Spectrum of cardiovascular diseases diagnosed using transthoracic echocardiography: Perspectives from a tertiary hospital in North-Eastern Nigeria

Talle, Mohammed Abdullahi; Anjorin, Charles Oladele; Buba, Faruk; Bakki, B

doi:10.4103/0189-7969.165163

Cited by 9 publications

(15 citation statements)

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“…This observation is in line with the results of other studies done in Ghana [9], Cameroun [12] and Nigeria [16] [17]. In the study conducted in Ghana [9] more than a decade ago, the pattern of cardiovascular diseases in order of decreasing prevalence was hypertensive heart disease, rheumatic heart disease, cardiomyopathy, coronary artery disease and others.…”

Section: Discussionsupporting

confidence: 91%

“…It was also close to the finding of 6.6% by Talle et al in a study involving 1224 cardiovascular disease patients diagnosed using transthoracic echocardiography in Nigeria [16]. The finding of this study, however, differed considerably from what was previously reported by Amoah et al [9]; they found 11.3% of 708 cardiac patients referred to the National Cardiothoracic Centre, Korle Bu Teaching Hospital, Accra, Ghana had coronary artery disease.…”

Section: Discussionsupporting

confidence: 88%

“…Despite the decline in the incidence in rheumatic heart disease in developed countries [9] Cardiomyopathy of varying etiology accounted for the third commonest cause of cardiovascular disease in this study (18.5%). Similar findings were noted from previous studies done in Ghana and some other African countries [9] [13] [16] [17] [19]. In line with this finding, Habte et al [13], noted that 20.2% of 783 cardiac patients at the cardiac follow-up clinic of Jimma University Specialized Hospital.…”

Section: Discussionsupporting

confidence: 84%

“…Despite the reported rising incidence of coronary artery disease in sub-Saharan African over the years [9] [13] [16] [38], our finding suggests that coronary artery disease is still a relatively modest contributor of CVD in sub-Saharan Africa.…”

Section: Discussionmentioning

confidence: 57%

“…In a retrospective study conducted in the Cameroun, comprising 312 adult patients with CVDs, 38.5% of them were hypertensives, 25.6% had rheumatic heart disease and 22.5% had cardiomyopathies [12]. Recent studies from Nigeria reported hypertensive heart disease, cardiomyopathies and valvular heart disease as the most frequent echocardiographic diagnosis among patients presenting with CVDs [16] [17]. A Ghanaian study done over 10 years ago reported that, hypertensive heart disease (18.7%), dilated cardiomyopathy (17.4%), congenital heart disease (14.5%) and coronary artery disease (11.3%) were the main causes of CVDs.…”

Section: Introductionmentioning

confidence: 99%

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Pattern of Cardiovascular Diseases as Seen in an Out-Patient Cardiac Clinic in Ghana

Owusu¹,

Ameyaw²

2018

WJCD

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Cardiovascular diseases (CVDs) are increasingly emerging as a major health problem in sub-Saharan Africa, but information on the epidemiology, clinical characteristics and spectrum of the diseases are scanty. Epidemiological data regarding the incidence and prevalence of CVDs in different geographical regions are essential to our understanding of global distribution and evolution of CVDs. We conducted a retrospective observational study to determine the prevalence and spectrum of cardiovascular diseases in patients seen at the out-patient cardiac clinic of the Directorate of Medicine, Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana. Medical records of 432 patients selected from the cardiac clinic using simple random sampling. The medical history, including the socio-demographic information, was examined. The results of the patients' laboratory tests, chest X-ray, electrocardiography, M-mode and two-dimensional echocardiography with Doppler and colour flow imaging of the patients were also examined. The patients were aged between 13 -97 years with the mean age (±standard deviation) of 55.35 (±19) years. There were more females (53%; n = 229) than males (47%; n = 203). The main cardiovascular diseases seen included: hypertensive heart disease (35.6%; n = 154), valvular heart disease (19.7%; n = 85), cardiomyopathies (18.5%; n = 80), arrhythmias (6.3%; n = 27) and coronary artery disease (4.2%; n = 18). The most common causes of valvular heart disease, cardiomyopathies and arrhythmias were rheumatic heart disease, dilated cardiomyopathy and complete heart block respectively. In conclusion, our study has shown that hypertensive heart disease, rheumatic heart disease and cardiomyopathies were the main cardiovascular diseases, seen in 73.8% of the patients in this study.

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