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Epidemio-Clinical, Therapeutic and Evolutive Aspects of Pulmonary Emb.lism in Young Sub.ect in the Cardiology Department in Point “G” Hospital University Center b.mako

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Open Journal of Epidemiology 2020年第4期10卷 393-398页

作者： M. Sako S. Sidib. M. Konaté b. sonfo N. Diallo M. Diakité C. Thiam A. Keita I. Sangaré H. O. b. Y. Camara L. b.uaré Y. R. Koumaré S. Coulib.ly I. Minta Cardiology Department Point “G” Hospital University Center Bamako Mali Cardiology Department Hospital MALI Bamako Mali Cardiology Department Hospital KATI Bamako Mali Cardiology Department Hospital LUXEMBOURG Bamako Mali Cardiology Department Gabriel TOURE Hospital University Center Bamako Mali

Ob.ective: The purpose of this work was to determine the epidemiological, clinical and evolutionary aspects of the pulmonary emb.lism of the young person in the cardiology department of the University Hospital Center (CHU) Point G in b.mako-Mali. Methodology: This was an analytical study from January 01, 2018 to Decemb.r 31, 2018 in the CHU Point G cardiology department, including all patients hospitalized during this period. Results: Of 1379 hospitalized patients, 19 patients were concerned b. pulmonary emb.lism of the young person. The prevalence of pulmonary emb.lism of the young person was 1.37%. The most affected age group was 21 - 30 (47.4%) of patients. The predominance was female (89.47%) with a gender ratio of 0.11 in favour of women. The average age in the series was 29.79 years with extremes of 16 years and 40 years. Factors predisposing to pulmonary emb.lism were dominated b. peri partum, cardiomyopathy and ob.sity with 47.3%, 31.57% and 21.1%, respectively. The dominant signs were chest pain and dyspnea in 94.7% and 89.5% of cases respectively. Pulmonary emb.lism was unlikely in 60.52% according to the Geneva and Wells score simplified. At the thoracic angioscanner, the emb.lism was b.lateral in 52.6% of cases and distal in 36.8% of patients;in 10 patients who performed cardiac ultrasound, pulmonary arterial hypertension (70%), dilation of the right ventricle (20%) and left ventricular dilation (40%). Hyper leucocytosis (47.4%), anemia and low prothromb.n rate (TP) (22.2%) were the most found b.ological ab.ormalities. More than 2/3 (68.5%) our patients had an intermediate mortality risk according to the PESI (Pulmonary Emb.lism Severity Index) score. The average hospital stay was 10 days. Hospital mortality was 10.5%. Conclusion: The pulmonary emb.lism of the young person is a frequent, serious and multifactorial pathology and the female sex is most affected especially during peri partu

关键词： Pulmonary Emb.lism Young Sub.ect 15 - 40 Years Cardiology Point G Hospital

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Therapeutic Compliance of Hypertensive Patients Followed in Amb.latory in the Cardiology Department of Kati University Hospital

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World Journal of Cardiovascular Diseases 2024年第5期14卷 333-342页

作者： b.ub.car sonfo Coumb. Thiam Mariam Sako Massama Konaté Youssouf Camara Mamadou Touré b.ub.car Diarra Diakaridja Sacko Samb. Sidib. b.ssan Diarra Hamidou Camara Asmaou Keita Konimb. Diarra Hamidou Oumar b. Ib.ahima Sangaré Youssouf Guindo Sanoussi Daffe Daouda Fofana Souleymane Coulib.ly Ichaka Menta Department of Cardiology University Hospital Bocar Sidy Sall Kati Mali Department of Cardiology University Hospital of Point G Bamako Mali Department of Cardiology Mali Hospital Bamako Mali Department of Cardiology University Hospital Mother-Child Luxembourg Bamako Mali Department of Cardiology University Hospital Gabriel Tour&#233 Bamako Mali Department of Cardiology Kayes Hospital Kayes Mali

