia W, Bezdah L. Functional ischemic mitral regurgitation in acute myocardial infarction: Importance of changes in left ventricular shape and regional function. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
|
4
|
Ouechtati Ben Attia W, El Ayech F, Ben Jemaa H, Ben Ahmed H, Allouche E, Bouzid K, Bezdah L. Correlations between Gatectin 3 and clinical echocardiographic parameters during ST-elevation myocardial infarction. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
|
5
|
Bezdah L, Chetoui A, Ayech FE, Jemaa HB, Ahmed HB, Attia WOB, Allouche E. Functional mitral regurgitation determinants in dilated cardiomyopathy. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
|
6
|
Allouche E, Neji S, Boudiche F, Ben Jemaa H, Chetoui A, Ben Ahmed H, Ouechtati Ben Attia W, Bezdah L. Importance of socioeconomic and educational factors in the return to work after acute myocardial infarction. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
|
7
|
Abid L, Hammami R, Abdesselem S, Boudiche S, Hédi BS, Sayahi K, Bahloul A, Chamtouri I, Charfeddine S, Rais L, Drissa M, Ben Kaab B, Ibn Hadj Amor H, Ben Fatma L, Garbaa R, Boukhris S, Emna A, Ben Halima M, Amdouni N, Ghorbel S, Soudani S, Khaled I, Triki S, Bouazizi F, Jemai I, Abdeljalil O, Ammar Y, Farah A, Neji A, Oumaya Z, Seghaier S, Mokrani S, Thawaba H, Sarray H, Ouaghlani K, Thabet H, Mnif Z, Fatma BM, Sghaier M, Khalifa R, Fourati S, Kammoun Y, Abid S, Hamza C, Ben Jeddou S, Sabbah L, Lakhdhar R, Dammak N, Sellami T, Herbegue B, Koubaa A, Triki F, Ellouze T, Hmoudi A, Ben Ameur I, Boukhchina MM, Abid N, Ouechtati W, Nasrallah N, Houidi Y, Mghaieth Zghal F, Elhem G, Chayeb M, Sarra C, Kaabachi S, Saadaoui N, Ben Ameur I, Affes M, Ouali S, Chaker M, Naana H, Meriem D, Jarrar M, Mnif J, Turki A, Zairi I, Langar J, Dardouri S, Hachaichi I, Chettaoui R, Smat W, Chakroun A, Mzoughi K, Mechmeche R, Ben Halima A, Ben Kahla Koubaa S, Chtourou S, Mohamed Abdelkader M, Ayari M, Hadrich M, Rami T, Azaiez F, Bouhlel I, Sahnoun S, Jerbi H, Imtinene BM, Riahi L, Sahnoun M, Ben Jemaa A, Ben Salem A, Rekik B, Ben Doudou M, Boujnah MR, Joulak A, Omar A, Razgallah R, Sami M, Neffati E, Gamra H, Ben Youssef S, Sdiri W, Ben Halima N, Ben Ameur Y, Kachboura S, Kraiem S, Fehri W, Zakhama L, Bezdah L, Mohamed Sami M, Drissa H, Maatouk MF, Kammoun S, Addad F. Design and Rationale of the National Observational Multicentric Tunisian Registry of Hypertension: Protocol for Evaluating Hypertensive Patient Care in Clinical Practice. JMIR Res Protoc 2022; 11:e21878. [PMID: 36053572 PMCID: PMC9482066 DOI: 10.2196/21878] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Revised: 12/27/2020] [Accepted: 07/30/2021] [Indexed: 11/23/2022] Open
Abstract
Background This study was designed to evaluate the care of hypertensive patients in daily clinical practice in public and private centers in all Tunisian regions. Objective This study will provide us an overview of hypertension (HTN) management in Tunisia and the degree of adherence of practitioners to international recommendations. Methods This is a national observational cross-sectional multicenter study that will include patients older than 18 years with HTN for a duration of 4 weeks, managed in the public sector from primary and secondary care centers as well as patients managed in the private sector. Every participating patient signed a consent form. The study will exclude patients undergoing dialysis. The parameters that will be evaluated are demographic and anthropometric data, lifestyle habits, blood pressure levels, lipid profiles, treatment, and adherence to treatment. The data are collected via the web interface in the Dacima Clinical Suite. Results The study began on April 15, 2019 and ended on May 15, 2019. During this period, we included 25,890 patients with HTN. Data collection involved 321 investigators from 24 Tunisian districts. The investigators were doctors working in the private and public sectors. Conclusions Observational studies are extremely useful in improving the management of HTN in developing countries. Trial Registration ClinicalTrials.gov NCT04013503; https://clinicaltrials.gov/ct2/show/NCT04013503 International Registered Report Identifier (IRRID) DERR1-10.2196/21878
Collapse
Affiliation(s)
- Leila Abid
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Rania Hammami
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia.,Cardiology Department, Hedi Chaker-Sfax University Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia
| | - Salem Abdesselem
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Selim Boudiche
- Cardiology Department, La Rabta 1 (Pr Mourali) University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Ben Slima Hédi
- Cardiology Department, Hospital of Menzel Bourguiba, Bizerte, Tunisia
| | - Khaled Sayahi
- Cardiology Department, ElKef Hospital, Elkef, Tunisia
| | - Amine Bahloul
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia
| | - Ikram Chamtouri
- Cardiology Department B, Fattouma Bourguiba University Hospital, Faculty of Medecine of Monastir, University of Monastir, Monastir, Tunisia
| | - Salma Charfeddine
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia
| | - Lamia Rais
- Nephrology Department, La Rabta University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Meriem Drissa
- Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Badreddine Ben Kaab
- Nephrology Department, La Rabta University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | | | - Lilia Ben Fatma
- Nephrology Department, La Rabta University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Riadh Garbaa
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Sabrine Boukhris
- Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Allouche Emna
- Cardiology Department, Charles Nicole University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Manel Ben Halima
- Cardiology Department, La Rabta 1 (Pr Mourali) University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Nesrine Amdouni
- Cardiology Department B, Fattouma Bourguiba University Hospital, Faculty of Medecine of Monastir, University of Monastir, Monastir, Tunisia
| | - Shayma Ghorbel
- Cardiology Department, Habib Bourguiba Hospital, Medenine, Tunisia
| | - Sabrine Soudani
- Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | | | - Syrine Triki
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia
| | | | - Imen Jemai
- Habib Bourguiba Hospital, Medenine, Tunisia
| | - Ouday Abdeljalil
- Cardiology Department B, Fattouma Bourguiba University Hospital, Faculty of Medecine of Monastir, University of Monastir, Monastir, Tunisia
| | | | - Amani Farah
- Cardiology Department B, Fattouma Bourguiba University Hospital, Faculty of Medecine of Monastir, University of Monastir, Monastir, Tunisia
| | | | - Zeineb Oumaya
- Cardiology Department, Charles Nicole University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | | | | | - Hamza Thawaba
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Hela Sarray
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia
| | - Khalil Ouaghlani
- Cardiology Department, Charles Nicole University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Houssem Thabet
- Cardiology Department, Farhat Hached Hospital, Faculty of Medecine of Sousse, University of Sousse, Sousse, Tunisia
| | - Zeineb Mnif
- National Social Security Fund, Sfax, Tunisia
| | | | - Mohamed Sghaier
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Roueida Khalifa
- Cardiology Department B, Fattouma Bourguiba University Hospital, Faculty of Medecine of Monastir, University of Monastir, Monastir, Tunisia
| | - Sami Fourati
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Yassmine Kammoun
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia
| | - Syrine Abid
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Chiheb Hamza
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Syrine Ben Jeddou
- Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | | | - Rim Lakhdhar
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Najla Dammak
- Nephrology Department, Hedi Chaker-Sfax University Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia
| | - Tarak Sellami
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Basma Herbegue
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | | | - Faten Triki
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia
| | - Tarek Ellouze
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia
| | | | - Ikhlas Ben Ameur
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | | | | | - Wejdene Ouechtati
- Cardiology Department, Charles Nicole University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | | | | | - Fathia Mghaieth Zghal
- Cardiology Department, La Rabta 1 (Pr Mourali) University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | | | | | - Chenik Sarra
