1
|
Millogo G, Koudougou KJ, Kinda G, Camara I, Ouédraogo EM, Boro T, Loya M, Adoko H, Kagambéga L, Tall A, Yaméogo NV, Zabsonré P. [Cardio-Renal Syndrome In Patients Hospitalized In The Cardiology Department Of The University Hospital Center Yalgado OUEDRAOGO (CHUYO): Epidemiology, Clinic, Paraclinic And Course's Aspects]. Mali Med 2020; 35:10-17. [PMID: 37978740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
OBJECTIVE The objective of this work was to study cardio-renal syndrome in patients hospitalized in the cardiology department of the University Hospital Center Yalgado OUEDRAOGO (CHUYO). PATIENTS AND METHODS This was a retrospective, descriptive study for a period of three years, from 1st January 2010 to 31st December 2012. The study incorporated patients with associated signs of Heart Failure (HF) and Renal Insufficiency (RI). Sociodemographic, clinical and paraclinical parameters were considered in the study. We evaluated the value of creatinine clearance at admission and its progress during the hospitalization until patients were discharged. RESULTS Sample group of 119 patients over the period; the prevalence of the syndrome cardio-renal (CRF) was 10.93%. The mean age of our patients was 52.6 ± 16.6 years. (extremes: 15-85 years). The sex ratio was 1.33. Our patients' medical histories were dominated by high blood pressure (58.8%) and hypertensive heart disease (33.6%). Dyspnea was the major functional sign in our study (84.9%). Left heart failure syndrome (LHFS) was the most frequently encountered clinical picture (91.3%). The mean value of the creatinine clearance at baseline was 41.5 ± 24.3 mL/min/1.73m2. The signs ECGs and Doppler echocardiograms were those of underlying heart disease: the hypertensive heart disease. An abdominal-pelvic ultrasound found a bilateral kidney failure in 65.7% cases. The average length of hospitalization was 17.7 ± 17.5 days. Death occurred in 19.5% cases. CONCLUSION The prevalence of CRS was high in the CHU-YO. The prognosis was largely influenced by whether it was an acute or chronic kidney failure. Emphasis should be placed on primary prevention of CRS, early diagnosis and etiology of renal failure.
Collapse
Affiliation(s)
- Grc Millogo
- Unité de Formation et de Recherche en Sciences de la Santé (UFR/SDS), Université de Ouagadougou
- Service de cardiologie du CHU-YO de Ouagadougou
| | - K J Koudougou
- Unité de Formation et de Recherche en Sciences de la Santé (UFR/SDS), Université de Ouagadougou
- Service de cardiologie du CHU-YO de Ouagadougou
| | - G Kinda
- Unité de Formation et de Recherche en Sciences de la Santé (UFR/SDS), Université de Ouagadougou
- Service de pédiatrie médicale du CHUP-CDG de Ouagadougou
| | | | - E M Ouédraogo
- Unité de Formation et de Recherche en Sciences de la Santé (UFR/SDS), Université de Ouagadougou
- Service de cardiologie du CHU-YO de Ouagadougou
| | - T Boro
- Unité de Formation et de Recherche en Sciences de la Santé (UFR/SDS), Université de Ouagadougou
- Service de cardiologie du CHU-YO de Ouagadougou
| | - M Loya
- Unité de Formation et de Recherche en Sciences de la Santé (UFR/SDS), Université de Ouagadougou
- Service de cardiologie du CHU-YO de Ouagadougou
| | - H Adoko
- Unité de Formation et de Recherche en Sciences de la Santé (UFR/SDS), Université de Ouagadougou
- Service de cardiologie du CHU-YO de Ouagadougou
| | - L Kagambéga
- Unité de Formation et de Recherche en Sciences de la Santé (UFR/SDS), Université de Ouagadougou
- Service de cardiologie du CHU-YO de Ouagadougou
| | - A Tall
- Unité de Formation et de Recherche en Sciences de la Santé (UFR/SDS), Université de Ouagadougou
- Service de cardiologie du CHU-YO de Ouagadougou
| | - N V Yaméogo
- Unité de Formation et de Recherche en Sciences de la Santé (UFR/SDS), Université de Ouagadougou
- Service de cardiologie du CHU-YO de Ouagadougou
| | - P Zabsonré
- Unité de Formation et de Recherche en Sciences de la Santé (UFR/SDS), Université de Ouagadougou
- Service de cardiologie du CHU-YO de Ouagadougou
| |
Collapse
|
2
|
Mandi DG, Yaméogo RA, Sebgo C, Bamouni J, Naibé DT, Kologo KJ, Millogo GRC, Yaméogo NV, Thiam-Tall A, Samadoulougou AK, Zabsonré P. Hypertensive crises in sub-Saharan Africa: Clinical profile and short-term outcome in the medical emergencies department of a national referral hospital in Burkina Faso. Ann Cardiol Angeiol (Paris) 2019; 68:269-274. [PMID: 31466723 DOI: 10.1016/j.ancard.2019.07.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [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: 01/27/2019] [Accepted: 07/22/2019] [Indexed: 11/25/2022]
Abstract