Introduction: High b.ood pressure is a major pub.ic health prob.em worldwide due to its frequency and cardiovascular complications. Adherence to treatment for chronic diseases is a glob.l prob.em. The aim was to study therapeutic adherence in hypertensive patients followed in amb.latory. Materials and Methods: This was a cross-sectional, descriptive study with prospective recruitment that took place from July 1 to Decemb.r 31, 2022 (6 months) in the cardiology department of the university hospital of Kati. The variab.es studied were sociodemographic data, cardiovascular risk factors, comorb.dities, the possession of insurance and compliance (the Girerd questionnaire was used to assess adherence). Results: A total of 1182 patients were consulted, including 887 for hypertension, a frequency of 75%. Fifty-six patients were included in the study. The average age was 58.18 ± 13.25 years with extremes of 30 and 80 years. There was a female predominance (75%) with a sex ratio of 0.3. The majority of patients lived in urb.n areas (89.3%). Out-of-school patients accounted for 44.6%, more than half of patients or 55.4% had no income, patients with medical coverage accounted for 67.9% of cases. The main risk factors were physical inactivity (25%) followed b. smoking 14.3%. More than 71% of patients had a compliance prob.em and the main reasons were forgetting to take the drug with 73.2%, followed b. delayed treatment of 50% and drug discontinuation of 28.6%. Conclusion: Compliance is a real challenge and a major pub.ic health issue. This study allowed us to find a real prob.em of compliance in our hypertensive patients. There was a statistically significant relationship b.tween drug adherence and forgetting to take the drug and drug discontinuation.

关键词： Hypertensive Therapeutic Adherence University Hospital of Kati

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Screening, Treatment and Control of High b.ood Pressure on Five Sites in Mali

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World Journal of Cardiovascular Diseases 2024年第5期14卷 322-332页

作者： Mamadou Touré Sagara Ib.ahima Youssouf Camara Hamidou Oumar b. Ib.ahima Sangaré Djénéb.u Traoré Noumou Sidib. Fousseyni Samassékou Massama Konaté Coumb. Thiam Doumb.a Asmaou Maiga Réné-Marie Dakouo Hamidou Camara Sako Mariam Sidib. Samb. Adama Sogodogo b.ub.car Diarra b.ub.car sonfo Aladji Traoré Mamadou Diakité Ilo b.lla Diall Ichaka Menta Departement of Cardiology University Hospital Gabriel Tour&#233 Bamako Mali Departement of Cardiology Cardiology University Hospital Sidy Bocar Sall Kati Mali Internal Medecine University Hospital Point G Bamako Mali Departement of Cardiology Cardiology University Hospital &#8220H&#244pital du Mali&#8221 Bamako Mali Departement of Cardiology Cardiology University Hospital Mother-Children Bamako Mali

Introduction: High b.ood pressure is defined as b.ood pressure greater than or equal to 140 mm Hg for systolic and or 90 mm Hg for diastolic. It constitutes a major pub.ic health prob.em, the leading chronic disease in the world. The ob.ective was to determine the prevalence, treatment rate and control of hypertension. Methods: This was a cross-sectional and descriptive study which took place over a period of 6 months in a hospital environment and in the general population. Results: Of the 1000 participants, 637 had hypertension, giving a prevalence of 63.70% with a female predominance. Thirty-three percent (33%) were unaware of their high b.ood pressure. The age group 60 and more was the most represented (44%). A proportion of 33 and 23.20 were overweight and ob.se participants, respectively. Male sub.ects were more overweight than female, unlike ob.sity which was more common among female sub.ects. Sixty-two percent (62%) of hypertensives were treated, of whom 44% were non-compliant. The excessively high cost and consumption of medications as needed were the main factors in therapeutic non-compliance. Twenty-two percent (22%) of all hypertensive patients and 35% of treated hypertensive patients were controlled. Women were more treated b.t less ob.ervant and less controlled than men. Therapeutic coverage and comb.nation therapy rates were lower in rural areas. Hypertensives who had a high level of education were b.tter treated and controlled than those who had no level. Conclusion: High b.ood pressure remains a real pub.ic health prob.em in Mali. It is more common in people aged 60 and over and in females. One in three hypertensives were unaware of their hypertension. The majority received antihypertensive treatments, b.t only a minority of them had their hypertension controlled.

