No abstract

Our study shows that chronic rheumatic valvular heart disease is the most common cardiovascular diagnosis among patients seen at cardiology clinics of six referral/teaching hospitals in the country, followed by congenital heart diseases. Hypertensive and ischaemic heart diseases also accounted for a significant proportion of the cases. Therefore, strategies directed towards primary and secondary prevention of acute rheumatic fever as well as prevention of risk factors for hypertension and ischaemic heart disease may need to be strengthened.

Aims To compare the correlates of foot self‐care behaviours among type 2 diabetes mellitus (T2D) adults with and without comorbid heart failure (HF). Design Cross‐sectional, correlational, comparative design. Methods A 210 T2D adults (105 with HF and 105 without HF) participated from August–December 2020. Foot self‐care behaviour was measured using the foot care subscale of the Summary of Diabetes Self‐Care Activities (SDSCA) instrument. A stepwise logistic regression analysis was used to explore variables predicting foot self‐care behaviour. Results The participants' mean age was 58.7 ± 10.9 years. Poor foot self‐care behaviour was reported in T2D adults both with (53.3%) and without (54.3%) HF. Participants with HF‐comorbidity were statistically significantly older and had higher total daily medication intake. Household income and the total number of daily medications statistically significantly predicted foot self‐care behaviour in HF‐comorbid T2D adults. Marital status, social support and body mass index predicted foot self‐care behaviour in the non‐HF group.

No abstract

Background: Valvular heart disease, in particular mitral stenosis, is associated with unfavorable pregnancy outcomes. Data on maternal and fetal outcomes of pregnant women with mitral stenosis in Ethiopia as well as other sub-Saharan countries is scare. Method: A retrospective cross section study was conducted. Chart review of all 58 pregnant women with mitral stenosis admitted at Tikur Anbessa Specialized Tertiary Referral Hospital labor ward from January 2014 to December 2018 was done. Result: This study included 58 pregnant women with MS. The mean age of the participants was 27(SD,±4.5) years. The mean mitral valve area among the participants was 1.1cm. About 79% of cases had MVA of ≤1.5cm 2 and 55.2% had valve area of ≤1cm2. Fifty one (87.9%) patients had moderate to severe pulmonary hypertension the overall incidence of serious adverse pregnancy and peripartal outcome among the study participants was 44.8%. About 69% of patients had heart failure, from which 34.5% had NYHA class III and IV functional classes. Maternal death occurred in 4(6.9%) cases, whereas thromboembolism and ICU admission rates were 2(3.4%) and 3(5.2%) respectively. Neonatal complications including low birth weight, preterm delivery, abortions and still birth were 26.5%, 16%, 17.2% and 6.1% respectively. Mitral valve area was the main determinant of outcome (AOR=15, 2.50-90% CI, P=0.003). CONCLUSIONS: The overall incidence of serious adverse maternal and fetal events in pregnant mothers with MS was 44.5%. The incidence of maternal death was 6.8%. Mitral valve area was the main determinant of outcome (AOR=15, 2.50-90% CI, P=0.003)