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The Glenn Shunt Revisited, A Single Center Registry in Ain Shams University Cardiology department

Congenital Heart Disease 2022年第1期17卷 71-85页

作者： Mina Tewfik Maiy El-Sayed Alaa Roushdy Soha Romeih Dina Ezzeldin Hebatalla Attia Cardiology department Ain Shams UniversityCairoEgypt Prof.Magdy Yacoub Aswan Heart Centre AswanEgypt Cardiology department Tanta UniversityTantaEgypt

Background:Bidirectional Glenn shunts have long been available as palliative procedures for patients with single ventricle physiology that is,patients unsuitable for biventricular repair.In our country they are performed at an older age than that recommended by the literature.So,we aim to assess post bidirectional Glenn shunt patients to detect the presence of any complications and to evaluate their functional capacity.Methods:This was a descriptive study that included all patients who underwent a bidirectional Glenn shunt and were referred for follow up in Ain shams university hospitals.History taking including NYHA class and physical activity,clinical examination,six-minutes-walk test,laboratory investigations,full echocardiographic assessment were done for all patients.Some patients needed invasive cardiac catheterization.Results:Our registry included 178 patients who underwent bidirectional Glenn procedure referred for follow up in Ain Shams university hospital from January 2019 till July 2020.The mean age of the registry was 18.7±8.26 years(range between 5 and 37 years),85 males(48%)and 93 females(52%).Regarding the basic anatomy,double outlet right ventricle with hypoplastic left ventricle was the commonest.Furthermore,our descriptive study confirmed many characteristic similarities between our patients and patients in developing countries.Our patients underwent bidirectional Glenn shunt at a median age of 6 years which is considered a relatively old age but similar to other studies that have been made in developing countries like Pakistan,India and Iran.There is a significant delay in the operation in Egyptian patients due to lack of patients’awareness,few numbers of primary health care facilities and high economic burden.Conclusion:Although the presence of slight systemic desaturation,our study demonstrated a satisfactory functional capacity among our patients;thus,bidirectional Glenn can be considered an acceptable definite univentricular repair in patients with late presentation.

关键词： Bidirectional Glenn shunt single ventricle univentricular repair

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Correlation between SYNTAX Score and Pattern of Risk Factors in Patients Referred for Coronary Angiography in Cardiology department, Menoufia University

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World Journal of Cardiovascular Diseases 2018年第8期8卷 431-439页

作者： Ahmed Mokhtar El Kersh Ahmed Ashraf Reda Mohamed Gamal El Hadad Khaled Hussein El-Sharnouby department of cardiology Menoufia University Hospitals Menoufia Egypt department of cardiology Shibin El Kom Teaching Hospital Menoufia Egypt

Objectives: The role of SYNTAX (SX) score in assessing the complexity of coronary artery disease (CAD) is well established. In this study we investigate the relationship between conventional risk factors of CAD with its complexity using SX score. Methods: The study consisted of 52 patients with CAD who were admitted to Cardiology department—Menoufia University Hospitals for elective coronary angiography. The overall SX score was calculated prospectively using the SX score algorithm. Then comparison was done between populations with and without each risk factor. Results: There was a statistically significant correlation between age, hypertension, diabetes mellitus, dyslipidemia and smoking with SX score results (p 0.05). In a multivariate regression analysis, including conventional risk factors of CAD as independent covariates, it revealed that aging, having diabetes mellitus and smoking were identified as significant independent risk factors for CAD complexity. Conclusion: Advanced age, having diabetes mellitus and cigarette smoking are considered to be independent risk factors for the complexity of CAD. Therefore, when these factors present, we expect that the SX score of the patient to be high indicating a complex CAD.

