Pattern of cardiovascular disease amongst medical admissions in a regional teaching hospital in Southeastern Nigeria

Oguanobi, Nelson I; Ejim, EC; Onwubere, Bjc; Ike, SO; Anisiuba, BC; Ikeh, V. O.; Aneke, Emmanuel O

doi:10.4103/0189-7969.127005

Cited by 22 publications

(17 citation statements)

References 2 publications

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“…For example a study in Enugu, Nigeria revealed a high prevalence of CVD among patients that were admitted in a tertiary health institution, concluding that CVDs were a major cause of morbidity and mortality in the environment. [13] Similar trends were observed from other locations in Nigeria. [14].…”

Section: Discussionsupporting

confidence: 78%

Cardiovascular Disease Risk Factors Assessment of Women Attending a Religious Program in Ado Ekiti, Nigeria

Ajayi¹

2019

AJBLS

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The burden of cardiovascular diseases in developing countries is alarming and needs urgent attention. The study assessed the prevalence of Cardio Vascular Disease risk factor among women in Ekiti State, Nigeria. The study design was a descriptive cross sectional survey conducted in Ado-Ekiti, Nigeria. Participants recruited for the study through simple random sampling were 426 women who were in a religious outreach program. Interviewer administered semi-structured questionnaires were used to collect information on respondents socio-demographic characteristics, past medical history, nutritional status (using dietary recall), and behaviors related to lifestyle. A general physical examination was done and anthropometric measurements taken from each respondent. The examinations collected data on, blood pressure, weight and height. Blood specimen (5 ml whole blood) was collected from each respondent for laboratory tests such as random blood sugar (RBS) and serum cholesterol levels. Data from the clinical examinations and laboratory tests were then used to categorize respondents as hypertensive, diabetic, obese and hyperlipidemic. Data was analyzed using SPSS version 20 and level of significance was set at p values < 0.5. A total of 426 respondents participated in the survey of which 64.8% were between 40-59 years with a mean age of 51.7 ± 11.9 years. A high proportion (81.7%) of respondents had formal education. Most of the respondents (95%) claimed to be employed. About 51.4% of the respondents reported history of substance use. The most commonly consumed by respondents were "bitter kola" (31.7%) and "kolanut" (9.9%). About 5% of respondents either smoked or took substances containing nicotine e.g. "snuff ". Nearly a quarter, 23.2% of respondents claimed that they have ever used herbal (traditional) medicine (23.2%) to take care of health issues as the need arises. About 9.2% of respondents claimed that they occasionally consumed alcoholic drinks. About 49.5% of the respondents were found to have poor medical history. While majority (73.9%) of the respondents had normal blood pressure (BP), 12.0% and 14% were either prehypertensive or hypertensive. Majority of the respondents, 61.2%, were reported obese with a BMI exceeding 25. About 63.4% of respondents had high serum cholesterol while 2.1% reported smoking habit. There were significant cardiovascular risk factors found among women studied.

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Section: Discussionsupporting

confidence: 78%

Cardiovascular Disease Risk Factors Assessment of Women Attending a Religious Program in Ado Ekiti, Nigeria

Ajayi¹

2019

AJBLS

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“…They suggested that the most effective preventive method for controlling CVD is secondary prevention by using TEE, where it can also avoid both over-and underdiagnosis of cardiac diseases. Therefore, TEE should be used as a diagnostic criterion for better visualization of the vegetation shape and size in addition to the adjacent tissues, severity of valvular regurgitation and associated hemodynamic states (3,13,27,28,31,32). Our study reveals that adult females were more prone to develop CVD, which is probably due to an increase in their susceptibility and exposure to group A β-hemolytic Streptococcus infection of the throat; a finding that has been observed in other countries (15,32).…”

Section: Discussionsupporting

confidence: 75%

“…Some researchers have suggested that up to 90% of patients may be presented with valvular insufficiency even in the absence of clinical signs. In contrast, MR and AR are more likely due to RHD in endemic areas (5,13,21,(28)(29)(30)32). They suggested that the most effective preventive method for controlling CVD is secondary prevention by using TEE, where it can also avoid both over-and underdiagnosis of cardiac diseases.…”

Section: Discussionmentioning

confidence: 99%

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Transesophageal Echocardiograph Findings in Patients with Cardiovascular Disorders at Al-Thawrah General Hospital, Sana’a, Yemen