BACKGROUND Data on hypertensive crises (HC) are limited in sub-Saharan Africa (SSA). We aimed to characterize the pattern and short-term mortality of hypertensive emergencies (HE) and urgencies (HU). METHODS This was a prospective cohort study. Consecutive patients with acute and severely elevated blood pressure (systolic>180mmHg and/or diastolic >120mmHg) with or without acute target-organs damage attending the emergency department (ED) of the Teaching Hospital of Yalgado Ouedraogo, Ouagadougou, Burkina Faso were included with a one-month follow-up. RESULTS One hundred and sixty-six of 1254 patients presenting to the ED (January to march 2016) had HC (13.2%) and 113 of them (68.1%) had HE. The mean age was 50.9±15.9 years and males were 63.3% (n=105). Younger age (<45 years) accounted for 55% of the cases. History of known HTN was reported in 101 patients (60.8%). Among patients with HE, 62.8% had brain-related events, 30.1% had cardiac involvement and 31% had acute renal impairment. The overall survival rate was 89% within the first 72hours and 81% at fourteen days follow-up. At one-month follow-up, 36 patients died with a survival rate of 77.8%. Factors independently associated with death were history of known hypertension, acute brain-related damage and renal dysfunction and not being transferred to a specialized department. CONCLUSION HC are not rare in SSA and are associated with higher morbidity and mortality in HE. Further studies are needed to determine factors that promote HC in African patients in order to better address the prevention and management strategies of such hypertensive entity.
Collapse
Affiliation(s)
- D G Mandi
- Department of Cardiology, Teaching Hospital of Yalgado Ouedraogo, PO Box 7022, Ouagadougou 03, Burkina Faso.
| | - R A Yaméogo
- Superior School of Health Sciences, University of Ouahigouya, Ouahigouya, Burkina Faso
| | - C Sebgo
- Department of Cardiology, Teaching Hospital of Yalgado Ouedraogo, PO Box 7022, Ouagadougou 03, Burkina Faso
| | - J Bamouni
- Faculty of Human Health Sciences, University of N'Djamena, N'Djamena, Chad
| | - D T Naibé
- UNIHAVRE- UNIROUEN - UNICAEN, CNRS, UMR IDEES, university of Normandie, 25, rue Philippe-Lebon, 76600 Le Havre, France
| | - K J Kologo
- Department of Cardiology, Teaching Hospital of Yalgado Ouedraogo, PO Box 7022, Ouagadougou 03, Burkina Faso; Training and Research Unit of Health Sciences, University Ouaga I - Professor Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - G R C Millogo
- Department of Cardiology, Teaching Hospital of Yalgado Ouedraogo, PO Box 7022, Ouagadougou 03, Burkina Faso; Training and Research Unit of Health Sciences, University Ouaga I - Professor Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - N V Yaméogo
- Department of Cardiology, Teaching Hospital of Yalgado Ouedraogo, PO Box 7022, Ouagadougou 03, Burkina Faso; Training and Research Unit of Health Sciences, University Ouaga I - Professor Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - A Thiam-Tall
- Department of Cardiology, Teaching Hospital of Yalgado Ouedraogo, PO Box 7022, Ouagadougou 03, Burkina Faso; Training and Research Unit of Health Sciences, University Ouaga I - Professor Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - A K Samadoulougou
- Training and Research Unit of Health Sciences, University Ouaga I - Professor Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - P Zabsonré
- Department of Cardiology, Teaching Hospital of Yalgado Ouedraogo, PO Box 7022, Ouagadougou 03, Burkina Faso; Training and Research Unit of Health Sciences, University Ouaga I - Professor Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| |
Collapse
|
3
|
Seghda TAA, Yaméogo NV, Millogo GRC, Kagambega L, Kologo J, Boro T, Samadoulougou A, Zabsonré P. [Management and prognosis of pulmonary embolism associated with right heart thrombi: A prospective study at the University Hospital Yalgado Ouédraogo]. Ann Cardiol Angeiol (Paris) 2019; 68:65-70. [PMID: 30292445 DOI: 10.1016/j.ancard.2018.09.004] [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: 12/05/2017] [Accepted: 09/07/2018] [Indexed: 06/08/2023]
Abstract
OBJECTIVE To describe the management and evolution of high risk of death pulmonary embolism associated with right heart thrombi. MATERIAL AND METHODS We conducted a prospective cohort survey over a 54 month-period, from March 1st, 2012 to September 30th 2015. Were included all patients with pulmonary embolism and having high or intermediate-high risk of death. Patients were divided into two groups according to whether cardiac Doppler-echography found a thrombus in the right chambers or not (ICT+ vs. ICT-). The survival curves for the patients were obtained using the software STATA. RESULTS The prevalence of pulmonary embolism associated with right heart thrombi was 4% in our study. Thrombi were mobile, straight localization in all cases. The ICT+group was characterized by a significantly higher proportion of congestive heart and chronic lung disease. The proportion of patients' thrombolysis was significantly higher in the ICT-group. In the ICT+group, thrombolysis significantly reduced mortality giving a 30-day survival of 80% against 20% among patients receiving only heparin. CONCLUSION Pulmonary embolism associated with right heart thrombi including the atrium are not exceptional. These patients are at high risk of early death. Thrombolysis is significantly improving the mortality of pulmonary embolism associated with right-sided heart thrombi.