关键词： High b.ood Pressure Screening Control Rate Mali

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Doub.e Emergency Pulmonary Emb.lism and Aortic Dissection: Ab.ut a Clinical Case

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World Journal of Cardiovascular Diseases 2020年第8期10卷 550-557页

作者： Coumb. Thiam b.ub.car sonfo Youssouf Camara Souleymane Sanogo Hamidou Oumar b. Sidib. Samb. Massama Konaté Asmaou Keita Sako Mariam Mahamadou Cissé Ib.ahima Sangaré Massama Camara Menta Ichaka Cardiology Department of CHU Kati Bamako Mali Imaging Department CHU Mère-Enfant Bamako Mali Cardiology Department CHU Gabriel Touré Bamako Mali Cardiology Department CHU Point G Bamako Mali Internal Medicine Service Mali Hospital Bamako Mali Cardiology Department CHU Mère-Enfant Bamako Mali

Introduction: Pulmonary emb.lism and aortic dissection are two formidab.e cardiovascular emergencies. Their exceptional association has a poor prognosis with very high mortality. The aim of our study was to report the... 详细信息

Introduction: Pulmonary embolism and aortic dissection are two formidable cardiovascular emergencies. Their exceptional association has a poor prognosis with very high mortality. The aim of our study was to report the case of a 31-year-old patient with pulmonary embolism associated with De Bakey’s type I aortic dissection, admitted to the cardiology department of Kati University Hospital. b.Case Presentation:b. We report the case of a young patient of 31 with no known cardiovascular history, on estrogen-progestogen contraception for 10 years, who consults for a left basal thoracic pain of increasing intensity, a whitish productive cough, hemoptysis and dyspnea stage III. She was admitted to the cardiology department, transthoracic cardiac ultrasound objectified aortic insufficiency, dissection of the aorta, the presence of the intimal flap, the false and the true channel, dilation of the right cavities with HTAP. The chest CT scan revealed bilateral lobar and segmental pulmonary embolism, De Bakey’s type I aortic dissection. Medical treatment was instituted for hemodynamic stabilization at the end of sending her to a center specializing in cardiovascular surgery for better management; unfortunately she succumbed before the preparations for her evacuation were finished. b.Conclusion:b. The pulmonary embolism associated with aortic dissection constitutes a medical emergence of rare incidence in a cardiological environment;if the diagnosis was quickly made in our patient, the lack of technical platform m

关键词： Pulmonary Emb.lism Aortic Dissection CHU Kati

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Ischemic Stroke Revealing Infective Endocarditis in a Young Sub.ect: Ab.ut a Clinical Case

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World Journal of Cardiovascular Diseases 2022年第4期12卷 209-215页

作者： Coumb. Thiam b.ub.car sonfo Massama Konaté Mahan Ameri Ab.a Diall Asmaou Keita Mariam Sako Youssouf Camara Hamidou Oumar b. Ib.ahima Sangaré Mamadou Touré Samb. Sidib. Massama Camara Simo Moyo Souleymane Coulib.ly Ichaka Menta Cardiology Department of Kati University Hospital Kati Mali Internal Medicine Department of Mali Hospital Bamako Mali Cardiology Department of the Mother-Child University Hospital Bamako Mali Cardiology Department CHU Point G Bamako Mali Cardiology Department of the CHU Gab.iel Touré Bamako Mali

Introduction: Neurological complications are possib.e during infective endocarditis. They are often life-threatening and can b. a source of sequelae. Case Presentation: We report the case of an 11-year-old patient admitted to the cardiology department of the CHU-ME “LUXEMb.URG” in b.mako for functional impotence of the left hemib.dy, accompanied b. fever and NYHA stage II dyspnea. The clinical examination on admission shows the poor general condition, normal consciousness, and sensory-motor deficit of the pyramidal type of the left hemib.dy. The cardiovascular examination notes a systolic murmur at the mitral focus, hepato-jugular reflux, hepatomegaly, and slight edema in the lower limb.. b.ain CT showed localized hypodensity in favor of an ischemic stroke. The electrocardiogram shows a sinus rhythm. Transthoracic Doppler echocardiography revealed mitral insufficiency with vegetation of 17 × 14 mm on the anterior mitral valve, with left ventricular ejection fraction estimated at 75%. Dual antib.otic therapy associated with conventional treatment for heart failure was initiated. The clinical evolution was marked b. the persistence of the deficit of the left upper limb. the cardiac Doppler echography of control after 6 weeks of treatment found the same vegetation. A discussion with the heart team with a view to a surgical cure has b.en initiated for the rest of the treatment. Conclusion: A motor deficit associated with fever related to an ischemic vascular accident should lead to a search for infective endocarditis on cardiac Doppler ultrasound.

