Acute coronary syndromes in Ivory Coast: About 1011 cases - 05/01/18
Résumé |
Background |
Acute coronary syndromes (ACS) are emerging in developing countries, particularly in sub-Saharan Africa.
Purpose |
Assess prevalence, characteristics and management of acute coronary syndromes in Ivory Coast.
Methods |
Cross sectional study from January, 2002 to December, 2016, carried out among patients aged 18 years old, admitted to intensive care unit of Abidjan Heart Institute for ACS.
Results |
One thousand and eleven (1011) patients were enrolled in this study. Prevalence of ACS was 14.9% (1011/6784). Mean age was 55.0±11.4 years. Main cardiovascular risk factor was hypertension (57.8%). Mean delay between symptom onset and admission to Abidjan heart institute was 35.0±37.8hours. Clinical presentation was predominantly ST-segment elevation myocardial infarction (STEMI) in 74.5% of subjects. Seven hundred and five patients (69.5%) were transferred by unsafe transportation. Among the 214 patients admitted for STEMI within 12 hours of the onset of symptoms, primary percutaneous coronary intervention was performed in 42 patients (19.6%), or 5.5% of STEMI as a whole. Seventy-eight patients (10.3%) received fibrinolytic therapy. In-hospital death rate was 8.9%.
Conclusion |
The prevalence of acute coronary syndromes is increasing in sub-Saharan Africa. Management remains challenging in our regions, because of excessive delays of admission and limited technical facilities.
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Vol 10 - N° 1
P. 24 - janvier 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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