Collapse
Affiliation(s)
- T A A Seghda
- Service de Cardiologie, Centre Hospitalier Universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso.
| | - N V Yaméogo
- Service de Cardiologie, Centre Hospitalier Universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| | - G R C Millogo
- Service de Cardiologie, Centre Hospitalier Universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| | - L Kagambega
- Service de Cardiologie, Centre Hospitalier Universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| | - J Kologo
- Service de Cardiologie, Centre Hospitalier Universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| | - T Boro
- Service de Cardiologie, Centre Hospitalier Universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| | - A Samadoulougou
- Service de Cardiologie, Centre Hospitalier Universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| | - P Zabsonré
- Service de Cardiologie, Centre Hospitalier Universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| |
Collapse
|
4
|
Yaméogo NV, Guenancia C, Porot G, Stamboul K, Richard C, Gudjoncik A, Hamblin J, Buffet P, Lorgis L, Cottin Y. Predictors of angiographically visible distal embolization in STEMI. Herz 2018; 45:288-292. [PMID: 29926119 DOI: 10.1007/s00059-018-4723-1] [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: 03/30/2018] [Revised: 05/06/2018] [Accepted: 06/03/2018] [Indexed: 10/28/2022]
Abstract
BACKGROUND Distal embolization during primary percutaneous coronary intervention (p-PCI) in the treatment of ST-segment elevation myocardial infarction (STEMI) is associated with a poor prognosis. In this situation, thrombectomy is performed to prevent distal embolization and to restore myocardial reperfusion. The aim of our study was to determine angiographic predictors of angiographically visible distal embolization (AVDE) in patients with STEMI treated by p‑PCI with thrombectomy. PATIENTS AND METHODS This prospective study included all consecutive patients who underwent p‑PCI with thrombectomy for STEMI at our institution between October 2011 and December 2014 AVDE was defined as a distal filling defect with an abrupt cut-off in one of the peripheral coronary branches of the infarct-related artery, distal to the angioplasty site. Thrombectomy was considered positive when it removed thrombi, and successful when it improved coronary flow. RESULTS Among the 346 patients included, 59 (17%) developed AVDE during p‑PCI. In multivariate analysis, the infarct-related right coronary artery (OR: 2.48, 95% CI: 1.36-4.52; p = 0.003) and a culprit lesion diameter of >3 mm (OR : 1.90, 95% CI: 1.01-3.56; p = 0.048) were identified as independent factors associated with AVDE during p‑PCI with thrombectomy for STEMI. The success of thrombectomy and the Syntax score were not associated with AVDE. CONCLUSION AVDE complicating p‑PCI with thrombectomy in STEMI is frequent (17%) and a successful thrombectomy does not rule out AVDE.
Collapse
Affiliation(s)
- N V Yaméogo
- Cardiology Department, University Hospital, 14 rue Paul Gaffarel, 21079, Dijon CEDEX, France
| | - C Guenancia
- Cardiology Department, University Hospital, 14 rue Paul Gaffarel, 21079, Dijon CEDEX, France. .,PEC2, UFR Sciences de Santé, Univ. Bourgogne Franche-Comté, Dijon, France.