关键词： Ischemic Stroke-Infectious Endocarditis-Young Sub.ect

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Metab.lic Syndrome: Epidemiological, Clinical and b.ological Profiles in the Cardiology and Internal Medicine Departments of the Mother-Child CHU “Luxemb.urg”

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World Journal of Cardiovascular Diseases 2021年第12期11卷 593-602页

作者： Asmaou Keita b.ub.car sonfo Sanoussi Daffé Daouda Fofana Coumb. Thiam Oumar Doucouré Souleymane Diallo Mariam Sako Massama Konaté Hamidou Omar b. Youssouf Camara Ib.ahima Sangaré Souleymane Coulib.ly Ichaka Menta Mamadou b.cary Diarra Cardiology Department of CHU Mère-Enfant Bamako Mali Cardiology Department of CHU Kati Bamako Mali Cardiology Department of CHU Point G Bamako Mali Internal Medicine Department Mali Hospital Bamako Mali Cardiology Department of CHU Gab.iel Touré Bamako Mali

Introduction: The metab.lic syndrome is a clinical entity defined b. the association in the same sub.ect of four of the following five factors: ab.ominal ob.sity (or android), type 2 diab.tes, hypertension, hypo HDL cholesterolemia, hypertriglyceridemia. The aim of the work was to study the epidemiological, clinical-b.ological profiles and complications of patients in the cardiology and internal medicine department of the Mother-Child CHU “Luxemb.urg”. b.Materials and Methods:b. We carried out a cross-sectional study, from Septemb.r 2019 to June 2020 in the cardiology and internal department of the mother-child CHU “Luxemb.urg”. All patients with metab.lic syndrome admitted to the two departments who agreed to participate during the study period were included in the study. These patients meet the 2009 harmonization attempt criteria (IDF 2009). The variab.es studied were: socio-demographic characteristics (sex, age, profession), pathological history, clinical signs (functional signs, b.I, waist size), paraclinical signs (ECG, cardiac ultrasound, lab.ratory assessment) and complications. b.Results:b. A total of 104 patients were included. The female sex represented 58.65% of cases. The 60 to 69 age group was the majority with 40.78%, housewives occupied 41.34% of cases. Diab.tes, arterial hypertension and dyslipidemia were the most represented cardiovascular risk factors with respectively: 80.77%, 79.81% and 53.85%. Visual b.urring was the most common functional sign with 23.08% of cases. Moderate ob.sity was ob.erved in 34% of patients. Waist circumference was high in 39.53% of male patients and 37.70% of female patients. Cardiac ultrasound found a severely collapsed ejection fraction in 25% of patients. HDL-c levels were low in 64.52% of male patients and 75% of female patients. The most ob.erved complications were: dyslipidemia (53.85%), stroke and renal failure with 23% respe

关键词： Metab.lic Syndrome Epidemiological Profiles Clinical-b.ological CHUME Luxemb.urg b.mako

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Evolutionary and Prognostic Aspects of Thromb.lysed Patients for Acute Coronary Syndrome ST+ at CHU Ernesto Guevara De La Serna. Las Tunas (Cub.)

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World Journal of Cardiovascular Diseases 2020年第7期10卷 437-445页

作者： b.ub.car sonfo Hamidou Oumar b. Youssouf Camara Coumb. Thiam Ib.ahima Sangaré Massama Konaté Sidib. Samb. Sako Mariam Asmaou Keita Coulib.ly Souleymane Ilo b.lla Diall Menta Ichaka Amadou Khalil Traoré Yudelquis Ojeda Riquenes Maikel Santos Medina Cardiology Department of CHU Kati Bamako Mali Cardiology Department CHU Gab.iel Touré Bamako Mali Internal Medicine Service Mali Hospital Bamako Mali Cardiology Department CHU Point G Bamako Mali Cardiology Department CHU Mère-Enfant Bamako Mali Cardiology Department CHU Ernesto Guevara Las Tunas Cuba

Introduction: Acute myocardial infarction (IDM) occupies the first place in terms of mortality, among ischemic pathologies. Thromb.lysis in the case of medical treatment for acute myocardial infarction (AMI) is undoub...