- Cardiology Department, The Main Military Instruction Hospital of Tunis, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Samira Kaabachi
- Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Nizar Saadaoui
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Ines Ben Ameur
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | | | - Sana Ouali
- Cardiology Department, La Rabta 1 (Pr Mourali) University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Mouna Chaker
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia
| | - Hela Naana
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Dghim Meriem
- Cardiology Department, The Main Military Instruction Hospital of Tunis, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Mourad Jarrar
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Jihen Mnif
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Ahmed Turki
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia
| | - Ihsen Zairi
- Cardiology Department, Habib Thameur Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Jamel Langar
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Safa Dardouri
- Cardiology Department, Farhat Hached Hospital, Faculty of Medecine of Sousse, University of Sousse, Sousse, Tunisia
| | | | - Rafik Chettaoui
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Wajih Smat
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | | | - Khadija Mzoughi
- Cardiology Department, Habib Thameur Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Rachid Mechmeche
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Afef Ben Halima
- Cardiology Department, Abderrahmen Mami-Ariana Hospital, Faculty of Medecine of Tunis, University of Tunis, Ariana, Tunisia
| | - Sahar Ben Kahla Koubaa
- Cardiology Department, Mahres Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia
| | - Slim Chtourou
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | | | | | - Moufid Hadrich
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Tlili Rami
- Cardiology Department, Mongi Slim Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Fares Azaiez
- Cardiology Department, Mongi Slim Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Imen Bouhlel
- Cardiology Department, Farhat Hached Hospital, Faculty of Medecine of Sousse, University of Sousse, Sousse, Tunisia
| | | | | | - Ben Mrad Imtinene
- Cardiology Department, Habib Thameur Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Leila Riahi
- Cardiology Department, The Main Military Instruction Hospital of Tunis, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Mohamed Sahnoun
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Abdelhamid Ben Jemaa
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia
| | - Amal Ben Salem
- Cardiology Department, Charles Nicole University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Bassem Rekik
- Cardiology Department, Charles Nicole University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Maroua Ben Doudou
- Cardiology Department, Habib Thameur Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | | | - Anissa Joulak
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Abid Omar
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia
| | | | - Milouchi Sami
- Cardiology Department, Habib Bourguiba Hospital, Medenine, Tunisia
| | - Elyes Neffati
- Cardiology Department, University Hospital Sahloul, Faculty of Medecine of Sousse, Sousse, Tunisia
| | - Habib Gamra
- Cardiology Department A, Fattouma Bourguiba University Hospital, Faculty of Medecine of Monastir, University of Monastir, Monastir, Tunisia
| | - Soraya Ben Youssef
- Cardiology Department, Internal Security Forces Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Wissem Sdiri
- Cardiology Department, Bougatfa Hospital, Bizerte, Tunisia
| | - Nejeh Ben Halima
- Cardiology Department, Ibn El Jazzar Hospital, Kairouan, Tunisia
| | - Youssef Ben Ameur
- Cardiology Department, Mongi Slim Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Salem Kachboura
- Cardiology Department, Abderrahmen Mami-Ariana Hospital, Faculty of Medecine of Tunis, University of Tunis, Ariana, Tunisia
| | - Sondes Kraiem
- Cardiology Department, Habib Thameur Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Wafa Fehri
- Cardiology Department, The Main Military Instruction Hospital of Tunis, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Lilia Zakhama
- Cardiology Department, Internal Security Forces Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Leila Bezdah
- Cardiology Department, Charles Nicole University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Mourali Mohamed Sami
- Cardiology Department, La Rabta 1 (Pr Mourali) University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Habiba Drissa
- Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Faculty of Medecine of Tunis, University of Tunis, Tunis, Tunisia
| | - Mohamed Faouzi Maatouk
- Cardiology Department B, Fattouma Bourguiba University Hospital, Faculty of Medecine of Monastir, University of Monastir, Monastir, Tunisia
| | - Samir Kammoun
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Faculty of Medecine of Sfax, University of Sfax, Sfax, Tunisia
| | - Faouzi Addad
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia.,Cardiology Department, Abderrahmen Mami-Ariana Hospital, Faculty of Medecine of Tunis, University of Tunis, Ariana, Tunisia
| |
Collapse
|
8
|
Hammami R, Boudiche S, Rami T, Ben Halima N, Jamel A, Rekik B, Gribaa R, Imtinene BM, Charfeddine S, Ellouze T, Bahloul A, Hédi BS, Langar J, Ben Ahmed H, Ibn Elhadj Z, Hmam M, Ben Abdessalem MA, Maaoui S, Fennira S, Lobna L, Hassine M, Ouanes S, Mohamed Faouzi D, Mallek S, Mahdhaoui A, Meriem D, Jomaa W, Zayed S, Kateb T, Bouchahda N, Azaiez F, Ben Salem H, Marouen M, Noamen A, Abdesselem S, Hichem D, Ibn Hadj Amor H, Abdeljelil F, Amara A, Bejar K, Khaldoun BH, Hamza C, Ben Jamaa M, Fourati S, Elleuch F, Grati Z, Chtourou S, Marouene S, Sahnoun M, Hadrich M, Mohamed Abdelkader M, Bouraoui H, Kamoun K, Hadrich M, Ben Chedli T, Drissa MA, Charfeddine H, Saadaoui N, Achraf G, Ahmed S, Ayari M, Nabil M, Mnif S, Sahnoun M, Kammoun H, Ben Jemaa K, Mostari G, Hamrouni N, Yamen M, Ellouz Y, Smiri Z, Hdiji A, Bassem J, Ayadi W, Zouari A, Abbassi C, Fatma BM, Battikh K, Kharrat E, Gtif I, Sami M, Bezdah L, Kachboura S, Maatouk MF, Kraiem S, Jeridi G, Neffati E, Kammoun S, Ben Ameur Y, Fehri W, Gamra H, Zakhama L, Addad F, Mohamed Sami M, Abid L. Design and Rationale of the National Tunisian Registry of Percutaneous Coronary Intervention: Protocol for a Prospective Multicenter Observational Study. JMIR Res Protoc 2022; 11:e24595. [PMID: 35930353 PMCID: PMC9391981 DOI: 10.2196/24595] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 07/25/2021] [Accepted: 10/12/2021] [Indexed: 11/25/2022] Open
Abstract
Background Coronary artery diseases remain the leading cause of death in the world. The management of this condition has improved remarkably in the recent years owing to the development of new technical tools and multicentric registries. Objective The aim of this study is to investigate the in-hospital and 1-year clinical outcomes of patients treated with percutaneous coronary intervention (PCI) in Tunisia. Methods We will conduct a prospective multicentric observational study with patients older than 18 years who underwent PCI between January 31, 2020 and June 30, 2020. The primary end point is the occurrence of a major adverse cardiovascular event, defined as cardiovascular death, myocardial infarction, cerebrovascular accident, or target vessel revascularization with either repeat PCI or coronary artery bypass grafting (CABG). The secondary end points are procedural success rate, stent thrombosis, and the rate of redo PCI/CABG for in-stent restenosis. Results In this study, the demographic profile and the general risk profile of Tunisian patients who underwent PCI and their end points will be analyzed. The complexity level of the procedures and the left main occlusion, bifurcation occlusion, and chronic total occlusion PCI will be analyzed, and immediate as well as long-term results will be determined. The National Tunisian Registry of PCI (NATURE-PCI) will be the first national multicentric registry of angioplasty in Africa. For this study, the institutional ethical committee approval was obtained (0223/2020). This trial consists of 97 cardiologists and 2498 patients who have undergone PCI with a 1-year follow-up period. Twenty-eight catheterization laboratories from both public (15 laboratories) and private (13 laboratories) sectors will enroll patients after receiving informed consent. Of the 2498 patients, 1897 (75.9%) are managed in the public sector and 601 (24.1%) are managed in the private sector. The COVID-19 pandemic started in Tunisia in March 2020; 719 patients (31.9%) were included before the COVID-19 pandemic and 1779 (60.1%) during the pandemic. The inclusion of patients has been finished, and we expect to publish the results by the end of 2022. Conclusions This study would add data and provide a valuable opportunity for real-world clinical epidemiology and practice in the field of interventional cardiology in Tunisia with insights into the uptake of PCI in this limited-income region. Trial Registration Clinicaltrials.gov NCT04219761; https://clinicaltrials.gov/ct2/show/NCT04219761 International Registered Report Identifier (IRRID) RR1-10.2196/24595