| | - G Porot
- Cardiology Department, University Hospital, 14 rue Paul Gaffarel, 21079, Dijon CEDEX, France
| | - K Stamboul
- Cardiology Department, University Hospital, 14 rue Paul Gaffarel, 21079, Dijon CEDEX, France.,PEC2, UFR Sciences de Santé, Univ. Bourgogne Franche-Comté, Dijon, France
| | - C Richard
- Cardiology Department, University Hospital, 14 rue Paul Gaffarel, 21079, Dijon CEDEX, France.,PEC2, UFR Sciences de Santé, Univ. Bourgogne Franche-Comté, Dijon, France
| | - A Gudjoncik
- Cardiology Department, University Hospital, 14 rue Paul Gaffarel, 21079, Dijon CEDEX, France.,PEC2, UFR Sciences de Santé, Univ. Bourgogne Franche-Comté, Dijon, France
| | - J Hamblin
- Cardiology Department, University Hospital, 14 rue Paul Gaffarel, 21079, Dijon CEDEX, France
| | - P Buffet
- Cardiology Department, University Hospital, 14 rue Paul Gaffarel, 21079, Dijon CEDEX, France
| | - L Lorgis
- Cardiology Department, University Hospital, 14 rue Paul Gaffarel, 21079, Dijon CEDEX, France.,PEC2, UFR Sciences de Santé, Univ. Bourgogne Franche-Comté, Dijon, France
| | - Y Cottin
- Cardiology Department, University Hospital, 14 rue Paul Gaffarel, 21079, Dijon CEDEX, France.,PEC2, UFR Sciences de Santé, Univ. Bourgogne Franche-Comté, Dijon, France
| |
Collapse
|
5
|
Millogo GRC, Seghda A, Ilboudo M, Konaté L, Bassolet B, Kologo JK, Toé MF, Boro T, Yaméogo NV, Loya M, Adoko H, Kagambéga L, Tall A, Marcaggi X, Font M, Samadoulougou AK, Zabsonré P. [Five years assessment of cardiac stimulation in two public hospitals in Burkina Faso: An experiment of collaboration with two hospitals in Auvergne]. Ann Cardiol Angeiol (Paris) 2017; 66:255-259. [PMID: 29050734 DOI: 10.1016/j.ancard.2017.09.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 08/18/2017] [Accepted: 09/12/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVES Cardiac stimulation becomes a reality in Burkina Faso. The aim of our study was to evaluate this activity over five years and to appreciate the impact of collaboration with French hospitals of Auvergne area in its development. MATERIALS AND METHODS Prospective study including consecutively patients who underwent pacemaker implantation since June 2011. Data collected included indications, time to care, type of stimulation, complications, cost of treatment, and education and quality of life of the patient. RESULTS Sixty-nine patients received definitive pacemaker from June 2011 to June 2016, of whom 45.5% were women. The mean age was 69 years (extremes 35 to 89s). Almost all patients (94%) were symptomatic (54% syncope and 30% dizziness and lipothymias). The main indication for definitive cardiac pacing was complete atrioventricular block of degenerative origin (83%). The mean time between indication and surgery was 8.2 days, and only 4% of patients received temporary stimulation. The lack of financial support was the main reason for the delay in taking charge. During the study period, the two health centers received support in the form of stimulation equipment, a technical platform, and regular training and practical training. This collaboration made it possible to overcome the lack of material, human and financial resources. We recorded as complications a case of case exteriorization, two cases of benign local hematoma and two cases of probe displacement. The quality of life of the patients improved markedly, none of patients undergoing surgery remained symptomatic. CONCLUSION The organization of cardiac stimulation in Burkina Faso is a reality. Efforts must be made to sustain the activity and strengthen collaboration with hospitals in the north.
Collapse
Affiliation(s)
- G R C Millogo
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7021, Ouagadougou 03, Burkina Faso.
| | - A Seghda
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7021, Ouagadougou 03, Burkina Faso
| | - M Ilboudo
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7021, Ouagadougou 03, Burkina Faso
| | - L Konaté
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7021, Ouagadougou 03, Burkina Faso
| | - B Bassolet
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7021, Ouagadougou 03, Burkina Faso
| | - J K Kologo
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7021, Ouagadougou 03, Burkina Faso
| | - M F Toé
- Service de cardiologie, centre médical Schiphra, 01 code postal 121, Ouagadougou 01, Burkina Faso
| | - T Boro
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7021, Ouagadougou 03, Burkina Faso
| | - N V Yaméogo
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7021, Ouagadougou 03, Burkina Faso
| | - M Loya
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7021, Ouagadougou 03, Burkina Faso
| | - H Adoko
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7021, Ouagadougou 03, Burkina Faso
| | - L Kagambéga
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7021, Ouagadougou 03, Burkina Faso
| | - A Tall
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7021, Ouagadougou 03, Burkina Faso
| | - X Marcaggi
- Service de cardiologie, centre hospitalier Jacques-Lacarin, 03270 Vichy, France
| | - M Font
- Service de cardiologie, centre hospitalier Henri-Mondor, 15002 Aurillac, France
| | - A K Samadoulougou
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7021, Ouagadougou 03, Burkina Faso
| | - P Zabsonré
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7021, Ouagadougou 03, Burkina Faso
| |
Collapse
|
6
|
Yaméogo NV, Kaboré E, Seghda A, Kagambèga LJ, Kaboré HP, Millogo GRC, Kologo KJ, Kambiré Y, Bama A, Toguyeni BJY, Samadoulougou AK, Zabsonré P. [Severe pulmonary embolism and acute lower limb ischemia complicating peripartum cardiomyopathy successfully treated by streptokinase]. Ann Cardiol Angeiol (Paris) 2016; 65:38-41. [PMID: 25623958 DOI: 10.1016/j.ancard.2014.05.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 08/11/2013] [Accepted: 05/25/2014] [Indexed: 06/04/2023]
Abstract
Peripartum cardiomyopathy is a cardiac disease at high thromboembolism potential. The authors report a case of peripartum cardiomyopathy admitted for congestive heart failure. Echocardiography found a dilated cardiomyopathy with severely impaired left ventricular systolic function and biventricular thrombi. During hospitalization his condition was complicated by severe bilateral pulmonary embolism and left lower limb arterial acute thrombosis. The treatment consisted of thrombolysis with streptokinase associated with dobutamine (in addition to the conventional treatment of heart failure and bromocriptine). The outcome was favorable, marked by pulmonary and lower limb arterial unblocking.
