Létalité de l’insuffisance cardiaque au Centre Hospitalier Universitaire de Libreville (CHUL) et facteurs associés

Bivigou, Elsa Ayo; Allognon, Mahutondji Christian; Ndoume, F.; Mipinda, Jean Bruno; Nzengue, Emmanuel Ecke

doi:10.11604/pamj.2018.31.27.13259

Cited by 9 publications

(6 citation statements)

References 20 publications

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“…Hypertension is the leading CMRF in Africa, its prevalence is the highest in the world, ranging from 17% to 70% [33]. Almost half (49.7%) of the interviewed persons in our study had a high blood pressure, which is consistent with a previous report from the main hospital in Libreville, but considerably higher compared to studies from Oman [34,35]. Although the differences could be due to the cross-sectional study design and other parameters such as the stress of the participants during the physical examination, these findings should alert the physicians, health workers, and policy makers.…”

Section: Plos Onesupporting

confidence: 90%

Prevalence of cardiometabolic risk factors according to urbanization level, gender and age, in apparently healthy adults living in Gabon, Central Africa

Mengome,

Kono,

Bivigou

et al. 2024

PLoS ONE

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Background The prevalence of cardiometabolic risk factors (CMRFs) is increasing in sub-Saharan Africa and represents a serious public health issue. Accurate data are required to implement adapted prevention programs and healthcare strategies. Thus, the aim of this study was to estimate the prevalence rates of CMRFs according to the level of urbanization, age and gender in Gabon. Methods A cross-sectional study was conducted in northern (Bitam), western coast (Libreville, Melen) and southeast (Koulamoutou) areas of Gabon using the World Health Organization’s (WHO) stepwise approach for the surveillance of chronic disease risk factors. Participants over 18 years of age, without known underlying disease, living in rural and urban areas of Gabon were included. Sociodemographic, biological, and behavioral data were collected. Univariate and multivariate analysis were used to identify the CMRFs. Results Of the 978 participants, 499 lived in urban and 479 in rural areas. Their median age was 38[28–50] years. Tobacco (26.1% vs 6.2%; p < 0.01) and excessive alcohol consumption (19.4% vs 9.6%; p < 0.01) predominated in rural than in urban areas, respectively. Urban dwellers had more often insufficient physical activity than rural people (29.5% vs 16.3%; p < 0.01). In total, 79.9% of participants aged under 54 years had a high blood pressure;10.6% of the younger participants had pre-hypertension. Metabolic syndrome was more frequent in women (21.7%) than in men (10.0%) (p < 0.01); 6.4% of men and 2.5% of women had a high Framingham score (p = 0.03). Finally, 54.0% of the participants had three or four CMRFs. The multivariate analysis showed that men were more likely to be smokers and to be at risk of pre-hypertension or high blood pressure (p < 0.01). Women were more likely to be obese or to have a metabolic syndrome (p < 0.01). Living in urban areas was also a risk factor for hypertension, diabetes, metabolic syndrome and high LDL cholesterol level. Conclusion The prevalence of CMRFs was high in the study population. Disparities were observed according to urban and rural areas, gender and age. National prevention and healthcare strategies for cardiometabolic diseases in Gabon should consider these observed differences.

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Section: Plos Onesupporting

confidence: 90%

Prevalence of cardiometabolic risk factors according to urbanization level, gender and age, in apparently healthy adults living in Gabon, Central Africa

Mengome,

Kono,

Bivigou

et al. 2024

PLoS ONE

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“…The role of traditional therapists plays a significant role, an observation also made by some authors [4]. The main etiologies were dominated by hypertensive heart disease, this etiology was widely found in several [3] [4] [11] [13] [14]. The THESUS-HF study carried out in nine sub-Saharan countries also highlighted the supremacy of hypertensive heart disease in our countries [19].…”

Section: Discussionsupporting

confidence: 63%

“…Worldwide, its prevalence is estimated at more than 26 million people, of whom 17% to 45% die within a year [2]. Despite the many advances in drug and non-drug therapy [3]. In Africa, this prevalence continues to increase and can reach 40% in cardiology settings [4].…”