Collapse
Affiliation(s)
- Rania Hammami
- Department of Cardiology, Hédi Chaker Hospital, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia
| | - Selim Boudiche
- Department of Cardiology, La Rabta Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Tlili Rami
- Department of Cardiology, Mongi Slim Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Nejeh Ben Halima
- Department of Cardiology, Kairouan Hospital, Faculty of Medicine of Sousse, University of Sousse, Kairouan, Tunisia
| | - Ahmed Jamel
- Department of Cardiology, Kairouan Hospital, Faculty of Medicine of Sousse, University of Sousse, Kairouan, Tunisia
| | - Bassem Rekik
- Department of Cardiology, La Rabta Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Rym Gribaa
- Department of Cardiology, Sahloul Hospital, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Ben Mrad Imtinene
- Department of Cardiology, Habib Thameur Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Salma Charfeddine
- Department of Cardiology, Hédi Chaker Hospital, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia
| | - Tarek Ellouze
- Department of Cardiology, Hédi Chaker Hospital, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia
| | - Amine Bahloul
- Department of Cardiology, Hédi Chaker Hospital, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia
| | - Ben Slima Hédi
- Department of Cardiology, Menzel Bourguiba Hospital, Faculty of Medicine of Tunis, University of Tunis, Bizerte, Tunisia
| | | | - Habib Ben Ahmed
- Department of Cardiology, Charle Nicole Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Zied Ibn Elhadj
- Department of Cardiology, Abderrahmen Mami-Ariana Hospital, Faculty of Medicine of Tunis, University of Tunis, Ariana, Tunisia
| | | | - Mohamed Aymen Ben Abdessalem
- Department of Cardiology, Farhat Hached Hospital, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | | | - Sana Fennira
- Department of Cardiology, Habib Thameur Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Laroussi Lobna
- Department of Cardiology, Abderrahmen Mami-Ariana Hospital, Faculty of Medicine of Tunis, University of Tunis, Ariana, Tunisia
| | - Majed Hassine
- Department of Cardiology A, Fattouma Bourguiba University Hospital, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | - Sami Ouanes
- Department of Cardiology A, Fattouma Bourguiba University Hospital, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | | | - Souad Mallek
- Department of Cardiology, Hédi Chaker Hospital, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia
| | - Abdallah Mahdhaoui
- Department of Cardiology, Farhat Hached Hospital, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Dghim Meriem
- Department of Cardiology, The Main Military Instruction Hospital of Tunis, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Walid Jomaa
- Department of Cardiology B, Fattouma Bourguiba University Hospital, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | - Sofien Zayed
- Department of Cardiology, Mongi Slim Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | | | - Nidhal Bouchahda
- Department of Cardiology A, Fattouma Bourguiba University Hospital, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | - Fares Azaiez
- Department of Cardiology, Mongi Slim Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | | | | | - Aymen Noamen
- Department of Cardiology, The Main Military Instruction Hospital of Tunis, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | | | - Denguir Hichem
- Department of Cardiology, Gabes Hospital, Faculty of Medicine of Sfax, University of Sfax, Gabes, Tunisia
| | - Hassen Ibn Hadj Amor
- Department of Cardiology, Habib Bourguiba Hospital, Faculty of Medicine of Sfax, University of Sfax, Medenine, Tunisia
| | - Farhati Abdeljelil
- Department of Cardiology, La Rabta Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | | | - Karim Bejar
- Cardiologist, Private Sector, Nabeul, Tunisia
| | - Ben Hamda Khaldoun
- Department of Cardiology B, Fattouma Bourguiba University Hospital, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | | | | | | | | | | | | | | | | | | | | | - Hatem Bouraoui
- Department of Cardiology, Farhat Hached Hospital, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Imen Gtif
- Department of Cardiology, The Main Military Instruction Hospital of Tunis, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Milouchi Sami
- Department of Cardiology, Habib Bourguiba Hospital, Faculty of Medicine of Sfax, University of Sfax, Medenine, Tunisia
| | - Leila Bezdah
- Department of Cardiology, Charle Nicole Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Salem Kachboura
- Department of Cardiology, Farhat Hached Hospital, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Mohamed Faouzi Maatouk
- Department of Cardiology B, Fattouma Bourguiba University Hospital, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | - Sondes Kraiem
- Department of Cardiology, Habib Thameur Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Gouider Jeridi
- Department of Cardiology, Farhat Hached Hospital, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Elyes Neffati
- Department of Cardiology, Sahloul Hospital, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Samir Kammoun
- Department of Cardiology, Hédi Chaker Hospital, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia
| | - Youssef Ben Ameur
- Department of Cardiology, Mongi Slim Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Wafa Fehri
- Department of Cardiology, The Main Military Instruction Hospital of Tunis, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Habib Gamra
- Department of Cardiology A, Fattouma Bourguiba University Hospital, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | - Lilia Zakhama
- Department of Cardiology, The Main Military Instruction Hospital of Tunis, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Faouzi Addad
- Department of Cardiology, Abderrahmen Mami-Ariana Hospital, Faculty of Medicine of Tunis, University of Tunis, Ariana, Tunisia
| | - Mourali Mohamed Sami
- Department of Cardiology, La Rabta Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Leila Abid
- Department of Cardiology, Hédi Chaker Hospital, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia
| |
Collapse
|
9
|
Zakhama L, Hammami R, Mzoughi K, Ben Halima M, Antit S, Chaker F, Ben Fatma L, Jammoussi H, Gribaa R, Charfeddine S, Drissa M, Tarmiz A, Taamallah K, Milouchi S, Nouira S, Neffati E, Ouechtati W, Ouali S, Ben Halima A, Turki F, Skhiri H, Amrouch C, Slim I, Zghal K, Koubaa A, Karoui M, Boussarsar M, Besbes MH, Ben Jeddou K, Ouertatani H, Ben Hammouda M, Ben Brahem A, Hammouda C, Bezdah L, Said F, Lakhdhar R. Management of patients with cardiovascular diseases during Ramadan. Tunis Med 2022; 100:358-373. [PMID: 36206085 PMCID: PMC9552241] [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] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
During the month of Ramadan, over one billion Muslims observe a water and food fast from sunrise to sunset. The practice of this religious duty causes marked changes in eating and sleeping habits. With the increasing incidence of cardiovascular (CV) risk factors, the number of patients with CV pathologies who wish to fast is increasing worldwide, and in Tunisia, which is ranked as a high CV risk country. If fasting has been shown to be beneficial for the improvement of some metabolic parameters, its practice in patients with CV pathology remains debated. The Tunisian Society of Cardiology and Cardiovascular Surgery (STCCCV) in consultation with the National Instance of Evaluation and Accreditation in Health (INEAS) has established this document in the form of a consensus after having analysed the literature with the aim of addressing these questions: -What is the impact of fasting in patients with CV pathologies? -How to stratify the risk of fasting according to CV pathology and comorbidities? -How to plan fasting in patients with CV diseases? -What are the hygienic and dietary measures to be recommended during fasting in patients with CV pathologies? -How to manage medication during the month of Ramadan in patients with CV diseases?