Collapse
Affiliation(s)
- N V Yaméogo
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso.
| | - E Kaboré
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| | - A Seghda
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| | - L J Kagambèga
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| | - H P Kaboré
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| | - G R C Millogo
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| | - K J Kologo
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| | - Y Kambiré
- Service de cardiologie, Hôpital national Blaise Compaoré, 03 BP, 7027 Ouagadougou 03, Burkina Faso
| | - A Bama
- Service de médecine, centre hospitalier universitaire pédiatrique Charles De Gaule, 03 BP, 1198 Ouagadougou 03, Burkina Faso
| | - B J Y Toguyeni
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| | - A K Samadoulougou
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| | - P Zabsonré
- Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso
| |
Collapse
|
7
|
Yaméogo NV, Seghda A, Kagambèga LJ, Diallo O, Millogo GRC, Toguyéni BJY, Samadoulougou AK, Niakara A, Simporé J, Zabsonré P. [Neurological complications of infective endocarditis in Burkina Faso. Clinical features, management and evolutionary profile]. Ann Cardiol Angeiol (Paris) 2015; 64:81-86. [PMID: 25702236 DOI: 10.1016/j.ancard.2015.01.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [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: 01/26/2014] [Accepted: 01/20/2015] [Indexed: 06/04/2023]
Abstract
INTRODUCTION Neurological complications are the most frequent extracardiac complications of infective endocarditis (IE). This study aimed to describe the epidemiological, clinical and paraclinical aspects, and outcome of neurological complications of infective endocarditis in three hospitals in the city of Ouagadougou in Burkina Faso. PATIENTS AND METHOD From 1 January 2009 to 31 December 2012, we included all patients suffering from IE and selected those in whom a neurological complication was objectified. Neurological involvement was sought on clinical examination but especially CT brain (ischemic infarcts, hemorrhages, aneurysms and abscesses). Blood cultures were systematic. Echocardiography was done for vegetations and characteristics. RESULTS Among 63 cases of IE, neurological complications were found in 14 patients (22.2%). The average age of patients with neurological complications was 37.4 ± 5.8 years. The sex ratio was 1.3 for women. Neurological damage consisted of nine cases of stroke (64.3%), three cases of hemorrhagic stroke (21.4%) and two cases of brain abscess (14.3%). Neurological complications had already occurred before hospitalization in 4 cases. Blood cultures were positive in 8 cases. Germs found were predominantly Staphylococcus aureus (5 cases) and Streptococcus a- viridans (2 cases). All cases of S. aureus were complicated by stroke. At echocardiography, vegetation was found in all cases. It was found on the mitral in 7 cases, the aorta in 3 cases, the mitral and aortic in 2 cases and the mitral and tricuspid in 2 cases also. The EI had occurred on a native valve in 11 cases, prosthesis in 4 cases (2 mitral and 2 aortic). The vegetations average diameter was 11.2 ± 2.1 mm (6.4 and 1 7.7 mm). Vegetations were mobile in 12 cases. The treatment consisted of antibiotics adapted to the antibiogram, neurological and cardiovascular monitoring. The evolution was marked by seven deaths (50%), including 5 deaths related to cerebral complication (71.4% of deaths). CONCLUSION This study shows that neurological complications during infective endocarditis are frequent, dominated by stroke with a high mortality.
Collapse
Affiliation(s)
- N V Yaméogo
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 PB : 7022, Ouagadougou 03, Burkina Faso.
