Introduction: Atrial fibrillation (AF) and heart failure (HF) are two closely related cardiovascular diseases, whose association worsens prognosis and is a major public health concern. The aim of this study was to ass...Introduction: Atrial fibrillation (AF) and heart failure (HF) are two closely related cardiovascular diseases, whose association worsens prognosis and is a major public health concern. The aim of this study was to assess the prevalence of AF in patients with chronic heart failure at the cardiology department of CHU Ignace Deen. Methods: This was a cross-sectional, descriptive study conducted over a 7-month period, from April 1 to November 30, 2024, of patients hospitalized for IC associated with AF. Results: Out of 377 admissions, 31 cases of IC associated with AF were identified, representing a hospital prevalence of 8.22%. The majority of patients were men (70.96%;sex ratio: 2.4), with an average age of 58.8 ± 12.4 years. The age groups most affected were 51 - 60 years (41%) and 71 - 80 years (22.5%). The main risk factors included arterial hypertension (48.38%), diabetes (22.58%) and smoking (16.22%). The most frequent etiologies of AF-associated CI were coronary artery disease (48.38%), hypertension (25.89%) and valvular heart disease (9.67%). CHA2DS2-VASc score ≥ 3 was present in 38.70% of patients. Direct oral anticoagulants (DACs) were the most widely used antithrombotic therapy (64.51%), while beta-blockers were the most prescribed antiarrhythmic drugs (58.06%), followed by digoxin (32.25%). Conclusion: The increase in coronary artery disease and hypertension in Africa is helping to make atrial fibrillation a frequent cardiac rhythm disorder in hospitals.展开更多
Acute coronary syndrome (SCA) is the clinical manifestation of myocardial suffering due to ischemia. Through this study, we aim to describe the management of acute coronary syndromes in the cardiology department of th...Acute coronary syndrome (SCA) is the clinical manifestation of myocardial suffering due to ischemia. Through this study, we aim to describe the management of acute coronary syndromes in the cardiology department of the National Ignace Deen Teaching Hospital in Conakry. We conducted a prospective, descriptive study, conducted from November 1, 2023, to May 31, 2024, on patients hospitalized for SCA. The hospital prevalence of acute coronary syndrome in our study was 22.9%. Male patients were the most represented (74.1%) with a sex ratio of 2.9. The age group of 60 - 65 predominates (47%) with an average age of 63 ± 15. Killip stage I was the most common on admission in 58%. In our series, 12 (%) were thrombolyzed by streptokinase, and 8 were successful. Angioplasty was performed in 6 patients, including 2 primary ones. The evolution was good in 65% of our patients.展开更多
文摘Introduction: Atrial fibrillation (AF) and heart failure (HF) are two closely related cardiovascular diseases, whose association worsens prognosis and is a major public health concern. The aim of this study was to assess the prevalence of AF in patients with chronic heart failure at the cardiology department of CHU Ignace Deen. Methods: This was a cross-sectional, descriptive study conducted over a 7-month period, from April 1 to November 30, 2024, of patients hospitalized for IC associated with AF. Results: Out of 377 admissions, 31 cases of IC associated with AF were identified, representing a hospital prevalence of 8.22%. The majority of patients were men (70.96%;sex ratio: 2.4), with an average age of 58.8 ± 12.4 years. The age groups most affected were 51 - 60 years (41%) and 71 - 80 years (22.5%). The main risk factors included arterial hypertension (48.38%), diabetes (22.58%) and smoking (16.22%). The most frequent etiologies of AF-associated CI were coronary artery disease (48.38%), hypertension (25.89%) and valvular heart disease (9.67%). CHA2DS2-VASc score ≥ 3 was present in 38.70% of patients. Direct oral anticoagulants (DACs) were the most widely used antithrombotic therapy (64.51%), while beta-blockers were the most prescribed antiarrhythmic drugs (58.06%), followed by digoxin (32.25%). Conclusion: The increase in coronary artery disease and hypertension in Africa is helping to make atrial fibrillation a frequent cardiac rhythm disorder in hospitals.
文摘Acute coronary syndrome (SCA) is the clinical manifestation of myocardial suffering due to ischemia. Through this study, we aim to describe the management of acute coronary syndromes in the cardiology department of the National Ignace Deen Teaching Hospital in Conakry. We conducted a prospective, descriptive study, conducted from November 1, 2023, to May 31, 2024, on patients hospitalized for SCA. The hospital prevalence of acute coronary syndrome in our study was 22.9%. Male patients were the most represented (74.1%) with a sex ratio of 2.9. The age group of 60 - 65 predominates (47%) with an average age of 63 ± 15. Killip stage I was the most common on admission in 58%. In our series, 12 (%) were thrombolyzed by streptokinase, and 8 were successful. Angioplasty was performed in 6 patients, including 2 primary ones. The evolution was good in 65% of our patients.