Collapse
Affiliation(s)
- Lilia Zakhama
- 1. Service de Cardiologie, Hôpital des Forces de Sécurité Intérieure, La Marsa, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie
| | - Rania Hammami
- 2. Service de Cardiologie, Hôpital Hédi Chaker, Faculté de Médecine de Sfax, Université de Sfax, Tunisie.
| | - Khadija Mzoughi
- 3. Service de Cardiologie, Hôpital Habib Thameur, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
| | - Manel Ben Halima
- 4. Service des explorations fonctionnelles et de réanimation cardiaque, Hôpital de la Rabta, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
| | - Saoussen Antit
- 1. Service de Cardiologie, Hôpital des Forces de Sécurité Intérieure, La Marsa, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie
| | - Fatma Chaker
- 5. Service d’Endocrinologie, Hôpital de la Rabta, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
| | - Lilia Ben Fatma
- 6. Service de Néphrologie, Hôpital de la Rabta, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
| | - Henda Jammoussi
- 7. Service de Nutrition A, Institut National de Nutrition de Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie
| | - Rym Gribaa
- 8. Service de Cardiologie, Hôpital Sahloul, Faculté de Médecine de Sousse, Université de Sousse, Tunisie.
| | - Selma Charfeddine
- 2. Service de Cardiologie, Hôpital Hédi Chaker, Faculté de Médecine de Sfax, Université de Sfax, Tunisie.
| | - Meriem Drissa
- 9. Service de Cardiologie Adulte, Hôpital de la Rabta, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
| | | | - Karima Taamallah
- 11. Service de Cardiologie Adulte, Hôpital Militaire de Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
| | - Sami Milouchi
- 12. Service de Cardiologie, Hôpital de Mednine, Faculté de Médecine de Sfax, Université de Sfax, Tunisie.
| | - Samir Nouira
- 13. Service des urgences, Hôpital de Fattouma Bourguiba, Faculté de Médecine de Monastir, Université de Monastir, Tunisie
| | - Elyes Neffati
- 8. Service de Cardiologie, Hôpital Sahloul, Faculté de Médecine de Sousse, Université de Sousse, Tunisie.
| | - Wejdène Ouechtati
- 14. Service de Cardiologie, Hôpital Charles Nicolle, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
| | - Sana Ouali
- 4. Service des explorations fonctionnelles et de réanimation cardiaque, Hôpital de la Rabta, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
| | - Afef Ben Halima
- 15. Service de Cardiologie, Hôpital Abderrahmen Mami de l’Ariana, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
| | - Faten Turki
- 2. Service de Cardiologie, Hôpital Hédi Chaker, Faculté de Médecine de Sfax, Université de Sfax, Tunisie.
| | - Habib Skhiri
- 16. Service de Néphrologie, Hôpital de Fattouma Bourguiba, Faculté de Médecine de Monastir, Université de Monastir, Tunisie.
| | - Chiraz Amrouch
- 17. Consultations externes de Nutrition, Institut National de Nutrition de Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
| | | | - Khaled Zghal
- 18. Laboratoire de Pharmacologie, Faculté de Médecine de Sfax, Université de Sfax, Tunisie.
| | | | | | | | | | | | | | | | | | | | - Leila Bezdah
- 14. Service de Cardiologie, Hôpital Charles Nicolle, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
| | - Fatma Said
- 24. Service de Médecine Interne, Hôpital de la Rabta, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.
| | | |
Collapse
|
10
|
Abid L, Zakhama L, Trabelsi R, Abdesslem S, Alouane L, Bezdah L, Drissa M, Essaies O, Goucha R, Joulak A, Triki F, Zellama D, Abdelkafi M, Aidli S, Belhaj Amor H, Ben Kaab B, Bessaadi L, Bouallegue S, Boukhris I, Ghazeli H, Guezmir K, Hammami R, Hasni N, Hssine J, Koubaa A, Mansouri R, Mghaieth F, Milouchi S, Ouali Hammami S, Said F, Sdiri W, Skhiri A, Toumi S, Yazidi M, Ouertatani H, Ben Hamouda M, Ben Brahem A, Jlassi K, Ayari C, Chaabene R, Hamouda C. Clinical Practice Guidelines. Management of Hypertension in Tunisian Adults. Tunis Med 2022; 99:768-846. [PMID: 35261010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
|
11
|
Ben Ahmed H, Allouche E, Rekik A, Ouechtati W, Bezdah L. Multivessel spontaneous coronary artery dissection with simultaneously three different angiographic patterns. Ann Cardiol Angeiol (Paris) 2022; 71:118-121. [PMID: 32854904 DOI: 10.1016/j.ancard.2020.03.019] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Accepted: 03/31/2020] [Indexed: 06/11/2023]
Abstract
Spontaneous coronary artery dissection (SCAD) is a non-traumatic non-iatrogenic coronary dissection. It's a frequent cause of acute coronary syndrome (ACS) in women without or with few traditional cardiovascular risk factors. We report an unusual case of multivessel SCAD in a middle-aged woman with successful medical management.
Collapse
Affiliation(s)
- H Ben Ahmed
- Cardiology Department, Charles-Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University of Tunis-El-Manar 2092 Tunis, Tunisia.
| | - E Allouche
- Cardiology Department, Charles-Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University of Tunis-El-Manar 2092 Tunis, Tunisia.
| | - A Rekik
- Cardiology Department, Charles-Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University of Tunis-El-Manar 2092 Tunis, Tunisia.
| | - W Ouechtati
- Cardiology Department, Charles-Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University of Tunis-El-Manar 2092 Tunis, Tunisia.
| | - L Bezdah
- Cardiology Department, Charles-Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University of Tunis-El-Manar 2092 Tunis, Tunisia.
| |
Collapse
|
12
|
Bezdah L, Allouche E, Abid O, Sidhom S, Ouchtati W, Ben Ahmed H. Echocardiographic factors determining immediate results of percutaneous mitral balloon commissurotomy. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
13
|
Ouechtati Ben Attia W, Ben Ahmed H, Allouche E, Oumaya Z, El Ayech F, Bouzid K, Bezdah L. Correlations between Gatectin 3 and clinical echocardiographic parameters during ST elevation myocardial infarction. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
14
|
Ouechtati ben Attia W, Oumaya Z, Allouche E, Fathi M, El Ayech F, Beji M, Ben Ahmed H, Bezdah L. Five-year epidemiological study of surgical valvular heart diseases in a north African tertiary referral hospital. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
15
|
Allouche E, Ben Ahmed H, Driss A, Oumaya Z, Aissa M, Bezdah L. Perioperative cardiac risk assessment by anesthesiology residents. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
16
|
Mrabet A, Bezdah L, Dhib A, Saidi O, Ben Romdhane H. Prevalence, awareness and management of arterial hypertension: About a Tunisian population-based survey. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
17
|