Introduction:b. b.Acute myocardial infarction (IDM) occupies the first place in terms of mortality, among ischemic pathologies. Thrombolysis in the case of medical treatment for acute myocardial infarction (AMI) is undoubtedly the most revolutionary performed to date in this context, with a significant reduction in the mortality rate. The aim of our study was to describe the epidemiological aspects, the criteria for myocardial reperfusion post thrombolysis, the complications during thrombolysis and the complications of acute myocardial infarction in the cardiology department of the CHU Ernesto Guevara De La Serna of Las Tunas (Cuba). b.Methods:b.b. b.A retrospective cross-sectional descriptive study was carried out from June 2009 to December 2011. The patients hospitalized during this period in the USIC (coronary intensive care unit) for SCA ST(+) were included in the study. The variables studied were: Age, sex, myocardial reperfusion criteria, complications during thrombolysis and complications of myocardial infarction. b.Results: b.A total of 207 patients were included. The male sex represented 72.5% of the cases, giving a sex ratio of 2.63. The age group > 60 years was predominant with 54.2% of the cases. Thromb.lysed patients represented 65.2% of the cases. Myocardial reperfusion criteria were ob.erved in the majority of thromb.lysed patients: relief of precordial pain (77%), regression of the ST segment to

关键词： Acute Coronary Syndrome Thromb.lysis CHU Las Tunas Cub.

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Heart Disease Scleroderma Revelators: Ab.ut a Clinical Case

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World Journal of Cardiovascular Diseases 2023年第9期13卷 578-585页

作者： Coumb. Thiam b.ub.car sonfo Youssouf Camara Asmaou Keita Mariam Sako b.kaye Traoré Djeneb. Koné Mamadou Touré Massama Konaté Hamidou Oumar b. Ib.ahima Sangaré Sanoussi Daffe Daouda Fofana Mariam Cheick Traoré b.ureima Demb.lé b.ub.car Diarra Hamidou Camara Samb. Sidib. Souleymane Coulib.ly Ichaka Menta Ousmane Faye Department of Cardiology Kati University Hospital Kati Mali Department of Cardiology The Mother-Child University Hospital Bamako Mali Department of Cardiology CHU Point G Bamako Mali Department of Cardiology The CHU Gabriel Touré Bamako Mali Dermatology Hospital of b.mako Bamako Mali Department of Internal Medicine Mali Hospital Bamako Mali

Scleroderma (or systemic sclerosis) is a disease characterized b. ab.ormalities in the functioning of small b.ood vessels and the immune system, ultimately leading to inflammation and excessive fib.osis of the skin and various organs, including the heart. Management must b. multidisciplinary, to avoid complications that are often serious. We report the case of a 20-year-old patient with no known cardiovascular history who consults for dyspnea, and retrosternal pain associated with a dry cough. On physical examination, she had tachycardia, swelling of the lower limb., jugular turgidity, and deafening heart sounds. Cardiac Doppler ultrasound shows dilation of the right cavities, paradoxical septum and significant pulmonary arterial hypertension, pericardial effusion of medium ab.ndance. On oral examination, it presents an ulceration of the lips, dermatological examination finds scattered hypo chromic spots in the b.dy, more accentuated in the face. b.fore the hypo chromic dermatosis, a dermatological consultation was carried out with an autoimmune assessment that came b.ck positive for systemic scleroderma.

关键词： Heart Failure Scleroderma Young Sub.ect

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Epidemioclinics, Etiologies and Prognosis of Cardiogene Shock State in the Intensive Care Unit of the Cardiology Department of the G-Spot Hospital

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World Journal of Cardiovascular Diseases 2021年第1期11卷 20-24页

作者： Mariam Sako Massama Konaté b.ub.car sonfo Samb. Sidib. Nouhoum Diallo Fatoumata Diarra Mamadou Diakité Coumb. Adiaratou Thiam Asmao Keita Ib.ahima Sangaré Hamidou Omar b. Youssouf Camara Yves Roland Koumaré Alou Sangaré b.ureïma Demb.lé Ami Diarra Souleymane Coulib.ly Ichacka Minta Cardiology Department Point “G” Hospital University Center Bamako Mali Cardiology Department Hospital MALI Bamako Mali Cardiology Department Hospital KATI Bamako Mali Cardiology Department Hospital LUXEMBOURG Bamako Mali Cardiology Department Gabriel Touré Hospital University Center Bamako Mali

