检索结果-南通市图书馆

Cardio-Renal Syndrome: Epidemiological, Clinical, Paraclinical, Etiological Aspects and Prognostic Factors in the Cardiology Department of the CHU Ignace deen in Conakry

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Cardiovascular Diseases 2023年第4期13卷 189-197页

作者： Barry Ibrahima Sory Diakité Foussény Fofana Fatoumata Baldé el Hadj Yaya Bah Mamadou Bassirou Mariama Béavogui Mariam Soumaoro Morlaye Camara Abdoulaye Samoura Aly Koïvogui Diarra Koïvogui Kokoulo Diallo Salématou Baldé Mamadou Dadhi Cardiology Department CHU Ignace Deen Conakry Guinea CHU Donka National Hemodialysis Center Conakry Guinea

Introduction: Heart and kidney diseases are common among patients admitted to hospital and they coexist in a significant number of cases. The interactions between the cardiovascular system and the kidney have been known and described for many years and have led to the description of cardio-renal syndrome. The objective of this study was to determine the frequency;to describe the clinical, etiological and prognostic aspects of acute renal failure in patients hospitalized for chronic congestive heart failure. Method: This was a descriptive retrospective study from January 2, 2018 to December 31, 2022. Included in this study were all the complete records of patients hospitalized for chronic congestive heart failure with serum creatinine ≥120 μmol/I. We’re not included in this study, incomplete files, records of patients hospitalized for other pathologies, records of patients hospitalized for chronic congestive heart failure with normal renal function. Our study variables were qualitative and quantitative divided into clinical, paraclinical and prognostic data. Our data were analyzed using the EPI-info 7.***.2.6 software. Data entry and presentation were carried out using Word, Excel and PowerPoint from the 2016 Office Pack. Results: We collected 830 files of which 114 met our selection criteria, a frequency of 13.73%. The mean age of the patients was 47 ± 19 years. The F/M sex ratio was 1.23. The dominant etiologies were hypertension followed by diabetes with respectively 60.5% and 23.7%. Toxic factors including tobacco accounted for 7.9% of cases. Dyspnea accounted for 86.8%. Most of our patients were grade 3 or 36% based on systolic blood pressure on admission with an average of 164.16 ± 33.95 mmHg and an average diastolic blood pressure of 93.24 ± 20.40 mmHg. Biologically, the serum creatinine revealed a high frequency of 201 - 400 μmol/l (33% of cases) with an average value of 586.49 ± 631.44 μmol/l with the extremes 2.960 and 2448.68 μmol/I. Anemia was moderate in 3

关键词： Cardio-Renal Syndrome Ignace deen

Deep Vein Thrombosis Revealing Prostate Cancer about a Case in the Cardiology Department of the Ignace deen National Hospital in Conakry

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Cardiovascular Diseases 2020年第8期10卷 608-613页

作者： Ibrahima Sory Barry Hadj Yaya el Balde Diarra Koivogui Abdoulaye Camara Aly Samoura Mamadou Bassirou Bah Mamadou Aliou Balde Alpha Kone Ibrahima Sory Sylla Souleymane Diakite Moussa Kourouma Kokoulo Koivogui Mariam Beavogui Mamadou Dadhi Balde Mamadi Conde Cardiology Service of Ignace deen National Hospital Conakry Guinea Cardiology Department of DONKA National Hospital Conakry Guinea Military Health Service at the Battalion of the Headquarters Camp Almamy Samory TOURE Conakry Guinea

Introduction: Deep vein thrombosis is a frequent disease, its origin is most often multifactorial. Venous thromboembolic disease (MVTE) and cancer are two frequently entangled pathologies. Here we report the diagnosis of deep vein thrombosis that discovered prostate cancer in an 88-year-old Guinean man. On clinical examination, there was a painful and hot swelling of the right leg, an absence of sloshing of the calf, a positive sign of Homans. The digital rectal examination revealed an enlarged prostate with an irregular surface. Cardiopulmonary auscultation was normal. The electrocardiogram showed a regular sinus rhythm at 65 cycles/min, with no sign of enlarged cavities or conduction disturbance. Venous Doppler ultrasound of the lower limbs showed the presence of an extensive acute deep venous thrombosis of the right sural vein extended to the popliteal and to the homolateral deep femoral. The reino-vesico-prostatic ultrasound concluded in a heterogeneous prostatic hypertrophy with projection of a median lobe associated with a bladder of fight with an important post voiding residue evaluated at 170 ml;the rate of specific antigen of the prostate PSA was at 84.87 ng/ml. The pathology analysis made after a prostate biopsy puncture concluded with an adenocarcinoma with a Gleason score of 3. Conclusion: The association of venous thromboembolic disease (MVTE) and neoplasia is frequent. The existence of active cancer in a patient is a known risk factor for MVTE and, conversely, the discovery of a first episode of deep vein thrombosis (DVT) or pulmonary embolism (PE) may be the mode of revelation of cancer.