关键词： Coronary Artery Disease SYNTAX Score Risk Factors

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Therapeutic Compliance of Hypertensive Patients Followed in Ambulatory 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： Boubacar Sonfo Coumba Thiam Mariam Sako Massama Konaté Youssouf Camara Mamadou Touré Boubacar Diarra Diakaridja Sacko Samba Sidibé Bassan Diarra Hamidou Camara Asmaou Keita Konimba Diarra Hamidou Oumar Bâ Ibrahima Sangaré Youssouf Guindo Sanoussi Daffe Daouda Fofana Souleymane Coulibaly 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 blood pressure is a major public health problem worldwide due to its frequency and cardiovascular complications. Adherence to treatment for chronic diseases is a global problem. The aim was to study therapeutic adherence in hypertensive patients followed in ambulatory. Materials and Methods: This was a cross-sectional, descriptive study with prospective recruitment that took place from July 1 to December 31, 2022 (6 months) in the Cardiology department of the university hospital of Kati. The variables studied were sociodemographic data, cardiovascular risk factors, comorbidities, 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 urban 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 by smoking 14.3%. More than 71% of patients had a compliance problem and the main reasons were forgetting to take the drug with 73.2%, followed by delayed treatment of 50% and drug discontinuation of 28.6%. Conclusion: Compliance is a real challenge and a major public health issue. This study allowed us to find a real problem of compliance in our hypertensive patients. There was a statistically significant relationship between 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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Epidemio-Clinical, Therapeutic and Evolutive Aspects of Aortic Dissection in the Cardiology department in Poin “G” Hospital University Center Bamako

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World Journal of Cardiovascular Diseases 2018年第8期8卷 424-430页

作者： Samba Sidibé Coumba Adiaratou Thiam Abdoul Karim Sacko Mamadou Diakite Mariam Dagnoko Souleymane Coulibaly Nouhoum Diallo Hamidou Omar Ba Ibrahima Sangaré Somnoma Jean-Baptiste Tougouma Massama Konaté Oumar Daouda Koné Mamadou Touré Mariam Sako Ichaka Menta Illo Bela Diall Boubakar Diallo Cardiology department Point “G” Hospital University Center Bamako Mali Cardiology department Hospital Kati Bamako Mali Cardiology department Gabriel TOURE Hospital University Center Bamako Mali Higher Institute of Health Sciences Nazi Boni de Bobo Dioulasso University Bobo Dioulasso Burkina Faso Cardiology department Hospital Mali Bamako Mali Medical department of Institute for Studies and Research Bamako Mali

Objective: The work aimed at describing an epidemioclinical, therapeutic and evolutionary characteristics of patients hospitalized for aortic dissection in the Cardiology department in Point “G” Hospital University Center in Bamako—Mali. Methodology: It was a descriptive cross-sectional study from January 2010 to February 2017 in the CHU Point G Cardiology department, including all patients hospitalized during this period. Results: Of 6912 hospitalized patients, 23 patients were concerned by aortic dissection. The prevalence of aortic dissection was 0.33%. The most affected age group was 50 - 69 (43.5%) of patients. The predominance was male with a sex ratio of 4.75. The cardiovascular risk factors were high blood pressure (73.9%) and smoking (60.9%). The major functional signs were chest pain (65.2%) and dyspnea (65.2%). Asphygmy (56.5%) and breath of aortic insufficiency (60.9%) were the dominant physical signs. The electrocardiogram recorded sinus tachycardia with 86.9% of patients. The radiographic of the frontal thorax showed mediastina widening (73.9%). At echocardiography, dilatation of the ascending aorta was described with 73.9% and the intimal veil (47.8%). Pericardial effusion was observed with 26.1% of patients. In the thoracic angioscan, the aortic dissection gave 43.5% for type A and 56.5% for type B. The aneurysm of the aorta was abdominal with 21.7%, ascending portion (13.0%) and descending with 8.7%. Complications were dominated by heart failure (47.8%) and aneurysm of the aorta (34.8%). The lethality was 52.2%. Conclusion: Aortic dissection is a medical and surgical emergency with poor prediction.

关键词： Aortic Dissection cardiology Point G Hospital

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End-of-life care in a Cardiology department： have we improved？

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Journal of Geriatric cardiology 2016年第7期13卷 587-592页

作者： Juan Rulz-Garcia Pablo Dlez-Villanueva Ana Ayesta Vanessa Brufia Lourdes M Figueiras-Graillet Laura Gallego-Parra Francisco Fernandez-Aviles Manuel Martinez-Selles department of cardiology Hospital General Universitario Gregorio Maranon Calle Doctor Esquerdo Madrid Spain department of cardiology Hospital Universitario de Torrejon Calle Mateo Inurria Torrejon de Ardoz Madrid Spain Universidad Francisco de Vitoria Carretera Pozuelo a Majadahonda Pozuelo de Alareon Madrid Spain department of cardiology Hospital Universitario de la Princesa Calle de Diego de Leon Madrid Spain Departmet of cardiology Hospital Universitario del Sureste Ronda del Sur Arganda del Rey Madrid Spain Universidad Complutense de Madrid Av. Seneca Madrid Spain Universidad Europea de Madrid Urbanizacion E1Bosque Calle Tajo Villaviciosa de Odon Madrid Spain

