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World Journal of Cardiovascular Surgery 2023年第9期13卷 137-143页

作者： gnaba loa Ambroise Kouakou Florent Diby Aka Leon Yves-Roland Akatchi Pinnin Evelyne Adjara Abdoulaye Coulibaly Samuel Abro Joel Oné Marie Nicole Konan Kassi Anicet Adoubi Departement of Cardiology Teaching Hospital Bouake Ivory Coast Medical Sciences Training and Research Unit Alassane Ouattara University Bouake Ivory Coast

Cardiovascular complications during hyperthyroidism are dominated by arrhythmias, heart failure and coronary heart disease. Pericardial effusion which is a common complication of hypothyroidism is extremely rare in hyperthyroidism. We report the case of a 45-year-old woman admitted for management of pleuro-pericarditis associated with atrial fibrillation in the context of cardiothyreosis. The treatment consisted of a pericardial puncture associated with synthetic anti-thyroid drugs and anti-tuberculosis drugs with positive clinical and echocardiographic outcomes.

关键词： Hyperthyroidism Pericarditis Tuberculosis Bouake Ivory Coast

Epidemiologic Transition and Heart Failure in Black African Adults

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World Journal of Cardiovascular Diseases 2017年第10期7卷 358-366页

作者： Djinguin Ben Justin Koffi loa Ambroise gnaba Iklo Coulibaly Bamba Kamagaté Jean Baptiste Anzouan-Kacou Félix Houphouet Boigny University Abidjan Cote d’Ivoire National Police Hospital Abidjan Cote d’Ivoire Institute of Cardiology Abidjan Cote d’Ivoire Alassane Ouattara University Bouake Cote d’Ivoire

The objective of this study is to report clinical, electrocardiographic, and echocardiographic data on heart failure for the evaluation of its cardiovascular risk factors and causes at the Institute of Cardiology of Abidjan and the National Police Hospital. Patients and Methods: The 12-month prospective study included 989 patients who were diagnosed with heart failure at the Institute of Cardiology of Abidjan and the Heart Department of the National Police Hospital in Cote d’Ivoire. Results: The mean age of the patients was 55 ± 12 years. Patients ≤ 50 years, aged 50 and 70 years, and ≥ 70 years were 42%, 60%, and 18%, respectively. The major cardiovascular risk factors were high blood pression (60%), smoking (19%), type 2 diabetes (11%), and hypercholesterolemia (8%). The status of 11% of HIV positive patients were ignored upon admission to the Heart Hospitals. Severe kidney failure (25%) was found in all hypertensive patients. Atrial fibrillation patients and sinus rhythm subjects were 20% and 80%, respectively. The average duration of QRS was 102 ± 24 ms. 20% of patients had a complete left bundle branch block. The mean of the left ventricular ejection fraction (LVEF) was 35.8% ± 13%. The LVEF was? ≤ 45% in 57% of cases and ≤ 30% in 30% of cases. The identified causes of heart failure were ischemic heart disease (60%), hypertensive heart disease (20%), and rheumatic valvulopathy (12%). Among the patients with ischemic heart disease, 80% were infarction. The coronarography and the myocardial revascularization were performed in 50% of cases. The primitive cardiomyopathy was diagnosed in 15% of cases. The average follow-up was 12.6 ± 8 months. 18% of patients died, 14% of whom deceased within 1 year after the initial diagnosis and 5% of death occurred in 19 months following the first symptoms of heart failure. The end stage of heart failure (13%) was the most frequent cause of death followed by the sudden death (5%) and the terminal kidney failure (2%). The patients

关键词： Epidemiologic Transition Heart Failure Institute of Cardiology of Abidjan National Police Hospital Black African

Childhood Heart Disease in Côte d’Ivoire: Retrospective Multicentric Study about 228 Cases

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Open Journal of Pediatrics 2018年第4期8卷 375-388页

作者： Richard Azagoh-Kouadio Kouakou Florent Diby Kouadio Vincent Asse loa gnaba Koko Aude Aka-Tanoh Kossonou Roland Yeboua Kouassi Christian Yao Christelle Avi Soumahoro Oulai Paediatric Ward of University Teaching Hospital of Treichville Abidjan Cote d’Ivoire Department of Cardiovascular and Thoracic Diseases CHU de Bouaké Bouaké Cote d’Ivoire Paediatric Ward of University Teaching Hospital of Bouake Bouaké Cote d’Ivoire