Ben Halima A, Aouina H, Hamzaoui A, Gharbi L, Chaouech N, Dhahri B, Ghrairi H, Maazaoui S, Sahnoun I, Ben Mansour A, Louhichi S, Ben Amar J, Lakehal R, Allouche E, Ben Ahmed H, Aissa MS, Fathi M, Boudiche F, Ben Jemaa H, Béji M, Ouechtati W, Bezdah L, Ben Abdessalem MA, Cheikh Sidiya K, Romdhane AF, Ben Ameur Z, Mosrati H, Ammar F, Bouraoui H, Hajri S, Mahdhaoui A, Jeridi G, Nasser K, Elhraiech A, Kacem M, Tekaya MA, Meddeb A, Ben Hamda K, Maatouk F, Wachem O, Antit S, Fekih R, Antit C, Boussabah E, Thameur M, Zakhama L, Ben Youssef S, Ben Doudou M, Kamoun S, Ben Mrad I, Ben Moussa F, Fennira S, Mzoughi K, Zairi I, Kraiem S, Messaoudi Y, Ben Abdallah M, Ghabi O, Ben Halima N, Mleyhi S, Sandi T, Miri R, Besbes T, Ghédira F, Ben Omrane S, Denguir R, Drissa M, Brahim A, Mousli E, Ousji C, Abou Nada H, Bouslimi A, Merdassi A, Taher O, Drissa H, Yaakoubi W, Ben Hlima M, Rekik B, Soula MA, Zouari F, Boudiche S, Mghaieth F, Ouali S, Mourali MS, Taamallah K, Abid M, Hajlaoui N, Haggui A, Fehri W, Ben Abdallah M, Azaiez F, Cherif N, Jaoued F, Tlili R, Ben Ameur Y, Khorchani A, Ben Ali Z, Dali AE, Milouchi S, Boufares A, Ben Krayen I, Mtimet H, Ben Haj Mbarek MG, Bouhamed O, Dardouri S, Gribaa R, Ben Ali I, Slim M, Neffati E, Damak E, Jaber C, Cherif T, Bousnina M, Jemel A, Jerbi S, Marzouki Y, Neji S, Beji M, Chaabene I, Tahri S, Kechida M, Daada S, Hammami S, Ben Abdallah W, Klii R, Khochtali I, Rekik E, Abdelhedi M, Lahbib N, Aouadi D, Abid S, Besbes B, Oumaya Z, BelKahla N, Arbaoui I, Daoued F, Jebali H, Lahmaier E, Chaabouni E, Hajji M, Zouaghi MK, Abdallah M, Mlayah S, Selmi Y, Idriss H, Ahmed J, Brahim O, Turki E, Ghzel R, Ouaghlani K, Hakim K, Boussema A, Ben Arbia H, Said S, Msaad H, Ouarda F, Khalifa R, Hamila G, Triki S, Ataoui S, Keita A, Ben Othman R, Ghardallou H, Karmous R, El Bardi M, Lassoued C, Laadhar L, Khadhar Y, Aouini F, Ben Mrad M, Ben Romdhane N, Hamdi S, Chenik S, Jabloun Y, Talhaoui A, Mahfoudhi H, Ghardallou M, Noamen A, Raddaoui H, Chourabi C, Amorri A, Boukhili H, Khannouch A, Louati M, Alzain H, Hamdani A, Bousnina S, Ajra Z, Gheni R, Ben Hmida R, Ounissi T, Ibn Elhadj Z, Fekih W, Ben Yedder M, Medi W, Elghoul J, Ben Dayekh A, Ben Radhia B, Nasser K, Mtir H, Kortas C, Mgarrech I, Jamli M, Kaddour H, Mekki N, Amamou I, Achour A, Ouannes S, Ben Farhat S, Jaouadi A, Ben Saad S, Letaief R. Abstracts of the Tunisian Society of Cardiology and Cardiovascular Surgery congress, STCCCV 2021. Tunis Med 2022; 100:72-90. [PMID: 35822336 PMCID: PMC9028527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
18
|
Allouche E, Bezdah L, Abid O, Ben Jemaa H, Boudiche F, Beji M, Sidhom S, Ben Ahmed H, Ouchtati W. Functional ischemic mitral regurgitation in acute myocardial infarction: Importance of changes in left ventricular shape and regional function. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
19
|
Bezdah L, Allouche E, Abid O, Boudiche F, Ben Jemaa H, Beji M, Sidhom S, Ben Ahmed H, Ouchtati W. Functional mitral regurgitation determinants in dilated cardiomyopathy. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
20
|
Ouechtati Ben Attia W, Arfaoui J, Neji S, Allouche E, El Ayech F, Beji M, Ben Ahmed H, Bezdah L. Epidemiology of infective endocarditis: Experience of department of cardiology in Charles Nicolle hospital. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
21
|
Allouche E, Neji S, Ben Ahmed H, Oumaya Z, El Ayech F, Beji M, Ouechtati W, Bezdah L. Risk Factors in Young Adults With First Myocardial Infarction. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
22
|
Allouche E, Ben Ahmed H, Oumaya Z, Fathi M, El Ayech F, Beji M, Ouechtati W, Bezdah L. Impaired nocturnal blood pressure dipping in patients with type 2 diabetes mellitus with microvascular complications. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
23
|
Allouche E, Lachter G, Aissa MS, Ben Jemaa H, Boudiche F, Ben Ahmed H, Ouechtati W, Bezdah L, Bousnina S, Antit S, Ben Kaab B, Boussabah E, Zakhama L, Brahmi H, Ammar F, Belkhiria H, Dali A, Daassa C, Jamel A, Ben Halima N, Hamdani A, Ajra Z, Bayar MF, Gheni R, Rashikou L, Ben Hmida R, Ounissi T, Ibn Elhadj Z, Chelbi H, Fekih R, Boufares A, Thameur M, Abdelhedi M, Neji S, Boudiche F, Chetoui A, Ouechtati W, Cherif N, Mekki N, Slim M, Ouannes S, Ghardallou H, Neffati E, Kadardar F, Hachani M, Iddir S, Marzouki Y, Dardour S, Mejber W, Ben Slima H, Lassoued T, Chamtouri I, Jomaa W, Ben Hamda K, Maatouk F, Hakim K, Ben Othmen R, Msaad H, Ouarda F, Ben Gandoura A, Ben Halima A, Taktak I, Draoui Y, Yaakoubi W, Tamallah K, Chourabi C, Oussema M, Haggui A, Hajlaoui N, Fehri W, Ben Romdhane R, Tlili R, Azaiez F, Bachraoui K, Drissa M, Ben Youssef A, Fatou AW, Khadra H, Diouf MT, Ba S, Diouf D, Sarr MN, Mingou JS, Sarr SA, Dioum M, Ngaide AA, Beye SM, Manga S, Affangla DA, Diouf Y, Diop KH, Bodian M, Leye MMCB, Ndiaye MB, Mbaye A, Kane AD, Diao M, Kane A, Ben Ghorbel C, Soudani S, Gribaa R, Leye M, Ismael Ibouroi MH, Ba EHM, Affangla DA, Ba DM, Diagne Diallo A, Fall AL, Saidane S, Mzoughi K, Bouzidi H, Khannouch A, Ben Mrad I, Kamoun S, Zairi I, Kraiem S, Guesmi A, Mestiri B. ABSTRACTS CONGRÈS STCCCV 2022. Tunis Med 2022; 100:809-818. [PMID: 37551524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 08/09/2023]
|
24
|
Allouche E, Ghariani A, Ben Ahmed H, Fekih Romdhane H, Ouechtati W, Bezdah L. [Myocardial infarction in the young : clinical characteristics, therapeutic aspects and in-hospital complications.]. Ann Cardiol Angeiol (Paris) 2021; 71:90-94. [PMID: 34802668 DOI: 10.1016/j.ancard.2021.10.019] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 10/04/2021] [Accepted: 10/26/2021] [Indexed: 11/18/2022]
Abstract
AIM OF THE STUDY The aim of our study was to assess the clinical, electrical, angiographic and therapeutic characteristics of young patients with acute myocardial infarction and to describe the prevalence of in-hospital complications. PATIENTS AND METHODS FromJanuary 2014 to May 2017, we retrospectively studied data of patients with acute myocardial infarction younger than 45 years old in the department of cardiology of Charles Nicolle hospital of Tunis. RESULTS We enrolled 108 patients in the study. The prevalence of myocardial infarction in young patients was 8.5%. The mean age was 39.5 ± 5.5 years with a sex-ratio of 11. The most frequent cardiovascular risk factors were smoking (88%) and dyslipidaemia (51.9%). We reported 75 cases of ST segment elevation myocardial infarction. Primary angioplasty was performed in 41.3% of cases while lytic therapy was administered for the rest of the patients. It was successful in 75% of cases. Among 33 patients who presented with non-ST segment elevation myocardial infarction, percutaneous coronary angioplasty was performed in 60.6% of patients while 15.2% have undergone coronary artery bypass surgery and 24.2% received medical treatment only. In-hospital complications occurred in 39.8% of cases. In-hospital mortality was 1.9 %. CONCLUSIONS Acute myocardial infarction in the young represents a serious health problem. Primary preventive measures aimed at preventing our youth from adopting tobacco use and developing dyslipidemia should be implemented to delay and even to avoid the onset of coronary artery disease.