BackgroundEnd-of-life 照顾不通常是在心病学部门的优先级。我们寻求了在 do-not-resuscitate (DNR ) 的介绍以后在 end-of-life 照顾评估变化顺序 protocol.Methods &；在在二经期的一个心病学部门的所有死亡的 ResultsRetrosp... 详细信息

BackgroundEnd-of-life 照顾不通常是在心病学部门的优先级。我们寻求了在 do-not-resuscitate (DNR ) 的介绍以后在 end-of-life 照顾评估变化顺序 protocol.Methods &；在在二经期的一个心病学部门的所有死亡的 ResultsRetrospective 分析，在协议的介绍前后。人口统计的特征， DNR 订单的使用，和 end-of-life 照顾的比较在两个时期之间发出，根据在表(组 A ) ，一份常规 DNR 订单(组 B ) 或任何 DNR 的缺席订的新 DNR 的第二经期(组 C ) 的存在。死亡的数字在两个时期是类似的(n = 198 对 n = 197 ) 。与一份 DNR 订单死的病人的率显著地增加了(57.1% 对 68.5% ；P = 0.02 ) 。仅仅在两个时期的 4% 病人知道关于心肺的复活作的决定。在组 A 的病人更早收到了 DNR 顺序一天，并且 24.5% 在录取的开始的 24 h 以内收到了它(对 2.6% 在第一个时期；P <；0.001 ) 。在有一个可植入的 cardioverter 使用高压脉冲来消减心脏(ICD ) 的组 A 的所有病人把电震疗法撤销(对 25.0% 在第一个时期；P = 0.02 ) 一个 DNR 顺序协议的 .ConclusionsThe 介绍可以由增加使用并且弄短在心脏病患者改进 end-of-life 照顾 DNR 订单的登记的时间。它可以也在地方与这些订单在病人贡献增加 ICD 释放。然而，在疾病的迟了的阶段的表的介绍没能改进耐心的参予。

关键词：心脏病患者护理生命 DNR 死亡人数统计特征心肺复苏 ICD

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Epidemiological, Clinical and Angiographic Profile of Chronic Coronary Syndromes in the Catheterization Room. Single-Centre Study Carried Out in the Cardiology department of the Chu Aristide Le Dantec in Dakar (Senegal)

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World Journal of Cardiovascular Diseases 2023年第10期13卷 674-685页

作者： Cheikh Mouhamadou Bamba Mbacke Diop Radja Juste Bissakonou Nzaya Joseph Salvador Mingou Papa Guirane Ndiaye Youssou Diouf Khadimu Rassoul Diop Demba Ware Balde Ahmadou Bamba Samb Malick Bodian Fatou Aw Simon Antoine Sarr Mouhamadou Bamba Ndiaye Abdoul Kane Maboury Diao Cardiology department CHU Aristide Le Dantec Dakar Senegal Cardiology department Dalal Jamm Hospital Dakar Senegal

Background: Ischaemic heart disease is the cause of 7.4 million deaths per year. Their prevention is based on the management of cardiovascular risk factors, but also on the early detection and management of chronic coronary syndromes (CCS), for which few data are available in Africa. The main objective of our study was to determine the factors related to significative coronary artery disease in patients undergoing coronarography for suspected chronic coronary syndrome (CCS). Methodology: We conducted a retrospective descriptive and analytical study over 2 years (from January, 1st, 2018 to December 31st, 2019) in the Cardiology department of the University Hospital Aristide Le DANTEC in Dakar. All patients admitted for coronary angiography for suspected chronic coronary syndrome were included. Results: One hundred and fifty-two patients were included with a mean age of 60.79 ± 9.73 years, the most represented age group was 60 - 69 years. Advanced age was the most frequent risk factor (77.63%) followed by sedentary lifestyle (56.58%) and hypertension (41.45%). Diabetes was present in 17.1% of cases. A history of angioplasty was found in 1.97% of patients. Typical pain was found in 71.05% of cases, atypical pain in 19.74% and exertional dyspnoea in 2.63%. The pre-test probability was intermediate in 67.1% of cases, low in 25% and high in 7.9%. Significative coronary lesion was found in 52.63% of the patients, while coronary angiography was normal in the remaining cases. Tritroncular status was observed in 37.50%, it was bitroncular in 26.25% and monotroncular in 36.25% of cases. Factors associated with significative coronary artery disease were age (p = 0.0001), diabetes (p = 0.006), previous angioplasty (p = 0.023), previous myocardial infarction (p = 0.018), typical angina (p = 0.001), intermediate pretest probability (p = 0.001). Low pretest probability was significantly correlated with the absence of a coronary lesion with a p = 0.001. Conclusion: Our study shows that screening for chronic

