0383: Clinical and echocardiographic profile of HIV-infected patients in cardiology department at the University Hospital of Brazzaville (Congo) - 12/02/16
, Christian Kouala-Landa, Solange Flore Mongo-Ngamami, Meo Stephane Ikama, Jospin Makani Bassakouahou, Rog Paterne Bakekolo, Thierry Raoul Alexis Gombet, Suzy Gisèle Kimbally-KakyRésumé |
Aim |
To describe the clinical and echocardiographic aspects of HIV-infected patients.
Method |
this descriptive and analytical study was conducted from 2008 to 2012 in the cardiology department at the University Hospital of Brazzaville.
Results |
one hundred and thirteen patients were included, 75 women (66.4%). There were 46 (40.7%) known HIV patients, and 40 (35.4%) were on antiretroviral treatment. Heart failure was noted in 59 cases (52.2%) which 15 cases (13.3%) of pulmonary acute oedema. The mean ejection fraction was 54.8±16.2% (range: 17-80), and the ejection fraction was lowered in 39 cases (34.5%). Pulmonary hypertension was present in 8 cases (7.1%). The main pathologies were myocarditis (n=33; 29.2%), dilated cardiomyopathy (n=27; 23.9%), myopericarditis (n=20; 17.7%) and tuberculous pericarditis (n=30; 26.5%). The death was recorded in 16 cases. Average CD4 count, ejection fraction, left ventricle diameter and right ventricle diameter were lower in deceased patients, no statistical difference.
Conclusion |
untreated HIV exhibit more cardiovascular complications. Mortality is due to several comorbidities. For limiting these complications, prevention and antiretroviral treatment actually poorly used, are required.
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Vol 8 - N° 1
P. 35 - janvier 2016 Retour au numéro
Article précédent
- 0410: Cardiovascular manifestations in antiphospholipid syndrome
- Thouraya Ben Salem, Wafa Ben Salem, Maria Khatib, Molka Tougorti, Imed Ben Ghorbel, Mounir Lamloum, Mohamed Habib Houman
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- Abdallah Fayssoil, Pascal Laforet, Vincent Gajdos, François Petit, Aurelie Hubert, Philippe Labrune, Bruno Eymard, Denis Duboc, Karim Wahbi
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