Collapse
Affiliation(s)
- E Allouche
- Service de Cardiologie, Centre hospital-universitaire Charles Nicole, Tunis, Tunisie
| | - A Ghariani
- Service de Cardiologie, Centre hospital-universitaire Farhat Hached, Sousse, Tunisie.
| | - H Ben Ahmed
- Service de Cardiologie, Centre hospital-universitaire Charles Nicole, Tunis, Tunisie
| | - H Fekih Romdhane
- Service de Cardiologie, Centre hospital-universitaire Charles Nicole, Tunis, Tunisie
| | - W Ouechtati
- Service de Cardiologie, Centre hospital-universitaire Charles Nicole, Tunis, Tunisie
| | - L Bezdah
- Service de Cardiologie, Centre hospital-universitaire Charles Nicole, Tunis, Tunisie
| |
Collapse
|
25
|
Abid L, Kammoun I, Ben Halima M, Charfeddine S, Ben Slima H, Drissa M, Mzoughi K, Mbarek D, Riahi L, Antit S, Ben Halima A, Ouechtati W, Allouche E, Mechri M, Yousfi C, Khorchani A, Abid O, Sammoud K, Ezzaouia K, Gtif I, Ouali S, Triki F, Hamdi S, Boudiche S, Chebbi M, Hentati M, Farah A, Triki H, Ghardallou H, Raddaoui H, Zayed S, Azaiez F, Omri F, Zouari A, Ben Ali Z, Najjar A, Thabet H, Chaker M, Mohamed S, Chouaieb M, Ben Jemaa A, Tangour H, Kammoun Y, Bouhlel M, Azaiez S, Letaief R, Maskhi S, Amri A, Naanaa H, Othmani R, Chahbani I, Zargouni H, Abid S, Ayari M, Ben Ameur I, Gasmi A, Ben Halima N, Haouala H, Boughzela E, Zakhama L, Ben Youssef S, Nasraoui W, Boujnah MR, Barakett N, Kraiem S, Drissa H, Ben Khalfallah A, Gamra H, Kachboura S, Bezdah L, Baccar H, Milouchi S, Sdiri W, Ben Omrane S, Abdesselem S, Kanoun A, Hezbri K, Zannad F, Mebazaa A, Kammoun S, Mourali MS, Addad F. Design and Rationale of the National Tunisian Registry of Heart Failure (NATURE-HF): Protocol for a Multicenter Registry Study. JMIR Res Protoc 2021; 10:e12262. [PMID: 34704958 PMCID: PMC8581756 DOI: 10.2196/12262] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2018] [Revised: 03/04/2019] [Accepted: 03/24/2019] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The frequency of heart failure (HF) in Tunisia is on the rise and has now become a public health concern. This is mainly due to an aging Tunisian population (Tunisia has one of the oldest populations in Africa as well as the highest life expectancy in the continent) and an increase in coronary artery disease and hypertension. However, no extensive data are available on demographic characteristics, prognosis, and quality of care of patients with HF in Tunisia (nor in North Africa). OBJECTIVE The aim of this study was to analyze, follow, and evaluate patients with HF in a large nation-wide multicenter trial. METHODS A total of 1700 patients with HF diagnosed by the investigator will be included in the National Tunisian Registry of Heart Failure study (NATURE-HF). Patients must visit the cardiology clinic 1, 3, and 12 months after study inclusion. This follow-up is provided by the investigator. All data are collected via the DACIMA Clinical Suite web interface. RESULTS At the end of the study, we will note the occurrence of cardiovascular death (sudden death, coronary artery disease, refractory HF, stroke), death from any cause (cardiovascular and noncardiovascular), and the occurrence of a rehospitalization episode for an HF relapse during the follow-up period. Based on these data, we will evaluate the demographic characteristics of the study patients, the characteristics of pathological antecedents, and symptomatic and clinical features of HF. In addition, we will report the paraclinical examination findings such as the laboratory standard parameters and brain natriuretic peptides, electrocardiogram or 24-hour Holter monitoring, echocardiography, and coronarography. We will also provide a description of the therapeutic environment and therapeutic changes that occur during the 1-year follow-up of patients, adverse events following medical treatment and intervention during the 3- and 12-month follow-up, the evaluation of left ventricular ejection fraction during the 3- and 12-month follow-up, the overall rate of rehospitalization over the 1-year follow-up for an HF relapse, and the rate of rehospitalization during the first 3 months after inclusion into the study. CONCLUSIONS The NATURE-HF study will fill a significant gap in the dynamic landscape of HF care and research. It will provide unique and necessary data on the management and outcomes of patients with HF. This study will yield the largest contemporary longitudinal cohort of patients with HF in Tunisia. TRIAL REGISTRATION ClinicalTrials.gov NCT03262675; https://clinicaltrials.gov/ct2/show/NCT03262675. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/12262.
Collapse
Affiliation(s)
- Leila Abid
- Société Tunisienne De Cardiologie Et De Chirurgie Cardiovasculaire, Tunis, Tunisia
| | - Ikram Kammoun
- Société Tunisienne De Cardiologie Et De Chirurgie Cardiovasculaire, Tunis, Tunisia.,Hôpital Abderrahmen Mami-Ariana, Ariana, Tunisia
| | - Manel Ben Halima
- Société Tunisienne De Cardiologie Et De Chirurgie Cardiovasculaire, Tunis, Tunisia.,Hôpital La Rabta 2, Tunis, Tunisia
| | - Salma Charfeddine
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | - Meriem Drissa
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Khadija Mzoughi
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Dorra Mbarek
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Leila Riahi
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Saoussen Antit
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Afef Ben Halima
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Wejdene Ouechtati
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Emna Allouche
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Mehdi Mechri
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Chedi Yousfi
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Ali Khorchani
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Omar Abid
- Centre Hospitalier de Chambéry, Chambéry, France
| | - Kais Sammoud
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Khaled Ezzaouia
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Imen Gtif
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Sana Ouali
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Feten Triki
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Sonia Hamdi
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Selim Boudiche
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Marwa Chebbi
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Mouna Hentati
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Amani Farah
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Habib Triki
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Houda Ghardallou
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Haythem Raddaoui
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Seifeddine Azaiez
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | | | - Aymen Amri
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | | | - Iheb Chahbani
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | - Syrine Abid
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | | | - Ali Gasmi
- Hospital Lariboisière, Paris, France
| | | | | | | | - Lilia Zakhama
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | - Wided Nasraoui
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | | | - Sondes Kraiem
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | | | | | | | | | | | | | | | | | | | - Alifa Kanoun
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | | | | | - Samir Kammoun
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | - Faouzi Addad
- Société Tunisienne De Cardiologie Et De Chirurgie Cardiovasculaire, Tunis, Tunisia
| |
Collapse
|
26
|
Abstract
Myocardial perforation is an uncommon but potentially life-threatening complication of pacemaker and implantable cardioverter-defibrillator. Myocardial perforation may be acute, subacute or chronic when it occurs within 24 hours of the device insertion; between 1 day and 30 days; and more than 30 days after implantation. This complication may occur in 1.7%-7% of patients. However, subacute myocardial perforation is rare and affects 0.5%-1.2% of patients. We report the case of an 85-year-old patient with a pacemaker failure 10 days after implantation due to a subacute myocardial perforation caused by an active fixation ventricular lead. Transthoracic echocardiography showed penetration of the ventricular lead through the right ventricular apex into the pericardium without any pericardial effusion. We confirmed myocardial perforation by a CT scan. We referred her to the surgery ward where she was successfully managed.
