Objective: To describe the epidemiological and etiological features of heart failure with preserved ejection fraction in our context. Materials and Methods: This is a retrospective study that was carried out over a 12-month period, from 1 January 2015 to 31 December 2015, in the hospitalization department of the Heart Institute of Abidjan. It was about patients hospitalized for heart failure who had received a dose of NT-proBNP and who had had an electrocardiogram, and a Doppler echocardiography. Heart failure with preserved ejection fraction (HFPEF) was defined from the symptoms and signs of heart failure, the level of NT-proBNP and from echocardiography data based on the left ventricular ejection fraction (LVEF) > 50%, the dilatation of the left atrium. The diastolic dysfunction of the left ventricle was assessed by the ratio E/E' > 13. We defined as heart failure with decreased ejection fraction (HFDEF) symptoms and signs of heart failure and left ventricular dysfunction LVEF < 40%. A computer file was completed. It included epidemiological and etiological data. Results: The study involved sixty-four patients with heart failure with preserved ejection fraction out of 257 patients with heart failure that is a prevalence of 25%. The mean age was 57.3 ± 16 years. There was a male predominance that is 52% of cases. Congestive heart failure was predominant in 67%. NT-proBNP levels were 365 pg/ml on average. The average length of stay was 5.5 ± 3.1. Intra-hospital deaths were 4.6%. The etiologies are dominated by high blood pressure in 85.9%, followed by obesity in 28.1%, then by ischemic heart disease in 4.6%. There were no diabetic patients in this group. Conclusion: Heart failure with preserved ejection fraction is characterized in our regions by its occurrence in young male subjects. Congestive heart failure prevailed. The dominant etiology was high blood pressure.
Objective: To determine the prevalence of the use of traditional medicine in hypertensive patients and to identify the socio-demographic characteristics of these patients. Materials and Methods: This is a single cross-sectional study with descriptive purpose that was carried out over a 4 month-period, from 1 January 2017 to 30 April 2017, in the outpatient department of the Heart Institute of Abidjan. It involved patients who consulted during this period for high blood pressure. An informed questionnaire was submitted to patients. A pre-test was performed on 20 patients prior to the start of the survey. Results: The prevalence was 34%, with a slight male predominance (52.4%). The average age of our patients was 51.7 years ± 20 years. Males (52.4%) and females (47.6%) were roughly in the same proportions in our study with a slight male predominance. Patients with a higher level of education used traditional medicine in 30.6% that is about one third of the cases. Nearly one third of the patients had a monthly income above 300,000 FCFA (28.5%). Almost half of the patients (45%) had social insurance coverage. Conclusion: The use of traditional medicine by hypertensive patients is a practice that exists and is growing rapidly. The profile of hypertensive patients using traditional medicine can be summarized as a young subject, a male with a higher education level, a high monthly income and social coverage. It is the place to insist on the therapeutic education of our hypertensive patients' only way for a good control of the blood pressure figures.
Background: The diagnosis of deep vein thrombosis (DVT) requires an etiological research of HIV infection. The objective was to identify the characteristics of patients with DVT of limbs without other risk factors in our context. Methods: We performed a comparative retrospective study from January 2005 to December 2012. We identified 162 cases of patients hospitalized in Medicine Department of Institute of Cardiology of Abidjan with 124 HIV-negative and 38 HIV positive patients. Results: DVT is more common in HIV positive young patients (57.8 ± 15.6 years vs 39.3 ± 10.6 years, p = 0.0001). The traditional risk factors were found in HIV negative patients. HIV positive patients had no predisposing factor for thrombosis. The ankle-femoral popliteal location (29% vs 73.7% p = 0.05) was most frequent in HIV positive patients. There was no significant difference in anticoagulant therapy: UFH (60.5% vs 52.6%; p > 0.05), LMWH (20.2% vs 7.9%; p > 0.05), AVK relay (99.2% vs 100%; p > 0.05) and general measures (elevation MI). (70.2% vs 65.8%; p > 0.05). None of the patients in both groups had worn stockings in hospitalization. The stockings were prescribed on discharge (70% vs 64.7%; p > 0.05). Conclusion: DVT may be the mode of revelation of HIV infection. The etiological research with HIV infection should be systematic in young patients suffering from DVT in the absence of risk factors of thrombosis.
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