Background and objective: Preoperative cardiovascular risk control is critical to reducing the frequency of perioperative cardiovascular events and improving the survival and quality of life of surgical patients. This study aimed at assessing preoperative cardiovascular of patients undergoing urological surgery in Ngaoundere, Cameroon. Methodology: A cross-sectional study was carried at the urological surgery department of the Ngaoundere Islamic Clinic. Participants' sociodemographic, clinical and biological data were collected and analyzed using Sphinx V5 software. Results: A total of 58 patients were included in the study. Their mean age was 61.33 ± 16.16 years. The most represented age group was the one over 70 years (34.50%). In total, 50 (86.20%) patients had low risk surgical procedures and 20 (34.5%) patients had poor functional capacity. Lee score was calculated for all patients with low functional capacity. Of these patients, 17 (85%) had a low risk of cardiovascular events. Conclusion: The present study reveals a low preoperative cardiovascular risk in urological surgery in Ngaoundere, Cameroon; however, this observation does not exclude the need of systematic evaluation of preoperative cardiovascular risk for better prevention of postoperative complications, in surgical setting in our context.
High blood pressure is a major cardiovascular risk factor. It has repercussions on the heart, which can be easily assessed by non-invasive examinations. The objective of this study was to describe electrocardiographic and echocardiographic abnormalities in hypertensive patients under follow up at the Ngaoundere Regional Hospital, (Cameroon). The study was analytical and cross-sectional in nature. It was carried out at the Ngaoundere Regional Hospital (Cameroon). All known adult hypertensive patients who had a resting electrocardiogram (ECG) and echocardiography done during their follow up were included in the study. The study population consisted of 200 hypertensive patients. The mean age of the patients was 59±1.6 years with extremes of 25 and 85 years. Of all the ECGs performed, a total of 94% had abnormal findings. The most frequent electrocardiographic abnormalities were cardiac arrhythmias (53.5%), and left ventricular hypertrophy (LVH) (22%). Overall, 91% of the cardiac echography performed had abnormal findings most of which were ventricular hypertrophy, diastolic dysfunction and left atrial enlargement. In conclusion: a wide variety of electrocardiographic and echocardiographic abnormalities are diagnosed in the hypertensive patient in our environnement. None of them should be neglected. They all present, although to varying degrees, an interest in the orientation and organization of the therapeutic strategy of patients with hypertension. The use of ECG and echocardiography for this purpose should be encouraged in resource-limited areas.
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