关键词： Chronic Coronary Syndroms Coronarography Aristide Le Dantec Hospital Dakar

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Epidemiological, Clinical and Coronary Angiography Aspects of Acute Coronary Syndrome in the Cardiology department of the Hospital Mother-Child “Le Luxembourg”Mali

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World Journal of Cardiovascular Diseases 2024年第4期14卷 228-233页

作者： Sidibé Samba Toure Mamadou Konate Massama Sankaré Hamma Traoré Ousmane Mahamat Guire Sadik Diall Mahan Ameri Dicko Bahaide Daffe Sanoussy Keita Asmaou Thiam Coumba Adiaratou Diarra Soumaila Menta Ichaka Cardiology department CHU-M&#232re Enfant Bamako Mali Cardiology department CHU-Point G Bamako Mali Faculty of Medicine University of Sciences Techniques and Technologies of Bamako Bamako Mali Cardiology department CHU-Gabriel Tour&#233 Bamako Mali Cardiology department Mali Hospital Bamako Mali

Introduction: Cardiac catheterisation plays a fundamental role in the management of acute coronary syndrome. These explorations require heavy, complex and costly equipment and a large team of doctors, nurses and technicians with highly specialized training. Aims: To describe epidemiological, clinical and coronary angiography aspects of patients with acute coronary syndrome. Patients and Methods: Descriptive study from September 2019 to December 2023 in the Cardiology department of the Hôpital Mère-Enfant of Bamako. Inclusion criteria were patients admitted for coronary angiography with the diagnosis of acute coronary syndrome. Results: During the study period, 1253 patients underwent coronary angiography, 596 of whom had acute coronary syndrome as an indication, representing a hospital frequency of 47%. Sex-ratio was 2.10. Mean age of patients was 58.5 ± 11.39 years. ST elevation acute coronary syndrome was the most common indication with 63.92% of cases. High blood pressure was the main cardiovascular risk factor with 58.7% of cases, and radial access approach was used in 98% of cases. Coronary angiography was pathological in 91.70% of cases (n = 548). Patients with lesions of anterior interventricular artery were 73.73% of cases. Tritruncal lesions accounted for 40.63% of cases. Conclusion: ST elevation acute coronary syndrome is the most frequent manifestation of acute coronary syndrome. Anterior interventricular artery is most often the culprit lesion for our patients.

关键词： Coronary Angiography Acute Coronary Syndrome Bamako Mali

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Therapeutic Education of Heart Failure: Prospective Study in the Cardiology department of the Dalal Jamm National Hospital Center in Dakar

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World Journal of Cardiovascular Diseases 2023年第7期13卷 415-432页

作者： Mamadou Barry Marguerite Tening Diouf Mamadou Bassirou Bah Aimé Mbaye Sy Ibrahima Sory Sylla Hassatou Diallo Aissatou Tiguidanké Balde Elhadj Yaya Balde Abdoul Kane Mamadou Dadhi Balde Cardiology department of the Ignace Deen National Hospital Conakry Guinea Cardiology department of the Dalal Jamm National Hospital Center Dakar Senegal

Context: Heart failure (HF) is a common pathology requiring many types of treatments, including therapeutic education, which has demonstrated a major benefit in terms of reducing re-hospitalization and mortality from HF or all other causes. Objective: The aim of this study was to evaluate the contribution of therapeutic education (TPE) in patients with heart failure. Methodology: This was a single-centre, interventional, non-randomized, before-and-after type study. It focused on hospitalized heart failure patients aged 18 and over. We evaluated the effect of TPE on therapeutic compliance, knowledge, practical attitudes, patient perceptions and quality of life. Results: Our study included 41 patients prior to therapeutic education: 17 men (41%) and 24 women (59%). The mean age was 54.7 ± 16.2 years. After the TPE sessions we evaluated 32 patients: The patients with good compliance increased from 75% to 90.63%, and patients with a low level of compliance (90.6%) decreased to 34.4%. An increase in the number of patients who had an attitude adapted to not exceeding the recommended amount of salt (6 before TPE and 22 after TPE), as well as in the number of patients who had an attitude adapted to physical activity (12 before TPE and 16 after TPE). There was also an increase in the number of patients who were confident about the outcome of their disease (12 before TPE and 16 after TPE), and a decrease in those who were hopeless (8 before TPE and 5 after TPE), an improvement in the quality of life score (45.03 before TPE and 15.78 after TPE). Conclusion: This study shows the beneficial effect of therapeutic education in patients hospitalized for heart failure in improving their level of knowledge, compliance with treatment, lifestyle habits and quality of life.