| | - A Seghda
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 PB : 7022, Ouagadougou 03, Burkina Faso
| | - L J Kagambèga
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 PB : 7022, Ouagadougou 03, Burkina Faso
| | - O Diallo
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 PB : 7022, Ouagadougou 03, Burkina Faso
| | - G R C Millogo
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 PB : 7022, Ouagadougou 03, Burkina Faso
| | - B J Y Toguyéni
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 PB : 7022, Ouagadougou 03, Burkina Faso
| | - A K Samadoulougou
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 PB : 7022, Ouagadougou 03, Burkina Faso
| | - A Niakara
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 PB : 7022, Ouagadougou 03, Burkina Faso
| | - J Simporé
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 PB : 7022, Ouagadougou 03, Burkina Faso
| | - P Zabsonré
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 PB : 7022, Ouagadougou 03, Burkina Faso
| |
Collapse
|
8
|
Yaméogo NV, Samadoulougou AK, Kagambèga LJ, Millogo GRC, Yaméogo AA, Kologo KJ, Ilboudo E, Kaboré E, Mandi G, Kombasséré K, Toguyeni BJY, Pignatelli S, Simporé J, Zabsonré P. [Epidemiological characteristics and clinical features of black African subject's resistant hypertension]. Ann Cardiol Angeiol (Paris) 2014; 63:83-88. [PMID: 24492012 DOI: 10.1016/j.ancard.2014.01.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [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: 01/13/2013] [Accepted: 01/02/2014] [Indexed: 06/03/2023]
Abstract
INTRODUCTION Few studies in sub-Saharan Africa were interested in resistant hypertension. The objectives of this study were to determine the frequency of resistant hypertension in hypertensive black African population, and to describe its clinical and therapeutic features. PATIENTS AND METHODS From May 1, 2010 to May 31, 2012, we included consecutively hypertensive followed in two hospitals in the city of Ouagadougou, under antihypertensive treatment at optimum dose and observant. Patients whose blood pressure was uncontrolled despite a triple antihypertensive therapy at the optimal dose including a diuretic associated with dietary measures have received ambulatory blood pressure monitoring. Following this examination, patients whose blood pressure was ≥135/85mmHg during the day and/or ≥120/70mmHg at night were considered resistant hypertension. We investigated the cardiovascular risk factors as well as target organ damages. We combined spironolactone 50mg in treatment when absence of contra-indication appreciated the evolution of blood pressure under this treatment. The measurement of plasma renin activity was not performed. Statistical analysis was performed using SPSS Version 17 for Windows. RESULTS We included 692 patients with 14.6% of resistant hypertension. The average age of patients was 54.8±11.1years in the general population, 56.5±11.8years in the subgroup of non-resistant hypertension and 64.2±5.4years in the subgroup of resistant hypertension. The symptoms were represented by headache (11.9%), dizziness (9.9%) and chest pain (8.9%). Modifiable cardiovascular risk factors were dominated by dyslipidemia, diabetes and obesity/overweight. These risk factors were significantly more frequent in the subgroup of resistant hypertension. The global cardiovascular risk was high in 24.9% of cases in the general population, 22.5% in the subgroup of non-resistant hypertension and 38.6% in the subgroup of resistant hypertension. The target organ damages were significantly more frequent in the same subgroup of resistant hypertension. After addition of spironolactone, 21.8% of resistant hypertensive patients were controlled. CONCLUSION This study shows that resistant hypertension is common in black Africans. It is mostly subjects of the sixth decade, with limited economic income and living in rural areas. In the absence of contra-indication, spironolactone contributed to decrease the morbidity of this pathology.
Collapse
Affiliation(s)
- N V Yaméogo
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso.
| | - A K Samadoulougou
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| | - L J Kagambèga
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| | - G R C Millogo
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| | - A A Yaméogo
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| | - K J Kologo
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| | - E Ilboudo
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| | - E Kaboré
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| | - G Mandi
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| | - K Kombasséré
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| | - B J Y Toguyeni
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| | - S Pignatelli
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| | - J Simporé
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| | - P Zabsonré
- Service de cardiologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| |
Collapse
|
9
|
Yaméogo NV, Kagambèga LJ, Millogo RCG, Kologo KJ, Yaméogo AA, Mandi GD, Ilboudo E, Toguyeni BJY, Samadoulougou AK, Zabsonré P. [Factors associated with poor blood pressure control in hypertensive black Africans: cross-sectional study of 456 hypertensive patients from Burkina Faso]. Ann Cardiol Angeiol (Paris) 2013; 62:38-42. [PMID: 22677180 DOI: 10.1016/j.ancard.2012.05.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2011] [Accepted: 05/02/2012] [Indexed: 06/01/2023]
Abstract
INTRODUCTION Hypertension in black is more frequent with early onset and clinically more severe. The blood pressure control and the decrease of global cardiovascular risk are two main goals of the treatment of hypertension. The objectives of this study were to determine the proportion of uncontrolled hypertension in hypertensive patients followed as outpatients and to investigate the factors associated with poor control. PATIENTS AND METHODS This is a descriptive cross-sectional study including 456 hypertensive patients known and followed as outpatients. Blood pressure measurement was performed between 8 am and 12 noon both arms in the supine position, after a compliance averaging 8 minutes of rest. We searched for conventional cardiovascular risk factors (age superior or equal to 45 years for men and superior or equal to 55 for women, physical inactivity, overweight/obesity, smoking, diabetes and dyslipidemia) and calculated the global cardiovascular risk according to the Framingham model. Was regarded as uncontrolled high blood pressure SBP superior or equal to 140 mmHg and/or DBP superior or equal to 90 mmHg. Univariate analysis and multivariate logistic regression (using SPSS program version 17) were conducted to look for factors associated with poor blood pressure control. RESULTS We recruited 456 hypertensive patients including 259 women (56.8%). Modifiable cardiovascular risk factors also hypertension were dominated by dyslipidemia (29.8%) and diabetes (24.6%). The global cardiovascular risk calculated using the Framingham model was low in 21.3%, moderate in 34.0%, high in 24.8% and very high in 19.9% of cases. The proportion of uncontrolled hypertension was 54.2% (n=247 including 126 women and 121 men). This poor blood pressure control was associated (multivariate analysis) at age superior or equal to 60 years, low socioeconomic status, high to very high cardiovascular risk, antihypertensive monotherapy, treatment duration superior or equal to 10 years, an associated treatment and non-compliance therapy. CONCLUSION More than half of hypertensive patients in our study were not adequately controlled on antihypertensive therapy. Factors of poor control were age superior or equal to 60 years, low socioeconomic status, high to very high cardiovascular risk, antihypertensive monotherapy, treatment duration superior or equal to 10 years, an associated treatment and non-compliance therapy.