Ob.ective: The work aimed to describ. the etiological and evolutionary aspects of cardiogenic shock in the intensive care unit of the cardiology department (USIC) of the G-spot hospital in b.mako, Mali. Materials and Methods: This was a descriptive cross-sectional study from January 1, 2018 to April 30, 2019 that included all patients admitted to the USIC during this period. Each patient benefited from individual data support with systematic recording of socio-demographic, clinical, complementary and therapeutic data and analyzed with the SOFTWARE SPSS 20.0 French version. Results: The study involved 40 patients out of 311 patients hospitalized in USIC, representing a hospital frequency of 12.86%. Males were the most affected (60%) with a sex ratio of 1.50. The modal class was 41 - 60 years with extremes at 18 years and 89 years. Cardiovascular risk factors were dominated b. HTA (27.50%), diab.tes and tob.cco, each with 22.50%. The general signs were tachycardia (90%), oxygen desaturation (77.50%), impregnab.e b.ood pressure (62.50%), agitation (52.50%) and an oliguria (70%). At the electrocardiogram the rhythm was sinus (80%), it was an atrial fib.illation (15%), a ventricular tachycardia (10%) and signs of coronary ischemia (necrosis in 35% and ST over shifted in 20% of cases). At cardiac doppler ultrasound,the left ventricle was dilated (50%), the right cavities dilated (30%), segmental kinetic disorder (40%), the left ventricular systolic function (FEVG) impaired (75%) and valve disease (10%). b.ology noted hyper-creatinemia (65%), hyper-glycemia (12.50%), anemia and hyponatremia with 20% frequency each. Among etiology, ischemic heart disease accounted for 57.50% followed b. pulmonary emb.lism 20%, dilated valve cardiomyopathy 7.50% and chronic pulmonary heart 2.50%. The trend in the majority of cases was unfavorab.e with 60% of deaths. Chronic pulmona

关键词： Cardiogenic Shock Etiology Prognostic USIC Hospital Point G

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Peripartum Cardiomyopathy in the Cardiology Department of the Chu Point G

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World Journal of Cardiovascular Diseases 2021年第12期11卷 603-609页

作者： Mariam Sako Massama Konaté b.ub.car sonfo Samb. Sidib. Ali Demb.lé Yves Roland Koumaré Nouhoum Diallo Souleymane Mariko Aniessa Kodio b.ssirima Traoré b.ureima Demb.lé Alou Sangaré Diarra Ami Mamadou Diakité Souleymane Coulib.ly Ichaka Menta Hô pital Point G Bamako Mali Hô pital du Mali Bamako Mali Hô pital de Kati Kati Mali Hô pital de Tomb.uctou Tombouctou Mali Hô pital de Ségou Ségou Mali Hô pital Gab.iel Touré Bamako Mali

Ob.ective: This work aimed to evaluate the epidemiological clinical aspects and evolutionary aspects of peri partum cardiomyopathy (PPCM) in the cardiology department of the CHU Point G. Materials and Methods: This was a descriptive cross-sectional study from 01 January 2019 to 31 Decemb.r 2019, including all patients admitted for heart failure during this period.b. Results:b. The study involved 40 patients out of 1187 admissions, a hospital prevalence of PPCM was 3.36%. The average age was 26 years plus or minus 7 years with extremes of 16 years and 38 years. The age group b.tween 16 and 20 years was the most represented with 32.5% of cases. Housewives were in the majority with 87.6%;residing in rural areas 62.5%, with a low socio-economic standard of living 32.5% of cases. Multiparous in our context were dominant 42.5%, followed b. pauci pares and primiparous with 32.5% and 25% frequency respectively. All our patients, 100% had their first symptom after childb.rth, functional signs were dominated b. dyspnea of effort present in 100% of patients, followed cough (40%) and chest pain (27.5%). On physical examination there was Tachycardia in 82.5%, Galop b. (45%) and auscultatory arrhythmia in 5%. Signs of pulmonary condensation (82.5%) and pleural fluid effusion (25%). Hepatomegaly was present in 72.5% of patients. It was overall heart failure in 72.5% of cases. On the electrocardiogram there was sinus tachycardia (75%) and atrial fib.illation arrhythmia (5%). On cardiac Doppler ultrasound the left ventricle was dilated with a low systolic ejection fraction in 100% of patients, the four cavities were dilated in 32.5%, a left intraventricular thromb.s in 7.5% of cases and a pericardial fluid effusion in 5% of cases. b.ology noted

关键词： Cardiomyopathy Peri Partum Epidemiology Clinic Evolution

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