Echocardiographic pattern of acquired heart diseases in Nigeria

Ekpe, Eyo Effiong; Ikpe, Mandu C; Umoh, Idongesit

doi:10.4103/0300-1652.169699

Cited by 7 publications

(8 citation statements)

References 17 publications

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“…Only one patient had a diagnosis of Cor-pulmonale constituting 0.3%. This is similar to what was reported by Eyo et al in their study on Echocardiographic pattern of acquired heart diseases in Nigeria [17]. Several precipitating factors have been identified that may contribute to HF hospitalizations, viz: arrhythmia, myocardial ischemia, pneumonia, hypertension, worsening renal failure, and lifestyle modification or medication non-compliance [18] [19].…”

Section: Discussionsupporting

confidence: 89%

“…In addition patients with heart failure are susceptible to respiratory tract infection because of diminished ability of congested lungs to expel respiratory secretions [20]. Prescription non-adherence was previously reported as one of the important precipitants of heart failure as observed in this study [17] [18]. Other precipitants in this study were arrhythmia and anaemia with uncontrolled hypertension.…”

Section: Discussionsupporting

confidence: 54%

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Pattern, Precipitants and Short Term Outcome of Heart Failure Patients Managed at Federal Medical Centre Nguru, a Tertiary Health Centre in Yobe State Northeastern Nigeria

Baba¹,

Buba²,

Talle³

et al. 2018

IJCM

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Heart Failure (HF) is a syndrome characterized by typical symptoms (e.g. breathlessness, ankle swelling and fatigue) that may be accompanied by signs (e.g. elevated jugular venous pressure, pulmonary crackles and peripheral oedema) caused by a structural and/or functional cardiac abnormality, resulting in a reduced cardiac output and/or elevated intracardiac pressures at rest or during stress. Clinical studies investigating the aetiological patterns of heart failure in Sub-Saharan Africa (SSA) revealed that hypertension, cardiomyopathy and rheumatic heart disease account for more than two-thirds of cardiac disease cases. The objective of this study therefore is to assess the pattern, precipitating factors and short term outcome of heart failure among patients admitted into our hospital. Method: The study was a prospective cross-sectional type conducted among in patients with heart failure in the medical ward of the hospital. Results: A total of three and fifty four (354) subjects were recruited into the study, comprising one hundred and twenty nine males (36.4%) and two hundred and twenty five (63.4%) females. Majority of the patients were admitted in NYHA functional class IV. This however improved to class II at discharge though few were discharged in NYHA class III. Heart failure secondary to progressive hypertensive heart disease was the most common (39.0%) followed by peripartum cardiomyopathy (22.6%) while idiopathic dilated cardiomyopathy (11.0%) and rheumatic heart disease (7.3%) were the third and fourth causes of heart failure respectively. The most common precipitating factor for heart failure in this study was chest infection (44.9%). In conclusion, the study revealed that progressive hypertensive heart disease was the leading cause of heart failure, followed by peripartum cardi

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 54%

Pattern, Precipitants and Short Term Outcome of Heart Failure Patients Managed at Federal Medical Centre Nguru, a Tertiary Health Centre in Yobe State Northeastern Nigeria

Baba¹,

Buba²,

Talle³

et al. 2018

IJCM

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“…Echocardiography is a veritable tool for the diagnosis and characterization of Acquired heart diseases(AHD) 5,6 . The echocardiographic machine is currently available in all tertiary and some secondary health institutions in Sudan 7 . With the echocardiographic confirmation of AHD, a prognostication and management plan can confidently be made 8 .…”

Section: Introductionmentioning

confidence: 99%

“…With the echocardiographic confirmation of AHD, a prognostication and management plan can confidently be made 8 . Apart from diagnosing AHD for possible treatment, identification of heart diseases by echocardiography generally 9 . It also helps in the prognostication of patients needing noncardiac operations since perioperative morbidity and mortality are higher in those with structural heart disease than those without 8 .…”

Section: Introductionmentioning

confidence: 99%

The pattern of cardiovascular disease in River Nile State (October 2019-April 2020)