Section: Introductionmentioning

confidence: 99%

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Epidemiological, Clinical, Therapeutic, and Evolutionary Aspects of Heart Failure in the Medical Department at Gao Regional Hospital

Alhousseny,

Ibrahim,

Hamadoun

et al. 2024

WJCD

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Introduction: Heart failure is a major public health pandemic, particularly in Africa, where its prevalence continues to increase. In northern Mali, few data exist, hence the interest of this study with the objective of studying the epidemiological, clinical and therapeutic and evolutionary aspects of Heart failure at the regional hospital of Gao. Patients and Methods: This was a cross-sectional, descriptive study that took place from July 2022 to June 2023 in the medical department at Gao Hospital. Results: The hospital prevalence of heart failure was 44.1%. The mean age was 47.30 ± 20 years (range: 16-88). Hypertension was the most common with 46.1%, followed by a sedentary lifestyle, and diabetes with 18.2% and 8.3% respectively; NYHA stage III-IV dyspnea was found in 83.9%. Reduced EF heart failure was present in 110 patients (76.9%), seventeen cases with moderately reduced EF (11.9%) and sixteen patients had preserved EF (11.2%). Global heart failure was the dominant (91.6%). The main etiologies of heart failure were dominated by hypertensive heart disease in 46 patients (32.2%), followed by postpartum cardiomyopathy with 43 cases (30.1%), primary dilated cardiomyopathy in 18 patients (12.6%), ischemic heart disease in 16 patients with 11.2%. Seven cases of valvular heart disease, or 4.9%. The evolution was favorable under treatment in 104 patients or 72.7%. In-hospital mortality was 14.7%. Conclusion: Heart failure is a common condition in sub-Saharan Africa, particularly in our country.

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“…Um estudo sobre taxa de mortalidade em pacientes com insuficiência cardíaca no Hospital Universitário de Libreville demonstrou que o tratamento tardio e as comorbidades agravam a mortalidade e, para redução da mortalidade em indivíduos relativamente jovens, é necessário a identificação precoce de fatores risco e uma boa educação terapêutica (Bivigou, Allognon, Ndoume, Mipinda, & Nzengue, 2018).…”

Section: Introductionunclassified

Percepção dos médicos do serviço de medicina interna, dos Hospitais de referência da província do Huambo, em relação a abordagem da insuficiência cardíaca

Sachcoal¹

2021

riesa

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A insuficiencia cardíaca, por ser uma pandemia, deve ser devidamente abordada para evitar desfechos ruins. Realizou-se uma investigação clínica, provincial e instituicional, de carácter descritiva, obsevacional e transversal para avaliar a percepação dos médicos dos serviços de medicina interna, dos Hospitais de referência da província do Huambo, em relação a abordagem da Insuficiência cardíaca através de um questionário, modificado. A dispnea (80%), edema dos membros inferiores (70%), cansaço e/ou turgência jugular (12%) foram os sinais e sintomas mais referidos. R-x do tórax constitui o exame principal (84%). Da amostra 46% utilizam a classe funcional da NYHA e 40% os critérios de Framigham para classificação. Os diuréticos da alça são os fármacos mais prescrito pelos médicos (48%). Para alivio dos sintomas utlizam os diuréticos da alça, e, os IECAs para reduzir a mortalidade. Portanto, de forma geral, constatou-se que a percepção dos médicos é razoável.

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Létalité de l’insuffisance cardiaque au Centre Hospitalier Universitaire de Libreville (CHUL) et facteurs associés

Cited by 9 publications

References 20 publications

Prevalence of cardiometabolic risk factors according to urbanization level, gender and age, in apparently healthy adults living in Gabon, Central Africa

Prevalence of cardiometabolic risk factors according to urbanization level, gender and age, in apparently healthy adults living in Gabon, Central Africa

Epidemiological, Clinical, Therapeutic, and Evolutionary Aspects of Heart Failure in the Medical Department at Gao Regional Hospital

Percepção dos médicos do serviço de medicina interna, dos Hospitais de referência da província do Huambo, em relação a abordagem da insuficiência cardíaca

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