Introduction: In Cote d’Ivoire, the paediatrician has to face a diagnosis and management problem in front of pediatric heart disease, with consequent a high lethality. Objective: To describe the epidemiological, diagnostic, therapeutic and progressive aspects of childhood cardiopathy for the improvement of prognosis and professional practice. Materials and methods: This was a multicenter retrospective and descriptive study conducted from January 2011 to March 2016 in two main hospitals universities, one located in Abidjan and the other in Bouaké. It concerned children aged 0 to 15 admitted for cardiac disease diagnosed on clinical and/or echocardiographic arguments. The variables studied were the epidemiological, diagnostic, therapeutic and evolutionary aspects. Results: A total of 49.760 admissions including 228 infantile heart disease cases (congenital 113, acquired 51, indeterminate 64) are overall prevalence of 4.6‰. They involved 106 boys and 122 girls. In 74.6% of cases, the age was between 0 and 2 years. Respiratory distress 73.7% was the main reason for consultation. The main congenital heart diseases (CHD) are ventricular septal defect (VSD) (31%), atrial septal defect (ASD) (20.4%), atrioventricular canal (AVSD) (12.4%) and tetralogy of Fallot (TOF) (11.5%). As for acquired forms (AHD), rheumatic mitral insufficiency (41.2%) and tuberculous pericarditis (15.7%) were the two main causes. Treatment progress is marked by stabilization (71.1%) and death (14%). Death was significantly associated with low socioeconomic status (p = 0.01) and with complication (p 0.001). Conclusion: Infantile heart diseases are relatively less frequent and serious in Cote d’Ivoire. To improve the prognosis, close collaboration between the pediatrician and the cardiologist is required for early diagnosis and management.

关键词： Child Congenital Heart Disease Acquired Heart Disease Ivory Coast

Contribution of Ambulatory Pulsed Pressure in the Modification of the Left Ventricular Geometry of the African Black People

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World Journal of Cardiovascular Diseases 2020年第12期10卷 831-838页

作者： gnaba loa Ambroise Adoubi Kassi Anicet Diby Kouakou Florent Ouattara Pinnin Diomandé Manga Ayegnon Kouakou Gregoire Abro Samuel Tro Keumian Gabin Dakoi Serge Coulibaly Abdoulaye Yangni-Angaté Koffi Hervé Department of Cardiovascular and Thoracic Diseases Teaching Hospital of Bouake Bouake Ivory Coast Alassane Ouattara University Bouake Ivory Coast

Introduction-Purpose: Pulsed pressure is recognized as an important predictor of cardiovascular risk. The purpose of this study was to identify a possible association between high ambulatory pulsed pressure and left ventricular geometry change in African black people. Material and methods: We conducted a bicentric, retrospective descriptive and analytical study that took place from 2010 to 2015 at the Abidjan Heart Institute and the Polyclinic Sainte Anne Marie in Abidjan. The people were selected from MAPA’s archive files. Those aged 18 years and over were included, all of whom had valid echocardiography and MAPA. The analyzed parameters concerned epidemiological data with age, gender and body surface area. The clinical data analyzed included systolic, diastolic, mean and 24-hours pulsed pressures. On the echocardiographic parameters, it was the evaluation of the ventricular mass indexed to the body surface. Results: A total of 177 patients records were selected. The mean age of the patients was 56.32 ± 10.51 years. There was a male predominance with a sex ratio of 1.15. The main cardiovascular risk factors found outside high blood pressure were dyslipidemia (06.87%) and obesity (13.7%). In clinical terms, hypertension was found in 75% of cases (n = 133) versus 25% (n = 44) of normotensive patients. These blood pressure profiles allowed us to classify our study population into two groups: hypertensives people and normotensives people. The hypertensives people had significantly higher mean pulsed pressure levels than the normotensives people. All normotensive patients had normal pulsed pressure. In the hypertensive population, the prevalence of high pulsed pressure was 31% (n = 41) versus 69% (n = 92) normal pulsed pressure. Concerning the relationship between 24 hour ambulatory pulsed pressure and left ventricular mass, hypertensives patients with a high ambulatory pulsed

关键词： Ambulatory Pulsed Pressure-Left Ventricular Mass Indexed -African Black People