Mohamed,

ALakkad,

Noor

2024

J. Drug Delivery Ther.

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Background: The rise of cardiovascular diseases poses a significant global threat, not only in terms of morbidity and mortality but also due to their substantial economic burden. Understanding the specific patterns of CVDs within various populations is crucial for effective prevention, early diagnosis, and management. Objective: This study aimed to determine the pattern of cardiovascular disease using echocardiography in River Nile State. Methods: This prospective cross-sectional hospital-based study conducted from October 2019 to April 2020 aimed to ascertain the pattern of cardiovascular diseases using echocardiography in River Nile State. A sample of 1000 participants from Atbara Teaching Hospital, Atbara Complex, and Shendi Teaching Hospital was included. The study population comprised all Sudanese patients undergoing echocardiography in the region. Inclusion criteria involved patients presenting for echocardiography who consented to participate, while refusal to participate constituted exclusion criteria. Data collection involved obtaining written consent from patients and recording echocardiographic findings, including age, gender, and patterns of heart disease, using standardized data sheets. Results: The findings revealed a mean age of 72±6.8 years, with females comprising 64.7% of the sample. Hypertensive heart disease (31.5%) and valvular lesions (29.8%) emerged as the most prevalent cardiovascular diseases. Ischemic heart disease (11.2%), rheumatic heart disease (8.3%), and cardiomyopathy (5.7%) were also notable. Patterns of cardiovascular diseases showed significant associations with age and gender, with hypertensive heart disease and valvular lesions more prevalent in older age groups, while congenital heart disease was more prevalent among younger individuals (20–40 years). Conclusion: The study revealed that hypertensive heart disease (31.5%) and valvular lesions (29.8%) as the dominant CVD patterns. Focusing on these conditions with tailored prevention, early diagnosis, and management is crucial, especially for older individuals. Keywords: Cardiac diseases, Comorbidity, Nile State, Pattern.

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“…Nigeria's 0.5 operations per million (Ops/mio) are opposed by 177 Ops/mio in the Maghreb countries, both listed in similar GDP ranks. Nigeria is the most extreme lower-middle-income country with cardiac surgery barely existent for its population of 200 million in spite of a heavy burden of RHD (44,45). In this case, government commitment is the main reason for the difference.…”

Section: Introductionmentioning

confidence: 99%

A glimpse of hope: cardiac surgery in low- and middle-income countries (LMICs)

Zilla¹,

Bolman²,

Boateng³

et al. 2020

Cardiovasc Diagn Ther

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Currently, more than five times more people live in low-and middle-income countries (LMICs) than in high-income countries (HICs). As such, the downward trend in cardiac surgical needs in HICs reflects only the situation of one sixth of the world population while the vast majority living in LMICs has still no or limited access to life saving heart operations. In these countries, rheumatic heart disease (RHD) still accounts for a significant proportion of cardiac surgical needs. In low-and lower-middle income countries it remains the single most common cardiovascular disease in young adult and adolescent patients in need of heart surgery outweighing other indications such as congenital cardiac defects almost 4-fold.Compared to HICs with their predominance of calcific aortic stenosis in the elderly mitral valve surgery is required in >90% of the largely young patients with RHD in low-income countries (LICs) and still in 70% of the often middle aged patients in middle-income countries (MICs). Although recent government initiatives in LICs led to the establishment of local, independent cardiac surgical services gradually replacing fly-in missions, these centers still only cover less than 2% of the needs of their populations. In MICs, cardiac surgical needs continually grow with the emergence of degenerative diseases. As such, in spite of the concomitant growth of cardiac surgical capacity, significantly less than half the estimated patients in need have access. Capacities in LICs range from 0.5 to 7 cardiac operations/million population; 100-481/million in MICs and >1,200/million in HICs such as the USA and Germany. While a new level of awareness of the scope and magnitude of the problem has begun to emerge in LICs and the establishment of local cardiac surgical capacity has given rise to a glimpse of hope, the challenges of expanding these fledgling services to a significant proportion of the population still seem insurmountable. Challenges in MICs are on the other hand the widening gap between private cardiac medicine for the affluent few and overwhelmed public services for the many and the rural urban divide with the underappreciation of the ongoing dominance of RHD in the rural and indigent population on the other. Overshadowing all LMICs is the low level of valverepair skills associated with insufficient cardiac surgical capacity and the unavailability of suitable replacement valves which address the young age of the patients and the difficulties of anticoagulation in a socioeconomic environment distinctly different from the elderly patients of HICs.

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Echocardiographic pattern of acquired heart diseases in Nigeria

Cited by 7 publications

References 17 publications

Pattern, Precipitants and Short Term Outcome of Heart Failure Patients Managed at Federal Medical Centre Nguru, a Tertiary Health Centre in Yobe State Northeastern Nigeria

Pattern, Precipitants and Short Term Outcome of Heart Failure Patients Managed at Federal Medical Centre Nguru, a Tertiary Health Centre in Yobe State Northeastern Nigeria

The pattern of cardiovascular disease in River Nile State (October 2019-April 2020)

A glimpse of hope: cardiac surgery in low- and middle-income countries (LMICs)

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