Introduction: In the recent past, it was not possible to treat coronary disease in Mali due to a lack of technical facilities. All our coronary patients were evacuated to the Maghreb, France or the sub-region to receive adequate care. In 2019, the opening of an interventional cardiology room at the University Hospital "Luxembourg" and the training of a team has allowed the local management of a good number of Malians and foreigners suffering from coronary pathology. We report here the results of 30 months of activities. Methodology: We performed a perspective analysis of coronary angiograms and angioplasties performed in our center from September 2019 to February 2022. Clinical, paraclinical including angiographic data were collected and analyzed. Results: Between September 2019 and February 2022, 670 patients underwent coronary angiography, 262 of whom were followed by angioplasty. Male gender was predominant (72.6%), a sex ratio of 2.62. The mean age was 59 years and the 46-65 age group was the most dominant (50.24%). High blood pressure was the main cardiovascular risk factor (33.8%). Chronic coronary syndrome was the most frequent indication (59.8%) followed by coronary syndromes (38.3%). The radial route was used in 98%. Coronary angiography was pathological in 69%. Multitruncular lesions were predominant (35.5%) followed by monotruncular (32.8%). 39.10% of our patients underwent angioplasty. Complications were minimal (3%) and mortality was 2.03%. Conclusion: In our developing countries, we are witnessing an epidemiological transition with the decrease in infectious diseases and the emergence of non-communicable diseases, particularly coronary diseases. Their management requires an adequate technical platform, qualified human resources, and multidisciplinary collaboratio

Objectives: To analyze the clinical and biological characteristics and to evaluate the risk factors associated to the mortality of patients with COVID-19 in Commune 4 of the District of Bamako. Methods: The cohort consisted of COVID-19 patients treated from March 2020 to June 2022 at the Bamako Dermatology Hospital and the Pasteur private Polyclinic in Commune 4 in Bamako. The variables studied were sociodemographic, clinical and biological. For the analysis of deaths, explanatory variables were grouped into sociodemographic factors, comorbidities and symptoms. Binomial logistic regression models were used to test the risk factors for mortality. Results: Among the 1319 patients included, 38.4% were asymptomatic, 46% and 15.5% developed moderate and severe forms respectively. The predominant signs were cough (48.5%), respiratory difficulty (24.6%) and headache (19.7%). There was a male predominance of 58.2%. High blood pressure (19.9%) and diabetes (10%) are the main comorbidities. Men were in the majority (58.2%). High blood pressure (19.9%) and diabetes (10%) are the main comorbidities. D-dimer<500µg/l was found in 53.3% of cases and the mean hemoglobin level was 12.9±1.7g/l. The case fatality rate was 3.71% in our series. In bivariate analysis, age>60 years, High blood pressure, diabetes, clinical severity, D-dimer <500 µg/l were associated with death. By the logistic regression method, age >60 years, increased heart rate, the severity of disease and mainly acute respiratory distress syndrome (polypnea, respiratory difficulty) were the factors associated with death. Conclusion: These main findings elucidate the factors associated with severity and lethality outside of health care system constraints. Old age, heart rate and the development of respiratory distress were the factors associated with increased fatalities.