Clinical Pattern and Outcome of Acute Heart Failure at the Yaounde Central Hospital

Boombhi, Jerome; Moampea, Murielle; Kuaté, Liliane Mfeukeu; Menanga, Alain; Hamadou, Bâ; Kingué, Samuel

doi:10.4236/oalib.1103478

Cited by 13 publications

(20 citation statements)

References 14 publications

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“…This proportion is far from the 30% and 33.3% reported by Kingue et al [4], and Boombhi et al [5] at the Cardiology departments of the Yaounde General and Central Hospitals, and can be explained by the fact that the YUTH ICU does not take care of cardiology patients only, but of all patients needing special care, whatever their pathology. The mean age of 62 years is consistent with that reported by Kingue et al and Boombhi et al but higher than the 42.5 years reported by Tantchou et al [6].…”

Section: Chf Represented 67% Of All Admissions In the Icu Of The Yaocontrasting

confidence: 41%

“…Although there is a lack of national level data on disease trends in these countries, several hospital based studies have shown that CHF has a hospital prevalence in internal medicine services of at least 30% [3] [4] [5]. The hospital mortality varied from one study to another spanning from 9.0% to 25.9% [3] [4] [5] [6].…”

Section: Introductionmentioning

confidence: 99%

“…The hospital mortality varied from one study to another spanning from 9.0% to 25.9% [3] [4] [5] [6]. Hypertension is the first risk factor in sub-Saharan Africa, and most of the patients present with systolic dysfunction [3] [4] [5] [6] [7].…”

Section: Introductionmentioning

confidence: 99%

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Pattern and Outcome of Congestive Heart Failure in the Intensive Care Unit of the Yaoundé University Teaching Hospital: A Cross-Sectional Study

Amougou¹,

Danwe²,

Hamadou³

et al. 2018

OALib

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Background: There is paucity of data on congestive heart failure (CHF) in the intensive care unit in our setting. This study aimed to provide a better knowledge of pattern and outcome of CHF in the intensive care unit of the Yaounde University Teaching Hospital. Methods: We carried out a descriptive and retrospective study over a period of 21 months. We collected sociodemographic, clinical, paraclinical outcome and medication data from patients' files. Statistical analysis was done using SPSS Version 20.0 Software. Results: We included 24 patients in this study. CHF represented 6.7% of admissions in the ICU. The sex ratio was 1. The mean age was 62 ± 16 years. The most frequent comorbidity was hypertension (50%

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Section: Chf Represented 67% Of All Admissions In the Icu Of The Yaocontrasting

confidence: 41%

Section: Introductionmentioning

confidence: 99%

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Pattern and Outcome of Congestive Heart Failure in the Intensive Care Unit of the Yaoundé University Teaching Hospital: A Cross-Sectional Study

Amougou¹,

Danwe²,

Hamadou³

et al. 2018

OALib

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“…It is commoner between the third and fifth decade of life when the individuals are in the prime of their life. The mean age ranges from 36.5 to 61.5 years (Figure 2A) [15,[19][20][21][22][23][24][25][26][27][28][29][30][31][32][33]. In high-income countries, it is commoner in the seventh decade of life.…”

Section: Age At Presentationmentioning

confidence: 99%

Heart Failure in Sub-Saharan Africa

Adebiyi¹,

Sliwa‐Hähnle²

2019

Topics in Heart Failure Management

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Sub-Saharan Africa (SSA) is currently experiencing multiple burden of disease as a result of demographic and epidemiologic transition. This is occasioned rapid urbanization, unhealthy diets rich in fats and salt, western lifestyle and sedentary living. Heart failure (HF) has become a global public health issue. It is associated with high morbidity and mortality, frequent hospitalization and high economic cost. In SSA, HF is a disease of young and middle-aged adults with the attendant high disability-adjusted life years. This is unlike to the clinical profile and pattern of HF in high-income countries of North America, Western Europe and Japan where HF is a disease of the elderly. In addition, while ischaemic heart disease is the commonest aetiologic risk factor for HF in high income countries, HF in SSA is essentially non-ischaemic in origin. Hypertensive heart failure, dilated cardiomyopathy, rheumatic heart disease, pericardial diseases and HIV associated cardiomyopathy are the common risk factors. The chapter reviews the contemporary information on HF in SSA in terms of socio-demographic features, clinical characteristics, aetiological risk factors, management, prognosis and economic burden.

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“…878 titles and abstracts were screened; nine papers provided relevant information on etiologies of cardiac failure in SSA [20][21][22][23][24][25][26][27][28], nine additional papers were identified by reviewing references [18,[29][30][31][32][33][34][35][36].…”

Section: Epidemiology Of Heart Disease In Sub-saharan Africamentioning

confidence: 99%

Cardiac ultrasound in resource-limited settings (CURLS): towards a wider use of basic echo applications in Africa

et al. 2019

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Background: Point-of-care ultrasound is increasingly being used as a diagnostic tool in resource-limited settings. The majority of existing ultrasound protocols have been developed and implemented in high-resource settings. In sub-Saharan Africa (SSA), patients with heart failure of various etiologies commonly present late in the disease process, with a similar syndrome of dyspnea, edema and cardiomegaly on chest X-ray. The causes of heart failure in SSA differ from those in high-resource settings. Point-of-care ultrasound has the potential to identify the underlying etiology of heart failure, and lead to targeted therapy. Based on a literature review and weighted score of disease prevalence, diagnostic impact and difficulty in performing the ultrasound, we propose a context-specific cardiac ultrasound protocol to help differentiate patients presenting with heart failure in SSA. Results: Pericardial effusion, dilated cardiomyopathy, cor pulmonale, mitral valve disease, and left ventricular hypertrophy were identified as target conditions for a focused ultrasound protocol in patients with cardiac failure and cardiomegaly in SSA. By utilizing a simplified 5-question approach with all images obtained from the subxiphoid view, the protocol is suitable for use by health care professionals with limited ultrasound experience. Conclusions: The "Cardiac ultrasound for resource-limited settings (CURLS)" protocol is a context-specific algorithm designed to aid the clinician in diagnosing the five most clinically relevant etiologies of heart failure and cardiomegaly in SSA. The protocol has the potential to influence treatment decisions in patients who present with clinical signs of heart failure in resource-limited settings outside of the traditional referral institutions.

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Clinical Pattern and Outcome of Acute Heart Failure at the Yaounde Central Hospital

Cited by 13 publications

References 14 publications

Pattern and Outcome of Congestive Heart Failure in the Intensive Care Unit of the Yaoundé University Teaching Hospital: A Cross-Sectional Study

Pattern and Outcome of Congestive Heart Failure in the Intensive Care Unit of the Yaoundé University Teaching Hospital: A Cross-Sectional Study

Heart Failure in Sub-Saharan Africa

Cardiac ultrasound in resource-limited settings (CURLS): towards a wider use of basic echo applications in Africa

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