Echocardiography in the University of Port Harcourt Teaching Hospital: April 2000 to March 2003

Agomuoh, D I; Akpa, Maclean; Alasia, Datonye

doi:10.4314/njm.v15i2.37096

Cited by 13 publications

(11 citation statements)

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“…These findings are similar to reports from other hospitals in Nigeria,3,14,15 where the prevalence of hypertension is high and increasing 16,17. However, similar research in Enugu reported valvular heart disease to be the most common indication for echocardiography and diagnosis, ahead of hypertensive heart disease 11.…”

Section: Discussionsupporting

confidence: 88%

Two dimensional and Doppler echocardiographic evaluation of patients presenting at Obafemi Awolowo University Teaching Hospitals Complex Ile Ife Nigeria a prospective study of 2501 subjects

Adebayo¹,

Akinwusi²,

Balogun³

et al. 2013

IJGM

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BackgroundEchocardiography remains a key noninvasive cardiac investigative tool in the management of patients, especially in a developing economy like Nigeria. In this study, we investigated the indications for transthoracic echocardiography and spectrum of cardiac disease found in patients referred to our cardiac unit for echocardiography.MethodsA prospective two-dimensional, pulsed, continuous, and color-flow Doppler echocardiographic evaluation was done using the transthoracic approach in 2501 patients over an eight-year period. Univariate data analysis was performed for mean age, gender, clinical indications, and diagnoses.ResultsThe subject age range was less than 12 months to 97 years (mean 52.39 years). There were 1352 (54.06%) males and 1149 (45.94%) females. The most common indication for echocardiography was hypertension (52.1%) followed by congestive cardiac failure (13.9%). Others were for screening (6.1%), arrhythmias (5%), cerebrovascular disease (5%), chest pain (3.3%), chronic kidney disease (3.2%), congenital heart disease (2.6%), cardiomyopathy (1.8%), rheumatic heart disease (1.7%), diabetes mellitus (1.3%), thyrocardiac disease (1.2%), ischemic heart disease (1.2%), and pericardial disease (1.1%). The echocardiographic diagnosis was hypertensive heart disease in 59.4% of subjects and normal in 14.1%. Other echocardiographic diagnoses included rheumatic heart disease (3.1%), congenital heart disease (2.1%), cardiomyopathy (1.7%), pericardial disease (1.1%), and ischemic heart disease (0.1%).ConclusionHypertension and its cardiac complications is the most common echocardiographic indication and diagnosis at our unit.

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Section: Discussionsupporting

confidence: 88%

Two dimensional and Doppler echocardiographic evaluation of patients presenting at Obafemi Awolowo University Teaching Hospitals Complex Ile Ife Nigeria a prospective study of 2501 subjects

Adebayo¹,

Akinwusi²,

Balogun³

et al. 2013

IJGM

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“…Given the high hypertension rates in the general Cameroonian population [16], coupled with the contrastingly poor awareness, treatment and control rates [16–19], our findings were expected. Similar findings have been reported in other SSA series [7, 20, 21]. However, our results differ from studies conducted in East Africa.…”

Section: Discussionsupporting

confidence: 69%

The spectrum of heart disease among adults at the Bamenda Regional Hospital, North west Cameroon: a semi urban setting

et al. 2019

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ObjectiveWe sought to determine the spectrum of heart diseases among adult patients at the Bamenda Regional Hospital in the North West Region of Cameroon. This is a chart review of echocardiographic records.ResultsIn total, 673 records were included in our study, of which 506 had a definite heart disease. Of the 506, 93 had mixed cardiopathies. Their ages ranged from 18 to 105 years with a median age of 64.0 (Interquartile range = 47–75) years. Females accounted for a greater proportion (55.3%) of the study population. The most common echocardiographic diagnoses were hypertensive heart disease (41.1%), valvular heart disease (22.3%) and cardiomyopathies (11.4%). The prevalence of heart failure was 17.5%, with hypertensive heart disease being the leading cause.

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“…Death from ischaemic heart disease was rather uncommon in this review contrary to the scenario in the industrialized countries and supports previously published data (27). However, since autopsy reports on diabetes related deaths were not reviewed, some complications may have been missed.…”

Section: Discussionsupporting

confidence: 85%

Mortality among Diabetes In-Patients in Port-Harcourt, Nigeria

Unachukwu¹,

Uchenna²,

Young³

2010

Afr J Endocrinol Metab

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Background: Diabetes mellitus is a major cause of mortality and morbidity among in-patients in Nigeria. It may result from the acute metabolic complications or from the inexorable effects of chronic complications in the major organ systems. Objectives: This study was to determine the death rates and causes of death among in-patients with diabetes at an urban tertiary hospital in Port-Harcourt. Materials and Methods: The medical records of patients admitted with diabetes mellitus into the medical wards of the University of Port Harcourt Teaching Hospital from 1995-2004 were reviewed. The sources of data were the ward admission, death registers, death certificates and medical records. The annual and overall fatality rates were calculated from the available data. Results: During the period under review, 6,574 patients were admitted into the medical wards. Out of these, 686 (10.4%) were due to diabetes and its complications. The diabetic patients comprised of 428 (62.4%) males and 258 (37.6%) females giving a M:F ratio of 1.7:1. One hundred and eighteen of the diabetic patients died giving a case fatality of 17.2%. The main causes of death were diabetic ketoacidosis (DKA) (21.2%), diabetic mellitus foot syndrome (DMFS) (19.5%) and renal failure (12.7%). Diabetic emergencies accounted for 39.8% of all deaths. Conclusion: Diabetes mellitus is a significant cause of medical admissions in Port-Harcourt. The case mortality is very high especially from acute metabolic causes. There is a need for improved management of diabetes in Nigeria.

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Echocardiography in the University of Port Harcourt Teaching Hospital: April 2000 to March 2003

Cited by 13 publications

References 0 publications

Two dimensional and Doppler echocardiographic evaluation of patients presenting at Obafemi Awolowo University Teaching Hospitals Complex Ile Ife Nigeria a prospective study of 2501 subjects

Two dimensional and Doppler echocardiographic evaluation of patients presenting at Obafemi Awolowo University Teaching Hospitals Complex Ile Ife Nigeria a prospective study of 2501 subjects

The spectrum of heart disease among adults at the Bamenda Regional Hospital, North west Cameroon: a semi urban setting

Mortality among Diabetes In-Patients in Port-Harcourt, Nigeria

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Echocardiography in the University of Port Harcourt Teaching Hospital: April 2000 to March 2003

Cited by 13 publications

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Two dimensional and Doppler echocardiographic evaluation of patients presenting at Obafemi Awolowo University Teaching Hospitals Complex&nbsp;Ile Ife Nigeria a prospective study of 2501 subjects

Two dimensional and Doppler echocardiographic evaluation of patients presenting at Obafemi Awolowo University Teaching Hospitals Complex&nbsp;Ile Ife Nigeria a prospective study of 2501 subjects

The spectrum of heart disease among adults at the Bamenda Regional Hospital, North west Cameroon: a semi urban setting

Mortality among Diabetes In-Patients in Port-Harcourt, Nigeria

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Two dimensional and Doppler echocardiographic evaluation of patients presenting at Obafemi Awolowo University Teaching Hospitals Complex Ile Ife Nigeria a prospective study of 2501 subjects

Two dimensional and Doppler echocardiographic evaluation of patients presenting at Obafemi Awolowo University Teaching Hospitals Complex Ile Ife Nigeria a prospective study of 2501 subjects