Effusive pericarditis: clinical and etiological aspects in Lomé

Pio, Machihudé; Afassinou, Yaovi; Pessinaba, S.; Mossi, Komi Edem; Kotosso, Awereou; Baragou, S; Akue, E. Goeh; Ephoevi-Ga, Ayoko; Atta, Borgatia; Ehlan, Koffi; Damorou, F

doi:10.1684/mst.2016.0536

Cited by 4 publications

(9 citation statements)

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“…Another study from Nigeria including 452 patients with acute heart failure found a prevalence of pericardial disease of 3.3% 8. Among 2501 patients presenting with cardiac complaints in Nigeria, 1.1% had a pericardial disease 13. A similar prevalence rate was found in Burkina Faso (1.1%, n=945) and Togo (2%, n=1896) among patients admitted to cardiology units and among patients in Nigeria who underwent echocardiography to investigate symptoms of dyspnoea and heart failure (1.8%, n=1441) 13–15…”

Section: Resultsmentioning

confidence: 62%

“…Mortality among Zimbabwean patients with predominantly purulent and tuberculous pericarditis between 1967 and 1971 was 26.3%. In Togo, the mortality rate was 18% at 12 months13 and 30% in a single prospective South African hospital experience 25. In the aforementioned South African study, the fatality rate was up to 90% in patients with a malignant pericardial effusion 25.…”

Section: Resultsmentioning

confidence: 93%

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Epidemiology of pericardial diseases in Africa: a systematic scoping review

Noubiap

Agbor

Ndoadoumgue

et al. 2018

Heart

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ObjectivesThis scoping review sought to summarise available data on the prevalence, aetiology, diagnosis, treatment and outcome of pericardial disease in Africa.MethodsWe searched PubMed, Scopus and African Journals Online from 1 January 1967 to 30 July 2017 to identify all studies published on the prevalence, aetiologies, diagnosis, treatment and outcomes of pericardial diseases in adults residing in Africa.Results36 studies were included. The prevalence of pericardial diseases varies widely according to the population of interest: about 1.1% among people with cardiac complaints, between 3.3% and 6.8% among two large cohorts of patients with heart failure and up to 46.5% in an HIV-infected population with cardiac symptoms. Tuberculosis is the most frequent cause of pericardial diseases in both HIV-uninfected and HIV-infected populations. Patients with tuberculous pericarditis present mostly with effusive pericarditis (79.5%), effusive constrictive pericarditis (15.1%) and myopericarditis (13%); a large proportion of them (up to 20%) present in cardiac tamponade. The aetiological diagnosis of pericardial diseases is challenging in African resource-limited settings, especially for tuberculous pericarditis for which the diagnosis is not definite in many cases. The outcome of these diseases remains poor, with mortality rates between 18% and 25% despite seemingly appropriate treatment approaches. Mortality is highest among patients with tuberculous pericarditis especially those coinfected with HIV.ConclusionPericardial diseases are a significant cause of morbidity and mortality in Africa, especially in HIV-infected individuals. Tuberculosis is the most frequent cause of pericardial diseases, and it is associated with poor outcomes.

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Section: Resultsmentioning

confidence: 62%

Section: Resultsmentioning

confidence: 93%

Epidemiology of pericardial diseases in Africa: a systematic scoping review

Noubiap

Agbor

Ndoadoumgue

et al. 2018

Heart

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“…4 Adebayo et al in Ife in 2013 found 1.1% in patients with cardiological complaints, 11 Ogah et al in Abeokuta found 1.8% in patients referred for echocardiography, 12 Pio et al in Lomé in 2016 found 2% in patients hospitalized in a cardiology department. 13 This variability of these frequencies would probably be related to the different sample sizes but also to the disparity in the supply of specialized cardiological care in the health systems of the countries where these studies were conducted. 14…”

Section: Socio-demographic Characteristicsmentioning

confidence: 99%

“…The majority of contemporary studies on pericarditis confirm this preponderance of pain in the forefront of the symptomatology. 13 . Tachycardia and muffled heart sounds were the most common stethacoustic signs (respectively 67.31% and 22.12%).…”