Al-Jaber¹,

Thabet²,

Al-Arashi³

et al. 2015

YEM J SCI

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'a, in the period 2009-2011. Methods: This was a retrospective descriptive study of 856 patients with suspected cardiovascular disorders and referred for transesophageal echocardiography over a two-year period. Data about patients' sex, their referral site and transesophageal echocardiography findings were collected and analyzed according to the type of cardiovascular disorders, valvular affections and lesions, complications and recommended treatments. Results: Of the 856 patients, 63.4% were females and 36.6% were males. The majority of patients diagnosed by transesophageal echocardiography (82.4%) were referred from outpatient departments. Rheumatic heart disease was the most frequent cardiovascular disorder (87.1%), followed by tricuspid valve lesions (62.8%), of which 54% (329/606) were tricuspid regurgitation and 62.6% (114/182) were aortic valve regurgitation. Regarding the type of valvular lesions detected, mitral valve disease was the most frequent, being found in 69.2% (214/309) of patients. Regarding the severity of valvular lesions, 73.1% (19/26) of mitral valve stenosis cases were severe while 83.3% (35/62) of aortic stenosis cases were mild. Moderate pulmonary hypertension was seen mostly secondary to rheumatic heart disease. The majority of cardiovascular disorder patients (33.6%; 284/844) were recommended for balloon mitral valvotomy. Mitral valve surgery was the most frequently performed surgical intervention for affected valves of patients with cardiovascular disorders; being used for the treatment of 31.4% (80/255) of valvular lesions. Conclusions: Transesophageal echocardiography revealed that rheumatic heart disease is the most frequent cardiovascular disorder among Yemeni patients and poses a major health problem. In addition, a high proportion of patients with cardiovascular disorders have valvular lesions of the mild degree that require surgical intervention.

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“…It is worrisome that developing countries are presently carrying larger burden of cardiovascular diseases and the likelihood that the trend may continue in an increased manner generates anxiety. World Health Organisation in 1996 estimated that, in 1990 there were already twice as many deaths and more than three times as many Disability-Adjusted life years (DALYs) attributable to CVDs in developing countries, in addition, by year 2020, there will be about 6 million deaths and 35 million DALYs annually from cardiovascular causes in developed countries and about 19 million deaths and 170 million DALYs annually from cardiovascular causes in developing countries (Oguanobi et al, 2013). Cardiovascular disease is one of the major causes of disability and death among adult population in Nigeria.…”

Section: Statement Of the Problemmentioning

confidence: 99%

Impact of Health Education on Awareness of Sedentary Lifestyle as Predisposing Factor to Cardiovascular Diseases among Secondary School Principals in Zone 4 Nigeria

Akinwusi¹,

Odelola²

2018

ujph

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Skeletal muscles contract to produce body movement. Essentially, skeletal muscle activities affect the health of other organs such as heart, adipose tissue, brain. Engaging in physical exercise enhances proper functioning of body organs, thus promoting healthy living. Nigerian secondary school principals are not known to engage in physical exercise, probably due to poor awareness of its importance to their health. Meanwhile, a life of inactivity otherwise called sedentary lifestyle is a risk factor to cardiovascular disease. In recent times, cardiovascular disease has led to a significant increase in deaths among administrators in Nigeria. Therefore, this study examined impact of Health Education on awareness of sedentary life style as predisposing factor to cardiovascular diseases among secondary school principals in zone 4, Oyo State, Nigeria. The study adopted a single group pre-test-post-test quasi experimental research design. Participants were given Health education on sedentary lifestyle and related diseases as its resultant effect. A split plot analysis of variance (SPANOVA) was employed to find the difference in pre-test-post-test scores of the participants. The result showed that, health education given was effective. The participants' awareness level increased, thus willing to refrain from sedentary lifestyle and adopt a sporting lifestyle. It was recommended that, the Ministry of Education should mandate school managements to create time during the school hours for principals and members of staff to engage in physical exercises. Also, health education in which disease prevention will feature prominently should form part of the agenda during meetings of school principals.

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Pattern of cardiovascular disease amongst medical admissions in a regional teaching hospital in Southeastern Nigeria

Cited by 22 publications

References 2 publications

Cardiovascular Disease Risk Factors Assessment of Women Attending a Religious Program in Ado Ekiti, Nigeria

Cardiovascular Disease Risk Factors Assessment of Women Attending a Religious Program in Ado Ekiti, Nigeria

Transesophageal Echocardiograph Findings in Patients with Cardiovascular Disorders at Al-Thawrah General Hospital, Sana’a, Yemen

Impact of Health Education on Awareness of Sedentary Lifestyle as Predisposing Factor to Cardiovascular Diseases among Secondary School Principals in Zone 4 Nigeria

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