0541: Management of heart failure: experiences in African patients - 12/02/16
Résumé |
Aim |
To determine clinical characteristics and mode of treatment of patients with heart failure in Yaounde military hospital (YMH).
Methods |
Data of patients with heart failure (HF) followed on a period of 6 months in YMH were used to determine clinical characteristics and mode of treatment.
Results |
A total of 72 patients were consecutively studied comprising 45 men (62.5%) and 27 women (37.5%) aged 62.8±16.5 and 61.1±19.4 years, respectively. All the patients presented with NYHA functional class III or IV. Alcohol was the most common etiological factor of HF (66.7%) hypertension was the most common risk factor for HF (37.5%) while only 16.7% of the patients were smokers. Global heart failure was the common presentation (60.9%). Left bundle branch was present in 47% of electrocardiograms while 8.7% of the patients were in atrial fibrillation. Dilated cardiomyopathy was the common lesion (80%). Most patients presented with severe left ventricular (LV) systolic dysfunction (66.6%). Male subjects had worse LV systolic dys-function compare to women without significant difference (56.3% vs 43.8% p=0.8). Diabete was not associated with severe LV dysfunction (78.9% on non diabetic vs 6.3% of diabetic patients). Current recommended pharmacology therapies were used in most of the cases. Diuretics were used in 100% while ACE inhibitors were in 91.3% of cases. 52.4% of patients had beta blockers.
Conclusion |
Most heart failure patients in Cameroon present in the sixth decade with severe heart failure. All the recommended therapies are not available in our country.
Le texte complet de cet article est disponible en PDF.Vol 8 - N° 1
P. 36 - janvier 2016 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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