Collapse
Affiliation(s)
- N V Yaméogo
- Service de cardiologie, CHU Yalgado Ouedraogo, 03 BP, 7022 Ouagadougou, Burkina Faso.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
10
|
Mbaye A, Koukaba Ntontolo FL, Diomou AF, Bodian M, Ndiaye MB, Kane A, Yaméogo NV, Pessinaba S, Sarr SA, Dioum M, Thiam A, Hakim R, Diao M, Kane A. [Prevalence and factors related to therapeutic adherence among black African outpatients with stable coronary artery disease in a cardiology department of Dakar in Senegal]. Ann Cardiol Angeiol (Paris) 2013; 62:17-21. [PMID: 21872836 DOI: 10.1016/j.ancard.2011.07.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2011] [Accepted: 07/24/2011] [Indexed: 05/31/2023]
Abstract
INTRODUCTION The management of coronary artery disease has made important progress. Adherence to therapeutic measures is a great challenge for improving the long-term prognosis. In this work, we evaluate factors related to therapeutic adherence in black African patients with stable coronary artery disease. METHODOLOGY We conducted a survey over three months (February-May 2008) in three cardiology departments in Dakar. We studied the regularity of drug intake, the adherence to the dietary advices and the appointments for consultation as well as the factors related to adherence. Good adherence was defined by a compliance rate greater or equal to 80% and a compliance rate less than 40% defined poor adherence. RESULTS We included 105 patients (61 men) with a mean age of 60.67±11.29 years. Good compliance was noted in 56.2% of cases for drug treatment, 42% for dietary advices and 65% for appointments for consultation. A history of acute coronary events (P=0.04), a good knowledge of the disease (P=0.03) and a healthcare (P=0.02) were the factors related to a good adherence to drug treatment, whereas ischemic cardiomyopathy was a factor for poor adherence (P=0.002). Knowledge of coronary disease was the only factor correlated with good adherence to lifestyle (P=0.014). CONCLUSION Therapeutic adherence remains unsatisfactory in Black African patients with stable coronary artery disease, hence the importance of patient education to reach a good adherence for therapeutic, because better adherence improves long-term prognosis of coronary artery disease.
Collapse
Affiliation(s)
- A Mbaye
- Service de cardiologie, faculté de médecine, pharmacie et odontologie, université Cheikh Anta DIOP de Dakar, hôpital général de Grand Yoff de Dakar, BP 3270 Dakar, Sénégal.
| | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
11
|
Yaméogo NV. Control of cardiovascular risk in black Africans with type 2 diabetes in Senegal (Contrôle du risque cardio-vasculaire chez les diabétiques de type 2 noirs africains au Sénégal). Cardiovasc J Afr 2012. [PMCID: PMC3721900 DOI: 10.5830/cvja-2011-040] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Introduction Morbidity and mortality from diabetes are compounded by associated cardiovascular risk factors. For this reason, taking care of these risk factors is a public health goal. In this study we evaluated the level of control of cardiovascular risk factors in black Africans with type 2 diabetes in Senegal. Methods Between March 2007 and July 2008, we recruited type 2 diabetes patients from outpatient care in a specialised hospital in Senegal. Data were collected on a survey form designed for this purpose. An electrocardiogram and laboratory examinations were also performed. The level of control of diabetes and associated cardiovascular risk factors were assessed, as recommended by the American Diabetes Association (ADA). Results A total of 318 type 2 diabetes subjects (237 women) were recruited. The average age was 58.2 ± 9.2 years (40–85). The mean duration of diabetes was 6.9 ± 5.9 years. The average glycaemic level was 1.4 ± 0.5 g/l and glycated haemoglobin was 7.6 ± 3.2%. The average length of patient follow up was 6.7 ± 6.1 years with a single annual consultation; 63.2% of the patients were on an insulin + biguanide combination, with good diabetes control (HbA1c < 7%) in 25% of cases. Antihypertensive drugs were prescribed in 28.1% of hypertensive patients. More than half (51.9%) of these hypertensive patients were treated with angiotensin converting enzyme inhibitors. Their blood pressure was well controlled (< 130/85 mmHg) in 5.4% of the hypertensive patients (10/185). The low-density lipoprotein (LDL) cholesterol goal was achieved in 18.5% of cases (5/27). Conclusion This study shows that the prevalence of cardiovascular risk factors is higher among black Africans suffering from type 2 diabetes. The control of these factors was not optimal in our study.