关键词： Deep Vein Thrombosis Prostate Cancer elderly Conakry

Prevalence and Contributing Factors of Orthostatic Hypotension in the Cardiology Department of the CHU Ignace deen in Conakry

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Cardiovascular Diseases 2023年第3期13卷 181-187页

作者： Ibrahima Sory Barry el Hadj Yaya Baldé Ahmed Youssouf Djiba Mariama Béavogui Mamadou Bassirou Mariama Bah Morlaye Soumaoro Abdoulaye Camara Aly Samoura Diarra Koïvogui Kokoulo Koïvogui Salématou Diallo Ibrahima Kalil Tounkara Ousmane Djénaba Savané Mamadou Dadhi Baldé Department of Cardiology CHU Ignace Deen Conakry Guinea

Introduction: Orthostatic Hypotension (OH) is a frequent situation during consultation in hypertensive patients. The prevalence in the general population increases with age and it is recommended to systematically search for it in patients with multiple comorbidities. The objective of this study was to determine the prevalence of orthostatic hypotension;describe their socio- demographic profile, the various clinical and paraclinical aspects and the predisposing factors of orthostatic hypotension in treated hypertensives, controlled or not. Method: This was a descriptive cross-sectional study, from January 2 to June 30, 2022 in the cardiology department of the Ignace deen National Hospital. Included in this study were all patients who presented with orthostatic hypotension under antihypertensive treatment, regardless of age and sex, and who agreed to participate in the study. The non-inclusion criteria were hypertensive patients without OH and those who had not agreed to participate in the study. Each patient had blood pressure and heart rate measured in the supine position at room temperature and with an empty bladder. Then the measurement is taken again three (3) minutes after the switch to orthostatism. We retained the diagnosis of OH if the SBP drops by at least 20 mmHg and/or the PAD by at least 10 mmHg three (3) min after the transition to orthostatism. Our data obtained were analyzed in the Epi-info 7.4.0 software. Results: During our study period, we investigated 385 presented with OH, 12.2%. The mean age of the patients was 60.83 years ± 10.01 years and hypertensive patients, 47 of whom the M/F sex ratio was 0.81. In our study, blood pressure was not controlled in 36.2% of our patients with a predominance of grade 3 hypertension, a rate of 55.32%. Renal failure, anemia, heart failure and stroke were the main comorbidities associated with the occurrence of HO. The most incriminated factors were age with a frequency of 74.47%, followed by obesity at 44.68% and

关键词： Orthostatic Hypotension Contributing Factors Conakry

Prevalence and Risk Factors Associated with Pulmonary Tuberculosis in Diabetics in Conakry

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Internal Medicine 2023年第3期13卷 155-161页

作者： Mamadou Dian Mamoudou Diallo Amadou Kaké Mamadou Chérif Diallo Mamadou Mansour Diallo Alpha Mamadou Diallo Mamadou Alpha Diallo Amadou Sy Boubacar Bah Oumou Younoussa Sow Kadidiatou Bah Abdoul Mazid Diallo el’Hadj Zainoul Bah Mody Abdoulaye Bsarry Kadija Dieng Amatoulaye Diallo Amadou Bah Department of Diabetes Donka Teaching Hospital Conakry Guinea Faculty of Health Sciences and Techniques University Gamal Abdel Nasser of Conakry Conakry Guinea Department of Pneumophthisiology Ignace Deen Teaching Hospital Conakry Guinea

Objectives: To determine the prevalence of pulmonary tuberculosis in diabetics, to identify risk factors associated with pulmonary tuberculosis in diabetics, and to describe the clinical features of the association of pulmonary tuberculosis and diabetes. Materials and method: This was a cohort study that took place from November 18, 2015 to January 31, 2018 at the Department of Endocrinology, Diabetology and Metabolic Diseases of the University Hospital of Donka. Results: among the 1912 diabetic patients screened for tuberculosis, 46 had bacteriologically confirmed pulmonary tuberculosis, i.e. a prevalence of 2.4% and 01 had clinically diagnosed pulmonary tuberculosis with 0.1%. A female predominance was noted with a sex ratio of 0.8. The 45 - 54 age group was the most affected with a mean age of 46 years. Body Mass Index (p = 0.001), smoking (p = 0.0101) and history of infection (p = 0.001) were significantly associated with pulmonary tuberculosis. The history of smoking (p = 0.0101), the notion of contagion (p = 0.001), the cough (p = 0.001), the fever (p = 0.001), the nocturnal sweat (p = 0.001) and the hemoptysis (p = 0.001) were the clinical characteristics significantly associated with pulmonary tuberculosis. Conclusion: The results of this study show a remarkably high prevalence of tuberculosis in diabetic patients in Guinea highlighting the need for urgent action to better understand and treat the double burden of tuberculosis and diabetes.

关键词： Tuberculosis Diabetes Prevalence Risk Factors Guinea