关键词： Therapeutic Education Heart Failure Quality of Life

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Congenital Heart Disease Referred for Surgery: Analysis and Epidemiological Description in the Cardiology department of CHU Ignace Deen

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World Journal of Cardiovascular Diseases 2024年第4期14卷 234-251页

作者： Bah Mamadou Bassirou Diallo Mamadou Tahirou Doumbouya Amadou Dioulde Balde Elhadj Yaya Camara Abdoulaye Diallo Mamadou Balde Thierno Siradio Bah Abdoulaye Bah Mamadou Dian Samoura Sana Balde Mamadou Dadhi Cardiology department of the Ignace Deen Hospital Conakry Guinea

Introduction: Congenital heart disease includes all cardiac and vascular malformations. It accounts for approximately one third of all congenital malformations and is a public health problem, particularly in developing countries. The aim of this study was to analyze the epidemiological, clinical and paraclinical aspects of congenital heart disease. Methods: This was a retrospective descriptive and analytical study based on the records of 135 patients referred for surgery and followed up in the Cardiology department of the Ignace Deen University Hospital, collected in November 2022. Results: Hospital prevalence was 5%. The mean age was 71 months, ranging from 1 month to 19 years. The age group over 24 months was the most represented (62%). The M/F sex ratio was 1.36. Urban origin was predominant (58%). The rate of children not attending school or dropping out was high (16%). Siblings with fewer than 4 children were the most common (88%). A heart murmur was the most frequent sign (78%), followed by cyanosis (36%) and heart failure (29%). The association between heart murmurs and CHD was proven with a p-value Conclusion: CHDs represent the main indication for paediatric cardiac surgery and follow-up (95%). We stress the importance of implementing a screening and management strategy for congenital heart disease.

关键词： Congenital Heart Disease cardiology Epidemiology Surgery Ignace Deen University Hospital

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Mortality in cardiology in Sub-Saharan Africa: Case of the Cardiology department of the Teaching Hospital Sylvanus Olympio of Lome

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World Journal of Cardiovascular Diseases 2023年第8期13卷 477-492页

作者： Afassinou Yaovi Mignazonzon Dola Kossi Edem Pessinaba Soulemane Atta Borgatia Pio Machihude Baragou Soodougoua Damorou Findibe Cardiology department Sylvanus Olympio Teaching Hospital of Lome Lome Togo Cardiology department Teaching Hospital Campus of Lome Lome Togo Medical department Sokode Regional Hospital Center Sokode Togo Cardiology department Kara Teaching Hospital Kara Togo

Background: Cardiovascular disease is the leading cause of death worldwide. The specificities of cardiology mortality in Togo are not well known. The objective of this study was to determine the profile of deaths in the Cardiology department of the Sylvanus Olympio Teaching Hospital (CHU SO) in Lome. Materials and Methods: This was a cross-sectional study conducted over a period of 06 years, from January 1, 2015 to December 31, 2021, in the Cardiology department of the Sylvanus Olympio Teaching Hospital in Lome. In this study, we included all medical records of patients who died in hospital in the Cardiology department during the study period. Results: During the study period, 2762 patients were hospitalized in the cardiology unit at CHU SO. We recorded 112 deaths meeting our criteria, for an intrahospital mortality rate of 4.19%. The average age of patients was 53.79 ± 18.27 years. Hypertension was present in 47.3%. Sickness insurance coverage was not available for 94.64% of those who died. The major cardiovascular diseases observed were myocardium in 43.75% whose dilated cardiomyopathy accounted for 71.42%;and rhythmic lesions in 34.82%. Biological infectious syndrome (56.25%), renal failure (48.21%), anemia (47.27%), lung infection (32.14%), hyponatremia (33.04%) were the main comorbidities observed. Among the circumstances of death, sudden death was found in 32.14%, cardiogenic shock in 20.54% and septic shock in 13.39%. Conclusion: The profile of deaths in the Cardiology department of the CHU SO reveals that myocardial injuries are more present with circumstances of death dominated by sudden death.

关键词： Mortality Rate cardiology CHU Sylvanus Olympio

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