L’embolie pulmonaire au centre hospitalier universitaire Campus de Lomé (Togo): étude rétrospective à propos de 51 cas

Pessinaba, S.; Atti, Y.D.M.; Baragou, S; Pio, Machihudé; Afassinou, Yaovi; Kpélafia, Mohamed; Goeh-Akué, E; Damorou, F

doi:10.11604/pamj.2017.27.129.6855

Cited by 13 publications

(21 citation statements)

References 12 publications

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“…Pulmonary embolism is a rare condition in young African subjects. This observation was also made by Souleymane [4] in Lomé.…”

Section: Discussionsupporting

confidence: 74%

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Pulmonary Embolism in Young Patients: About 24 Cases at the Cardiology Department of Dakar Principal Hospital in Senegal

Mingou¹,

Saadou²,

Ka³

et al. 2019

WJCD

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Introduction: Pulmonary embolism is a relatively common life-threatening cardiovascular emergency. It remains a diagnostic problem because of its nonspecific clinical signs. Objective: The general objective was to study pulmonary embolism in young patients admitted to the cardiology department of Dakar Principal Hospital in Senegal. Methodology: This was a retrospective, descriptive and analytical study in the cardiology department of the Dakar Principal Hospital over a period of two (02) years from January 1, 2015 to December 31, 2016 in young patients admitted for pulmonary embolism. Results: We collected 24 patients with a hospital prevalence of 2.18%. The average age was 42.29 years ± 8.41 years with a male predominance (sex ratio of 1.6). The Wells probability score was low in 54.16% of patients and medium in 45.83%. Functional signs were dominated by chest pain (83.33% of cases) followed by dyspnea (79.16% of cases). The thromboembolic risk factors found were gynecological-obstetrical in 16.6% of cases followed by prolonged bed rest. One case of thrombophilia was present with a deficiency of protein C and antithrombin III. The electrocardiogram recorded sinus tachycardia in 29.16% of patients; the Mac Ginn White sign (S1Q3T3) was found in 25% of cases. Echocardiography showed pulmonary arterial hypertension in 12.48% of cases, dilation of the right ventricle and a paradoxical septal motion in 14.28% of cases. CT pulmonary angiography showed 63.63% of cases with bilateral pulmonary embolism; it was unilateral in 22.72% of cases. Long-term anticoagulation was based on acenocoumarol 4 mg (66.7%) and Rivaroxaban (33.3%). 62.5% of the patients were seen at the 3rd month, when a checking was made to evaluate the tolerance of the treatment, and the evolution of the patient. Conclusion: Pulmonary embolism

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“…Pulmonary embolism is a rare condition in young African subjects. This observation was also made by Souleymane [4] in Lomé.…”

Section: Discussionsupporting

confidence: 74%

“…However, in the literature, it is World Journal of Cardiovascular Diseases more frequent in women, because of the gyneco-obstetrical risk factors added to those of men. Thus, the same observation of female predominance is made by Souleymane in Togo [4] and Diall in Mali [7]. Surgery was the dominant etiological factor (12.5%).…”

Section: Discussionsupporting

confidence: 61%

Pulmonary Embolism in Young Patients: About 24 Cases at the Cardiology Department of Dakar Principal Hospital in Senegal

Mingou¹,

Saadou²,

Ka³

et al. 2019

WJCD

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“…Pulmonary embolism is an underdiagnosed disease due sometimes to the atypical clinical presentation. In Africa, hospital studies have found a PE frequency of 3.1% at Lomé, Togo [3]. In our series, hospital frequency was 2.9%.…”

Section: Discussionsupporting

confidence: 47%

Pulmonary Embolism: Epidemiological, Clinical, Therapeutic and Evolution Aspects in the Medicine Department of Hospital of Mali Bamako

Konaté¹,

Sako²,

Boubacar³

et al. 2021

WJCD

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Background: Pulmonary embolism (PE) is a severe form of venous thromboembolic disease. In Africa, prevalence of PE in hospitalized medical patients varies among studies. Objective: Aim of this work was to study the epidemiological, clinical, therapeutic and evolution aspects of PE in the medicine department of Mali's Hospital Bamako-Mali. Methodology: This was a retrospective cross-sectional study carried out from January 01, 2017 to December 31, 2020 in the medicine department of Mali's hospital Bamako, including all inpatients admitted for PE during the study period. Results: Of 1814 hospitalized patients, 54 patients had pulmonary embolism. Hospital frequency of pulmonary embolism was 2.97%. Predominance was female and sex-ratio M/F was 0.38. Mean age in our series was 54.24 ± 1.19 years. Predisposing factors to pulmonary embolism were dominated by obesity 37%, high blood pressure 35.2% and history of cardiovascular disease 20.4%. Dominant signs were dyspnoea and chest pain in 83.3% and 70.4% of cases respectively.

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“…The venous thrombotic risk major is based on risk factors realeted to the patient that are either transient (prolonged immobilization of more than 3 days, fractures of the lower limbs in the last 3 months, travel, hormones) or permanent [9] [14]. Obesity has been recognized for decades as a major risk factor of cardiovascular and venous thromboembolic diseases [12]. As for pregnancy, the physiological changes (in particular those of hemostasis) make the pregnant woman a patient with a high thrombotic risk.…”

Section: Evolutionmentioning

confidence: 99%

Bilateral Massive Pulmonary Embolism on Disseminated Intravascular Coagulation (DIVC) after Severe Postpartum Haemorrhage

Ango¹,

Said²,

Bi³

et al. 2018

OJAnes

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The authors report a case of bilateral pulmonary embolism (PE) with intermediate risk at the University Hospital center of Treichville (CHUT). This is a postpartum PE in a 37-year-old obese, multiparous woman with postpartum hemorrhage from uterine rupture after vaginal delivery initiated by injectable oxytocin. This postpartum haemorrhage was managed by massive transfusion and hysterectomy. The initiation of thromboprophylaxis was delayed in view of its coagulation record, the first 3 days. Later, the patient presented respiratory distress for which the completion of a pulmonary angioscanner made it possible to make the diagnosis of PE whose clinical evolution under heparinotherapy was favorable.

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L’embolie pulmonaire au centre hospitalier universitaire Campus de Lomé (Togo): étude rétrospective à propos de 51 cas

Cited by 13 publications

References 12 publications

Pulmonary Embolism in Young Patients: About 24 Cases at the Cardiology Department of Dakar Principal Hospital in Senegal

Pulmonary Embolism in Young Patients: About 24 Cases at the Cardiology Department of Dakar Principal Hospital in Senegal

Pulmonary Embolism: Epidemiological, Clinical, Therapeutic and Evolution Aspects in the Medicine Department of Hospital of Mali Bamako

Bilateral Massive Pulmonary Embolism on Disseminated Intravascular Coagulation (DIVC) after Severe Postpartum Haemorrhage

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