Collapse
Affiliation(s)
- NV Yaméogo
- Service de cardiologie de l’Hôpital Général de Grand Yoff, Dakar, Senegal
| |
Collapse
|
12
|
Pessinaba S, Mbaye A, Yaméogo NV, Kane A, Ndiaye MB, Diao M, Bodian M, Kane M, Diagne D, Fall B, Kane A. [Flaccid paraplegia revealing an adenoma of Conn: a case report]. Ann Cardiol Angeiol (Paris) 2011; 61:287-9. [PMID: 21665188 DOI: 10.1016/j.ancard.2011.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2010] [Accepted: 04/18/2011] [Indexed: 10/18/2022]
Abstract
We report the case of Conn's adenoma in a 36-year-old woman, revealed by low extremities weakness. The patient had hypertension at 170/90 mmHg. Her initial potassium level was low i.e., 1.5 mmol/L. The diagnosis, confirmed by hormonal investigation, showed an elevation of plasma aldosterone and lower plasma renin activity. Abdominal MRI revealed a lesion in left adrenal gland, measuring 1.8 cm in diameter and taking contrast in periphery, compatible with an adrenal adenoma. The patient underwent a left laparoscopic adrenalectomy and microscopic examination confirmed the diagnosis. The postoperative course was uneventful with normalization of serum potassium level and blood pressure.
Collapse
Affiliation(s)
- S Pessinaba
- Service de cardiologie, hôpital Général-Grand-Yoff, BP 3270, Dakar, Sénégal.
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
13
|
Yaméogo NV, Mbaye A, Kagambèga LJ, Diack B, Pessinaba S, Hakim R, Ndiaye MB, Bodian M, Diao M, Sow DD, Kane M, Kane A. [Pulmonary embolism mimicking acute anterior myocardial infarction: diagnostic trap]. Ann Cardiol Angeiol (Paris) 2011; 60:169-72. [PMID: 21272851 DOI: 10.1016/j.ancard.2010.12.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2010] [Accepted: 12/21/2010] [Indexed: 10/18/2022]
Abstract
Pulmonary embolism remains the major malingerer of acute chest disease. The clinical and electrocardiographic manifestations may deviate to a diagnosis of myocardial infarction. We report a case of bilateral pulmonary embolism in a patient of 50 years. The electrocardiogram showed ST elevation in anteroseptal and lateral leads. The diagnosis of acute myocardial infarction was selected and a fibrinolysis achieved. Getting out under beta-blocker therapy, antiplatelet, statin and angiotensin-converting enzyme inhibitors after 10 days hospitalization, the patient was readmitted one month later for a massive pulmonary embolism. Coronary angiography performed after the second hospitalization was normal.
Collapse
Affiliation(s)
- N V Yaméogo
- Service de cardiologie, hôpital général de Grand Yoff, Dakar, Sénégal.
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
14
|
Mbaye A, Yaméogo NV, Kane AD, Ndiaye MB, Dovonou A, Diack B, Diagne D, Kane M, Diao M, Kane A. [Huge right atrial myxoma revealed by right heart failure]. Ann Cardiol Angeiol (Paris) 2009; 59:40-3. [PMID: 19962690 DOI: 10.1016/j.ancard.2009.07.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2009] [Accepted: 07/15/2009] [Indexed: 10/20/2022]
Abstract
Right atrial myxoma is a heart benignant tumor characterized by an important clinical polymorphism. We report a case of a 30-year-old female with a diagnosis of a big right atrial myxoma. The diagnosis has been done by transthoracic echocardiography which showed an important tumorous mass in the right atrium. It was moving, inhomogeneous and takes over the whole of right atrium cavity. The surgical excision of the tumor has been done under extracorporal circulation. The patient died after a second intervention for tricuspid failure.
Collapse
Affiliation(s)
- A Mbaye
- Service de cardiologie, hôpital général de Grand-Yoff, BP 3270, Dakar, Sénégal.
| | | | | | | | | | | | | | | | | | | |
Collapse
|