Athérosclérose infraclinique dans une population d’hypertendus suivis à l’institut de cardiologie d’Abidjan

Soya, E.; Monney, E.; N’djessan, J.J.; Kouamé, Eric Kouadio; Konin, C.

doi:10.1016/j.jdmv.2017.01.123

Cited by 2 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We found that 36% of participants had carotid atherosclerosis. This frequency is higher than that reported in Cameroon in 1998 by Kingue et al and in Ivory Coast in 2017 by Soya et al [20,21]. Indeed, with definition criteria similar to ours, they found lower proportions which were respectively 25% and 22.7% [20,21].…”

Section: Discussionsupporting

confidence: 59%

“…This frequency is higher than that reported in Cameroon in 1998 by Kingue et al and in Ivory Coast in 2017 by Soya et al [20,21]. Indeed, with definition criteria similar to ours, they found lower proportions which were respectively 25% and 22.7% [20,21]. This could be explained by the fact that their study population was younger than ours, knowing that the prevalence of arteriosclerosis increases with age [22][23][24].…”

Section: Discussioncontrasting

confidence: 39%

“…Male sex was not a significant factor associated with carotid atherosclerosis in our study. Unlike many studies in the literature where the male sex accelerates the rate of atherosclerosis progression [32,21]. This can be explained by the fact that our study consisted of older women generally going through menopause (71.1%).…”

Section: Discussionmentioning

confidence: 88%

See 2 more Smart Citations

Carotid Atherosclerosis in Asymptomatic Patients with at Least One Cardiovascular Risk Factor: A Cross-Sectional Study in Yaounde, Cameroon

Mfeukeu-Kuaté¹,

Kemnang²,

Ngalla³

et al. 2021

CCR

View full text Add to dashboard Cite

Introduction: Atherosclerosis is a leading cause of vascular disease worldwide. One of its main locations is in the carotid artery which is implicated in 20% of ischemic strokes. This study aimed to determine the frequency of carotid atherosclerosis in a group of asymptomatic patients with at least one cardiovascular risk factor. Methodology: This was a crosssectional study from January to June 2021 (6 months). We included consenting adults followed up at the Yaoundé Central Hospital and the Yaoundé University Teaching Hospital, aged at least 50 years and having at least one cardiovascular risk factor such as hypertension, diabetes, dyslipidemia, smoking, or obesity. A Doppler ultrasound of the supra-aortic trunks was performed on each patient. Statistical analyses were performed using the chi-2 test for bivariate analysis and binary logistic regression for multivariate analyses. The threshold of significance was set at 0.05. Results: A total of 75 participants were included of which 26 were men and 49 women. The mean age (SD) was 62.96 (8.87) years. Hypertension was seen in 93.3% of the participants, dyslipidemia in 77.3%, obesity in 48%, type 2 diabetes in 34.7%, and 9.3% were smokers. High cardiovascular risk was seen in 22 (29.4%) participants. Twenty-seven participants (36%) had one or more carotid atheroma plaques, and 11 (14.7%) participants had a stenosis plaque. Hypercholesterolemia and high cardiovascular risk were associated with the presence of carotid atheroma plaque. Conclusion: The frequency of carotid atherosclerosis appears to be high in people over 50 years of age with at least one cardiovascular risk factor justifying the importance of control strategies against these factors.

show abstract

Section: Discussionsupporting

confidence: 59%

Section: Discussioncontrasting

confidence: 39%

See 1 more Smart Citation

Carotid Atherosclerosis in Asymptomatic Patients with at Least One Cardiovascular Risk Factor: A Cross-Sectional Study in Yaounde, Cameroon

Mfeukeu-Kuaté¹,

Kemnang²,

Ngalla³

et al. 2021

CCR

View full text Add to dashboard Cite

show abstract

“…The increase in values (duration of hypertension, radial pulse, hip circumference and number of children) and classic cardiovascular risk factors for atherosclerosis 45–47 has also demonstrated a very significant multivariate association with proportionally direct increase in the CIMT in the present study. 26 , 48 …”

Section: Discussionmentioning

confidence: 99%

“…However, the limits of this work reside in the absence of follow-up of patients at high cardiometabolic risk in hypertensives, essential predictors of overt clinical atherosclerosis. 26 , 60 , 61…”

Section: Strength and Limitations Of The Studymentioning

confidence: 99%

Are Any Changes in Carotid Intima–Media Thickness Associated with Cardiometabolic Risk Among Adult Bantu Central African Hypertensive Patients from Monkole and Biamba Marie Mutombo Hospitals?

Tongo¹,

Longo-Mbenza²,

Aundu³

et al. 2022

VHRM

View full text Add to dashboard Cite

Background Several classic/traditional risk factors are associated with intima–media thickness (IMT), a novel risk of cardio metabolic risk (CMR) in the literature but not in Kinshasa, a megacity prone to CMR. Thus, the objective of this study was to evaluate potential correlations between inflammation, kidney function, psychological stress, hemodynamics, and changes in IMT. Methods This cross-sectional study was carried out between 2018 and 2021 within Monkole and Biamba Marie Mutombo Hospitals, respectively, and randomly selected from 10 health structures from East and West of Kinshasa, Capital of Democratic Republic Congo (DRC). A random sample of adult hypertensive Bantu Central Africans was examined after bivariate correlations and multiple linear regression. Results Out of 280 patients with 140 men and 140 women aged 62 ± 11 years, the mean carotid intima–media thickness (CIMT) was 1.06 ± 0.5 mm and 73% (n = 204) patients had uncontrolled hypertension. After controlling for confounders, 52.9% variations (R2) of CIMT were independently and significantly (P = 0.037) predicted by CRP, 24-hour proteinuria, urinary albumin/creatinine ratio, duration of hypertension, heart rate, hip circumference, and psychological stress with Equation Y = 0.717 + 0.87 × CRP + 0.02 × 24 H – proteinuria + 0.005 × urinary albumin/creatinine ratio + 0.05 × duration of hypertension + 0.001 × heart rate + 0.006 × hip circumference + 0.017 × psychological stress. Conclusion There is an urgent need to control inflammation, impaired renal function, cardiac rhythm, peripheral obesity, longer duration of hypertension management, and stress, which are emerging as specific novel determinants of the subclinical atherosclerosis for those Bantu Central African hypertensive patients.

show abstract

Athérosclérose infraclinique dans une population d’hypertendus suivis à l’institut de cardiologie d’Abidjan

Cited by 2 publications

References 0 publications

Carotid Atherosclerosis in Asymptomatic Patients with at Least One Cardiovascular Risk Factor: A Cross-Sectional Study in Yaounde, Cameroon

Carotid Atherosclerosis in Asymptomatic Patients with at Least One Cardiovascular Risk Factor: A Cross-Sectional Study in Yaounde, Cameroon

Are Any Changes in Carotid Intima–Media Thickness Associated with Cardiometabolic Risk Among Adult Bantu Central African Hypertensive Patients from Monkole and Biamba Marie Mutombo Hospitals?

Contact Info

Product

Resources

About