Collapse
Affiliation(s)
- Emna Allouche
- Cardiology Department, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medecine, University of Tunis El Manar, Tunis, Tunisia
| | - Soumaya Chargui
- Internal Medicine, Charles Nicolle Hospital, Tunis, Tunisia .,Research Laboratory of Renal Pathology LR00SP01, Charles Nicolle Hospital, Tunis, Tunisia
| | - Marwa Fathi
- Cardiology Department, Charles Nicolle Hospital, Tunis, Tunisia
| | - Leila Bezdah
- Cardiology Department, Charles Nicolle Hospital, Tunis, Tunisia
| |
Collapse
|
27
|
Ouali S, Ben Halima A, Chabrak S, Chettaoui R, Ben Halima M, Haggui A, Krichane S, Noureddine L, Marrakchi S, Charfeddine S, Hassine M, Sayahi K, Abbes Mohamed F, Nasraoui W, Ajmi H, Ben Miled M, Jebbari Z, Meghaieth MA, Allouche E, Mechmeche R, Zakhama L, Sdiri W, Ben Khalfallah A, Gharbi A, Milouchi S, Neji A, Antit S, Battikh K, Drissa M, Kaabachi S, Najar T, Tlili R, Chahbani I, Charfeddine H, Ben MM, Braham S, Maatouk F, Abdesselem S, Ayari M, Garbaa R, Hamrouni N, Mbarek D, Rekik H, Zaghdoudi H, Ayadi W, Baraket F, Ben Brahim K, Ben Romdhane M, Bousadia H, Brahim W, Mezri M, Guesmi A, Ounissi T, Kammoun S, Smati W, Tlili S, Zoughi K, Zemni J, Cheikh Bouhlel M, Islem S, Jemli R, Joulak A, Mzoughi K, Naanea H, Hached L, Hadrich M, Hmem M, Kacem S, Kammoun I, Othmani R, Ouerghi A, Abid S, Ennouri R, Haidar S, Heraiech S, Jammali M, Jarrar M, Riahi L, Trimech B, Azaiez MA, Azzouzi F, Ben Jemaa K, Ben Rejab O, Chrigui R, Wechtati W, Boughzela E, Jridi G, Bezdah L, Kraiem S, Drissa H, Ben Youssef S, Fehri W, Kachboura S, Gamra H, Kammoun S, Mourali MS, Addad F, Abid L. Epidemiological characteristics, management, and outcomes of atrial fibrillation in TUNISIA: Results from the National Tunisian Registry of Atrial Fibrillation (NATURE-AF). Clin Cardiol 2021; 44:501-510. [PMID: 33704830 PMCID: PMC8027580 DOI: 10.1002/clc.23558] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 01/18/2021] [Accepted: 01/27/2021] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Contemporary registries on atrial fibrillation (AF) are scare in North African countries. HYPOTHESIS In the context of the epidemiological transition, prevalence of valvular AF in Tunisia has decreased and the quality of management is still suboptimal. METHODS NATURE-AF is a prospective Tunisian registry, involving consecutive patients with AF from March 1, 2017 to May 31, 2017, with a one-year follow-up period. All the patients with an Electrocardiogram-documented AF, confirmed in the year prior to enrolment were eligible. The epidemiological characteristics and outcomes were described. RESULTS A total of 915 patients were included in this study, with a mean age of 64.3 ± 22 years and a male/female sex ratio of 0.93. Valvular AF was identified in 22.4% of the patients. The mean CHA2 DS2 VASC score in nonvalvular AF was 2.4 ± 1.6. Monotherapy with antiplatelet agents was prescribed for 13.8% of the patients. However, 21.7% of the subjects did not receive any antithrombotic agent. Oral anticoagulants were prescribed for half of the patients with a low embolic risk score. In 341 patients, the mean time in therapeutic range was 48.87 ± 28.69%. Amiodarone was the most common antiarrhythmic agent used (52.6%). During a 12-month follow-up period, 15 patients (1.64%) had thromboembolism, 53 patients (5.8%) had major hemorrhage, and 52 patients (5.7%) died. CONCLUSIONS NATURE-AF has provided systematic collection of contemporary data regarding the epidemiological and clinical characteristics as well as the management of AF by cardiologists in Tunisia. Valvular AF is still prevalent and the quality of anticoagulation was suboptimal.
Collapse
Affiliation(s)
| | - Afef Ben Halima
- Abderrahman Mami Pneumology and Phthisiology Hospital, Ariana, Tunisia
| | | | | | | | | | | | | | - Sonia Marrakchi
- Abderrahman Mami Pneumology and Phthisiology Hospital, Ariana, Tunisia
| | | | - Majed Hassine
- Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | | | | | | | | | | | | | | | | | | | - Lilia Zakhama
- La Marsa Internal Security Forces Hospital, La Marsa, Tunisia
| | | | | | | | | | - Ali Neji
- Ben Guerdane Hospital, Medenine, Tunisia
| | - Saoussen Antit
- La Marsa Internal Security Forces Hospital, La Marsa, Tunisia
| | | | | | | | | | - Rami Tlili
- University Hospital Center Mongi Slim, La Marsa, Tunisia
| | | | | | | | | | - Faouzi Maatouk
- Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | | | | | | | | | - Dorra Mbarek
- University Hospital Center Mongi Slim, La Marsa, Tunisia
| | | | | | | | | | | | | | | | | | | | - Ali Guesmi
- Mohamed Ben Sassi Hospital, Gabes, Tunisia
| | - Taha Ounissi
- Mohamed Taher Al Maamouri Hospital, Nabeul, Tunisia
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Ikram Kammoun
- Abderrahman Mami Pneumology and Phthisiology Hospital, Ariana, Tunisia
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Wafa Fehri
- Hôpital Militaire Principal d'instruction de Tunis, Tunis, Tunisia
| | - Salem Kachboura
- Abderrahman Mami Pneumology and Phthisiology Hospital, Ariana, Tunisia
| | - Habib Gamra
- Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | | | | | - Faouzi Addad
- Abderrahman Mami Pneumology and Phthisiology Hospital, Ariana, Tunisia
| | | |
Collapse
|
28
|
Ben Ahmed H, Allouche E, Bouzid K, Zrelli S, Hmaidi W, Molahedh Y, Ouechtati W, Bezdah L. Impact of Ramadan fasting on lipid profile and cardiovascular risk factors in patients with stable coronary artery disease. Ann Cardiol Angeiol (Paris) 2021; 71:36-40. [PMID: 33642044 DOI: 10.1016/j.ancard.2020.11.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Accepted: 11/04/2020] [Indexed: 11/26/2022]
Abstract
BACKGROUND The effects of Ramadan fasting (RF) on cardiometabolic risk factors in patients with stable ischemic heart disease are not well known. AIM The aim of this study was to evaluate the impact of RF on lipid profile and cardiovascular risk factors in patients with a stable coronary heart disease. METHODS A prospective observational study carried out in the Cardiology department of Charles Nicolle Hospital (Tunisia). Eighty-four patients with a stable ischemic heart disease who intended to fast were enrolled during May 2020. Detailed clinical and biochemical assessments were performed before and after the holy month. Parameters of glycemic control, lipid profile, ultrasensitive C-reactive protein concentration (us-CRP) and homocysteine were performed before- and after- Ramadan (BR and AR, respectively). RESULTS Eighty-four patients including 79 males and 5 females, with a mean age of 57±7 years completed the study. Levels of cholesterol, triglycerides, low-density lipoprotein-cholesterol and apoprotein A were significantly improved AR fasting in comparison with their BR values. There was a significant decrease in blood fasting glucose, insulin level, Homeostasis model assessment of insulin resistance index and in us-CRP level. CONCLUSION In patients with stable ischemic heart disease, RF may be accompanied by an improvement of lipid profile and glycemic parameters without increase in coronary events.
