Background and Objective: Cardiovascular disease is the leading cause of morbidity and mortality in diabetic patients. The objective of this study was to determine the frequency of diabetic patients with a serum BNP level greater than 100 pg / ml and to establish the relationship between BNP and other variables. Methods: This is a cross-sectional study carried out in 50 diabetic patients admitted to the metabolic diseases department of the University Hospital of Brazzaville between May and October 2018. Results: A single type 2 diabetic patient presented a BNP = 187.4 pg / ml, a frequency of 2%. BNP level was associated with age (p = 0.005) and creatinine (p = 0.003). The small number of samples and an untargeted population did not allow us to profile BNP in diabetic patients. Conclusion: the mean BNP is high in diabetics in Congo Brazzaville despite a small sample size which does not allow the results to be generalized.
Objectives: Our goal was to contribute to the production of reference values of plasma or serum biochemical markers by determining the reference values of gamma-glutamyltransferase (GGT), aspartate aminotransferase (ASAT) and alanine aminotransferase (ALAT) in young Congolese presumed to be healthy. Methods: 250 young Congolese presumed to be healthy (125 boys and 125 girls) aged 15 to 25 participated in the study. They were selected according to anamnestic and clinico-biological criteria. Samples were taken on a tube containing EDTA and the resulting plasma was stored at -20 ° C. The KENZA MAX spectrophotometer was used to analyze GGT, ASAT and ALAT. The median and the 2.5-97.5 percentiles were used to set the reference limits for each enzyme. The benchmarks determined were compared with those reported by other Africans, Europeans, Indians and Americans. Results: The established reference values were: GGT 12.15-61.85 IU/L for boys and 7-51.95 IU / l for girls (p˂0.0001); ASAT 21.60-94.85 IU/L for boys and 17-84.85 IU/L for girls (p = 0.0003); ALAT 8.30-74.40 IU/L for boys and 8-53.85 IU/L for girls (p˂0.0001). In addition, the comparison between our values and those of other populations showed significant differences. Conclusion: Our results underline the importance of establishing reference values for plasma enzymes specific to the Congolese population. The use of the values established in the ’other populations could induce errors of judgment by excess or by default. Key words: Gamma-glutamyltransferase, Aspartate aminotransferase, Alanine aminotransferase, Reference values, Congo.
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