Le but de ce travail était de déterminer la prévalence de l'HTA chez les personnes âgées ainsi que leurs connaissances sur cette maladie. Il s'est agi d'une étude descriptive transversale qui s'est déroulée dans la ville de Bobo-Dioulasso d'Octobre à Novembre 2015 sur les sites d'intervention de l'association d'aide aux personnes âgées « KAFOLI ». Les sujets inclus étaient les personnes âgées de 60 ans et plus, hypertendus ou non et qui désiraient participer à l'étude. Les sujets étaient considérés comme hypertendus lorsqu'ils avaient une pression artérielle systolique ≥ 140mmHg et/ou une pression artérielle ≥ 90mmHg ou lorsqu'ils avaient un traitement antihypertenseur. Les données sociodémographiques, cliniques, les facteurs de risque associés ont été recueillis. Les connaissances sur l'HTA recueillies portaient sur les connaissances générales sur l'HTA, les sources d'informations sur l'HTA. 88 sujets ont été inclus dans notre étude. Il y avait 56 femmes et 32 hommes soit un sex-ratio de 0,57. L'âge médian était de 71 ans (IIQ: 66-76). La prévalence de l'HTA était de 61,36% et était associée à la connaissance de l'HTA et à la consommation d'alcool. 68,18% des patients avaient des connaissances sur l'HTA. La majorité était suivie dans les Centres de Santé de premier niveau par des infirmiers (64,81%). Cette étude a mis en évidence une forte prévalence de l'hypertension artérielle chez les personnes âgées à Bobo-Dioulasso. Ces personnes étaient en majorité sensibilisées sur la maladie. Leur suivi était assuré dans la majorité des cas par un personnel infirmier.

Background: Hypertension is a major public health concern in Burkina Faso. Its management relies on in-office medical setting blood pressure monitoring which is known to be an imperfect diagnosis tool. Objective: This study aims to assess the contribution of ambulatory blood pressure monitoring in the management of hypertension at Blaise Compaoré University Hospital. Methods: A monocentric descriptive retrospective study was conducted in the cardiology outpatient unit of Blaise Compaoré University Hospital. Patients aged at least 18 years who underwent ambulatory blood pressure monitoring between March 2013 and June 2015 were enrolled. Hypertension was defined as follows: average blood pressure over 24 hours > 130/80 mmHg, or diurnal blood pressure > 135/85 mmHg, or nocturnal blood pressure >120/70 mmHg. Data were analyzed using the SPSS 20.0 software. The threshold for significance was set at 5% for a validity interval at 95%. Chi square test was used for the statistical analysis. Results: A total of 122 patients were enrolled. The main reasons for ambulatory monitoring were the evaluation of hypertensive therapy (51.6%) and the diagnosis confirmation (39.3%). The results of the ambulatory monitoring found 61.4% of the patients with hypertension and 37.7% with normal blood pressure. A treatment adjustment was made for 36.1% of the patients; an initiation of antihypertensive therapy was undertaken for 24.6%, an abstention from drug therapy was recommended for 23.8%, and the pursuit of previous treatment for 13.1% of the patients. Conclusion: Ambulatory blood pressure monitoring should be used more often in order to optimize the management of hypertension in our current practice.

Valvular heart diseases during pregnancy are complex with symptoms likely to affect patient's life quality, and endanger both mother's and child's life. Our survey aims at studying the combination of valvular heart diseases with pregnancy at University Hospital Yalgado Ouedraogo. This study was a cross-sectional study conducted from January 1 st , 2015 to March 31 st , 2016 in the delivery room of gynecology and obstetrics department. Inclusion criteria were: the presence of acquired and known valvular heart diseases followed-up or not; suspected valvular heart disease confirmed by a Doppler echocardiography and patient's consent to take part to the study. Twelve patients were involved in the study. The average age was 27.5 ± 3.9 years (extremes of 21 and 34 years). The average gestational age at the delivery time was 35 ± 4.7 weeks of amenorrhea with extremes reaching 25 and 39 weeks. None of the study patients were previously followed-up and treated for valvular heart diseases before pregnancy. Mitral disease was found among four patients. Seven cases had vaginal delivery. Two cases of spontaneous abortion were observed. We had seven hypotrophy newborns with an average weight of 2360 g at birth. Two patients suffering from congestive heart failure with a full type arrhythmia by atrial fibrillation were hospitalized in cardiology department. No death was reported during our study. Rheumatic valvular diseases are common among pregnant women. The cardiologist should plan pregnancies of patients suffering from valvular heart diseases. Treatment of those patients goes through the prevention of acute rheumatoid arthritis including a joint collaboration between cardiologists and gynecologists.

Objective: Our study aimed at assessing the quality of life (QoL) of patients treated for chronic heart failure (HF), and analyzing the impact of certain factors on that QoL, in the cardiology department of Yalgado Ouédraogo University Hospital of Ouagadougou. Means and Method: It was a descriptive cross-sectional study, performed over a six-month period from May to October 2016. In the study, patients with age over 18 years were included, followed up for chronic HF for at least six months in the outpatient unit, from January 1 st to December 31 st 2015. The questionnaire "Minnesota Living withHeart Failure" was used to assess the QoL. Results: Two hundred and four patients were enrolled. Most of them were living in Ouagadougou (82.8%). Sex ratio was 0.98, and mean age was 56.06 + 16.37 years. The mean overall QoL score was 17.8 + 16.5. QoL was considered good in its three dimensions, in more than 70% of patients. Looking at the mean scores, the male patients, the patients living in rural and semi-urban areas, the patients with impaired left ventricular ejection fraction and those with severe or end-stage renal failure had significant QoL impairment.

No abstract