Section: Clinicalmentioning

confidence: 99%

Etiological profile of acute pericarditis at the Yalgado-Ouedraogo university hospital in Ouagadougou at Burkina Faso

Valentin¹,

Justine²,

Xavier³

et al. 2022

JCCR

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Material and methodsThis was a cross-sectional study with retrospective collection on the records of patients hospitalized in the cardiology department of the University Hospital Center Yalgado OUEDRAOGO (CHU-YO), in the city of Ouagadougou in Burkina Faso.Were included in our study, the patient records hospitalized for acute pericarditis during the period from January 1, 2014 to December 31, 2018, that is to say duration of 5 years with or without liquid effusion; without distinction of race or sex. Patients hospitalized for recurrent pericarditis were not included in the study. Data were collected from the hospitalization registers of the cardiology department of the UHC-YO, the patients' medical records, and the hospital's statistical yearbooks. The data were recorded on survey forms. A systematic review of the records of patients hospitalized for acute pericarditis during the entire study period was conducted.Socio-demographic data, medical and surgical history, clinical data, paraclinical data including diagnostic confirmation elements at trans thoracic Doppler echocardiography, chest X-ray, electrocardiogram and biological tests were systematically searched in the files.Acute pericarditis, myopericarditis, confirmed tuberculous pericarditis, probable tuberculous pericarditis, HIV-related pericarditis, viral pericarditis were evoked using the clinical, electrocardiographic and echocardiographic criteria defined by the European Society of Cardiology (ESC). 1 The diagnosis of acute pericarditis was made on the basis of the presence of at least 2 of the following 4 criteria: Pericardial chest pain; Pericardial friction; New diffuse ST elevation or PQ undershift on electrocardiogram (ECG); Pericardial effusion (new or worsening). 1

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“…From Yadav's study [4], approximately 9% of patients with acute pericarditis will contract a pericardial constriction. In Africa, the frequency of acute pericarditis varies widely with geographical location ranging from 2 to 11.3% among patients admitted in a hospital for cardiovascular diseases [5][6][7]; it affects mostly young male population with an average age between 26 and 42 years old and tuberculosis as the most frequent etiology from 33 to 69.5% in sub-Saharan Africa [5,6,8]. Over the past decades, the incidence of tuberculous pericarditis has risen up because of the HIV epidemic in sub-Saharan Africa [8,9].…”

Section: Epidemiology and Etiologymentioning

confidence: 99%

Chronic Constrictive Pericarditis (CCP) in Africa: Epidemiology, Etiology, Diagnosis, and Surgical Treatment

Yangni-Angate¹

2019

Inflammatory Heart Diseases

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Chronic constrictive pericarditis (CCP) is not rare in Africa with tuberculosis as the most common etiology. A long history of visceral tuberculosis, typical symptoms of CCP because of late clinical presentation in most cases, make diagnosis almost easy to establish. Echocardiography and cardiac catheterization may be helpful as final investigation when differentiation between CCP, endomyocardial fibrosis, and restrictive ventricular heart disease is difficult to attest. Pericardiectomy remains the only efficient treatment to carry out. We review the African teams' surgical experiences on pericardiectomy and report their surgical results and those worldwide in literature overall. In African groups, early mortality varies from 0 to 22% versus 2.1 to 18.6% outside Africa associated with New York Heart Association Functional Class IV as the most common significant risk factor for early deaths in all series in the World, including Africa.

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Effusive pericarditis: clinical and etiological aspects in Lomé

Cited by 4 publications

References 0 publications

Epidemiology of pericardial diseases in Africa: a systematic scoping review

Epidemiology of pericardial diseases in Africa: a systematic scoping review

Etiological profile of acute pericarditis at the Yalgado-Ouedraogo university hospital in Ouagadougou at Burkina Faso

Chronic Constrictive Pericarditis (CCP) in Africa: Epidemiology, Etiology, Diagnosis, and Surgical Treatment

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