Collapse
Affiliation(s)
- Habib Ben Ahmed
- Service de Cardiologie, Hôpital Charles Nicolle, Tunis, Tunisie.
| | - Emna Allouche
- Service de Cardiologie, Hôpital Charles Nicolle, Tunis, Tunisie
| | - Kahena Bouzid
- Service de Biochimie clinique, Hôpital Charles Nicolle, Tunis, Tunisie
| | - Sabrine Zrelli
- Service de Biochimie clinique, Hôpital Charles Nicolle, Tunis, Tunisie
| | - Wided Hmaidi
- Service de Biochimie clinique, Hôpital Charles Nicolle, Tunis, Tunisie
| | - Yosra Molahedh
- Service de Biochimie clinique, Hôpital Charles Nicolle, Tunis, Tunisie
| | | | - Leila Bezdah
- Service de Cardiologie, Hôpital Charles Nicolle, Tunis, Tunisie
| |
Collapse
|
29
|
Ouechtati ben Attia W, Allouche E, Elarbi M, Bejar M, Alayech F, Ben Ahmed H, Bezdah L. Right sided infective endocarditis: About 13 cases, review of literature. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
30
|
Ouechtati Ben Attia W, Ben Ahmed H, Allouche E, Elayech F, Bouzid K, Bezdah L. Correlations between Gatectin 3 and clinical echocardiographic parameters during ST elevation myocardial infarction. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
31
|
Aouina M, Chebbi M, Ouechtati Ben Attia W, Beji M, Allouche E, Benahmed H, Bezdah L. Clinical profile of patients with chronic constrictive pericarditis about a Tunisian serie. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
32
|
Ben Ahmed H, Bouzid K, Allouche E, Boussaid H, Kamoun M, Lahiani S, Bartkiz A, Ouechtati W, Bezdah L. Relationship between Galectin-3 levels and severity of coronary artery disease in ST elevation myocardial infarction. Tunis Med 2020; 98:567-572. [PMID: 33479955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
BACKGROUND Galectin-3 is a new biomarker assumed to reflect fibrogenesis and inflammation. We aimed to investigate the relation of Gal-3 with the severity of coronary artery disease in patients with ST elevation myocardial infarction. METHODS The prospective study enrolled 62 patients with ST elevation myocardial infarction who underwent coronary angiography. The burden of atherosclerosis was assessed by the number of involved vessels, the number of coronary lesions with a stenosis diameter more than 50% and the Gensini score. Gal-3 levels were measured on admission on miniVIDAS (BioMérieux). RESULTS The mean age of the patients was 56±11 years old; 93.5% were males. Diabetes, hypertension and hyperlipidemia were respectively 29%, 35.5% and 24.2%. Among patients, 80.6% were active smokers. Mean level of Gal-3was 17±11 ng/ml and didn't differ significantly from the number of involved coronary vessels (p=0.82) and the Gensini score (p=0.4). There was a positive correlation between the number of coronary lesions with a stenosis diameter greater than 50% and Gal-3 (p=0.04). CONCLUSION In patient with ST elevation myocardial infarction we found a positive correlation between the number of coronary stenosis and Gal-3 level.
Collapse
|
33
|
Mzoughi K, Ben Halima M, Sdiri W, Sammoud K, Mechri M, Abid O, Khorchani A, Mebazaa A, Kammoun I, Bezdah L, Abid L, Addad F. Management of Heart Failure (HF): Is there a difference in genders? Results from the NATURE-HF Registry. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
34
|
Allouche E, Ben Attia W, Abid O, Bezdah L, Ben Halima M, Mzoughi K, Sammoud K, Sdiri W, Ezzaouia K, Korchani A, Mechri M, Zanned F, Kammoun I, Abid L, Addad F. Real-life data on heart failure and implantation of resynchronization devices in Tunisia. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
35
|
Bezdah L, Allouche E, Oumaya Z, Chabchoub S, Ben Ahmed H, Ouchtati W. Functional mitral regurgitation determinants in dilated cardiomyopathy. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
36
|
Chetoui A, Benahmed H, Allouche E, Bezdah L. The predictive value of arterial stiffness for multivessel disease after acute coronary syndrome. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
37
|
Ben Halima M, Mechri M, Sammoud K, Mourali M, Kammoun I, Bezdah L, Mzoughi K, Sdiri W, Horchani A, Milouchi S, Yousfi C, Abid O, Mebazaa A, Addad F, Abid L. Epidemiological profile and pronostic impact of patients with heart failure and atrial fibrillation: Results from the NATURE HF registry. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
38
|
Ouechtati Ben Attia W, Allouche E, Oumaya Z, Ben Salem A, Ben Ahmed H, Bezdah L. Epidemiology of surgical valvular heart diseases in a north african tertiary referral hospital. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
39
|
Bezdah L, Allouche E, Ouaghlani K, Oumaya Z, El Ayech Boudiche F, Ben Ahmed H, Ouchtati W. Predictors of functional tricuspid regurgitation after successful left-sided valve surgery. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
40
|
Bezdah L, Allouche E, Chebbi M, Ben Salem A, Ben Ahmed H, Ouchtati W. Cardiac remodeling and factors determining occurrence of atrial arrhythmia after surgical closure of atrial septal defect in adults. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
41
|
Allouche E, Chabtri B, Ouechtati Ben Attia W, Yahiyaoui A, Ben Salem A, Ezzaouia K, Habboubi S, Chaker M, Ben Ahmed H, Bezdah L. Acute myocardial infarction associated with cannabis use. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
42
|
Bezdah L, Allouche E, Sidhom S, Ben Ahmed H, Ouechtati W, Baccar H. Impact of commissural calcification on the immediate result of percutaneous mitral commissurotomy. Archives of Cardiovascular Diseases Supplements 2019. [DOI: 10.1016/j.acvdsp.2018.10.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
43
|
Chabchoub S, Bezdah L, Allouche E, Sidhom S, Ben Ahmed H, Ouchtati W, Baccar H. Functional mitral regurgitation determinants in dilated cardiomyopathy. Archives of Cardiovascular Diseases Supplements 2019. [DOI: 10.1016/j.acvdsp.2018.10.108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
44
|
Allouche E, Ouechtati Ben Attia W, Chettoui A, Bezdah L, Sidhom S, Ben Ahmed H, Baccar H. Determinants of pacemaker dependency after cardiac surgery. Archives of Cardiovascular Diseases Supplements 2019. [DOI: 10.1016/j.acvdsp.2018.10.209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
45
|
Ouechtati ben Attia W, Amri M, Mouelhi L, Allouche E, Bezdah L, Baccar H. Cirrhotic cardiomyopathy. Archives of Cardiovascular Diseases Supplements 2019. [DOI: 10.1016/j.acvdsp.2018.10.076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
46
|
Allouche E, Sammoud K, Abid O, Ben Ahmed H, Bezdah L, Ouechtati Ben Attia W, Baccar H. Cardiac pacing in high degrees atrioventricular blocks following cardiac surgery. Archives of Cardiovascular Diseases Supplements 2018. [DOI: 10.1016/j.acvdsp.2018.02.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
47
|
Bezdah L, Chabchoub S, Allouche E, Sidhom S, Ouchtati W, Ben Ahmed H, Baccar H. Factors predicting mitral restenosis after successful percutaneous mitral commissurotomy. Archives of Cardiovascular Diseases Supplements 2018. [DOI: 10.1016/j.acvdsp.2017.11.273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
48
|
Bezdah L, Allouche E, Chabchoub S, Sidhom S, Ahmed HB, Ouchtati W, Baccar H. Impact of commissural calcification on the immediate result of percutaneous mitral commissurotomy. Archives of Cardiovascular Diseases Supplements 2018. [DOI: 10.1016/j.acvdsp.2017.11.274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
49
|
Chabchoub S, Bezdah L, Allouche E, Sidhom S, Ahmed HB, Ouchtati W, Baccar H. Functional mitral regurgitation determinants in dilated cardiomyopathy. Archives of Cardiovascular Diseases Supplements 2018. [DOI: 10.1016/j.acvdsp.2017.11.074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
50
|
Bezdah L, Falah W, Allouche E, Chabchoub S, Ahmed HB, Ouchtati W, Sidhom S, Baccar H. Prevalence of mechanical dissynchrony in heart failure patients according to QRS width. Archives of Cardiovascular Diseases Supplements 2018. [DOI: 10.1016/j.acvdsp.2017.11.073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|