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Prognosis of Patients with Pregnancy Hypertensive Disorders Followed in University Hospital to Parzakou in 2020

World Journal of Cardiovascular Diseases 2021年第8期11卷 378-388页

作者： Serge Hugues Mahougnon Dohou Houétondji Léopold Codjo Mahublo Vinadou Vodouhè Urielle Didavi Djidjoho Arnaud Sonou Mahouna Philippe Adjagba murielle kayivi hounkponou Olaniran Alphonse Biaou Nicolas Amègan Dèdonougbo Martin Houénassi Cardiology Teaching and Research Unit Departmental University Hospital of Borgou University of Parakou Parakou Benin University Clinic for Gynaecology and Obstetrics Departmental University Hospital of Borgou University of Parakou Parakou Benin University Cardiology Clinic HKM National Hospital and University Center in Cotonou University of Abomey-Calavi Cotonou Benin Regional Institute of Public Health University of Abomey-Calavi Cotonou Benin Doctoral School of Health Sciences University of Abomey-Calavi Cotonou Benin

Introduction: Hypertensive disorders of pregnancy (HDP) are often accompanied by cardiovascular sequelae. The objective of this study was to describe the prognosis in the postpartum period of patients with HDP in Departmental University Hospital of Borgou CHUD-B from Parakou in 2020. Methods: The study was prospective with a descriptive and analytical design and was conducted from January 2020 to September 2020. Patients with HDP were recruited from the gynecology-obstetrics department and each followed for 3 months in the cardiology department. HDP was classified according to the International Society for the Study of Hypertension in Pregnancy, and blood pressure (BP) was taken according to WHO recommendations. Self-measurement of BP at home was performed to assess blood pressure control outside the hospital. Epidata 3.1 and SPSS 21 software were used for data processing and analysis. P values Results: During the study period, the hospital frequency of HDP was 15.6%. The frequency of maternal complications in the postpartum period was 28% (severe hypertension: 23.2%;eclampsia: 3.6%;puerperal psychosis: 1.2%). At the end of the three-month follow-up, blood pressure returned to normal in 73.2% of cases;it persisted in 26.8% of women. Factors associated with persistence of hypertension after multivariate analysis were, overweight/obesity RRa 8.664 [1.566 - 47.941], (p = 0.013);family history of hypertension RRa 6.499 [1.493 - 28.289], (p = 0.013);history of hypertension in previous pregnancies RRa 7.764 [1.561 - 38.601], (p Conclusion: The frequency of HDP is not negligible at CHUD-B/A. The evolution of these HDP was marked in more than a quarter of cases by complications in the postpartum pe

关键词： Hypertensive Disorders of Pregnancy Post Partum Prognosis Parakou

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Complications of Peripartum Cardiomyopathy at the Departmental University Hospital Teaching of Borgou (Benin) in 2022: About 3 Cases

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World Journal of Cardiovascular Diseases 2022年第11期12卷 514-526页

作者： Léopold Houétondji Codjo Serge Hugues Mahougnon Dohou Sèdjro Raoul Atade Fabrice Atika Hamondji Nicolas Amegan Chabi Olaniran Alphonse Biaou kayivi murielle hounkponou Djidjoho Arnaud Sonou Mahouna Philippe Adjagba Marielle Dorine Soude Dominique Sacca Mèdéssè Rolande Quenum Aude Sourou Bodjrenou Martin Dèdonougbo Houenassi Cardiology Teaching and Research Unit (CNHU-HKM) Faculty of Health Sciences University of Abomey Calavi Cotonou Benin Teaching and Research Unit in Cardiology (CHUD-B/A) Faculty of Medicine University of Parakou Parakou Benin Teaching and Research Department of Gynecology and Obstetric (CHUD-B/A) Faculty of Medicine University of Parakou Parakou Benin Doctoral School of Health Sciences University of Abomey Calavi Cotonou Benin Regional Institute of Public Health University of Abomey Calavi Cotonou Benin Cardiology Teaching and 6 Research Unit (CHU-MEL) Faculty of Health Sciences University of Abomey Calavi Cotonou Benin Cardiology Department of Atacora-Donga Department Hospital Center (CHD-A/D) Natitingou Benin Teaching and Research Unit in Cardiology Faculty of Medicine (CHU-OP) University of Abomey Calavi Cotonou Benin

Introduction: Peripartum cardiomyopathy (PPCM) is a dilated cardiomyopathy occurring in the last month of pregnancy or the first five months postpartum without pre-existing cardiovascular pathology. It is a major cause of pregnancy-related heart failure with high morbidity and mortality. In severe forms (10% to 15% of cases), thrombo-embolic complications are the main cause. The initial hemodynamic evolution is totally unpredictable and sometimes extremely brutal and fatal. The objective of this work was to show the often pejorative evolution of PPCM in our country. Methods: We report in this work three serious clinical cases revealing the complications of this PPCM among patients admitted to the cardiology department of the CHUD-B/A in 2022 for heart failure. The data were collected according to the Declaration of Helsinki. Patients and Observations: The first case was a PPCM with severe left ventricular (LV) systolic dysfunction complicated by spontaneous left intraventricular contrast and right superficial sylvian ischemic stroke. The second case reports a global cardiac decompensation of a PPCM with severe LV systolic dysfunction complicated by an apical thrombus. The third case is that of a state of cardiogenic shock complicating a PPCM with severe LV systolic dysfunction. Among our 03 patients presenting these severe forms of PPCM, the evolution, in spite of the symptomatic and prognostic treatments of the heart failure, and even of the complications, was unfavourable with death in two of them. Conclusion: Complications of PPCM are frequent and fatal in Benin.

关键词： Cardiomyopathy Peripartum Complications Parakou Benin

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