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Vol.2 , No. 4, Publication Date: Jul. 22, 2015, Page: 29-33
 at Mother-Child Hospital “Le Luxembourg” (MCHL)&description=Objectives: Published data on HF are rare in sub-saharan Africa and Mali made no exception. That why we performed this study to provide epidemiological data on HF in Bamako. Methodology: the study was performed prospectively on all patients (outpatients and those hospitalized) with a diagnosis of HF established clinically and echocardiographically. Socio-demographic, clinical and labor tests data were recorded in an Access database, checked with Excel and analyzed with SPSS. We performed a descriptive and then an analytic study dividing patients in those with and without known HF. Results: HF prevalence was 2.21% among outpatients and %18.64 in hospitalized patients. The male patients represented 55,9% of the sample and 38,7% of the patients were aged over 60 years. From the socio-demographic characteristics only age showed a significant difference, 42,05± 19,606 for patients with known HF and 54,84±20,101 for those without known HF (p =0,003).Referred patients represented 37.6% of the patients and 54.4% of these patients were without previous known HF record. Decompensation was found in 87.1% of cases. Dyspnea, cough and legs edema were found respectively in 75.3, 60.2 and 52.7% of cases. Dietary (16,1%) and medication nonadherence (16,1%) were the main causes. Ischemic heart disease, valvular heart disease and hypertensive heart disease predominated over other HF cases as they were seen in 28.0, 28.0 and 17.2% of patients respectively. Loop diuretics, Angiotensin Converting Enzyme Inhibitor and antiplatelet agents were the most prescribed drugs in 91.3 respectively 82.61 and 69.57% of cases. Conclusion: The dominant etiology in our study was ischemic heart disease. Medical consultation in advanced stage of disease and medication non-compliance for various reasons were the main situations promoting cardiac decompensation.&picture=http://www.aascit.org/aascit/decorators/img/journal/908.jpg)
| [1] | Bâ Hamidou Oumar, University Hospital Gabriel Touré, Bamako, Mali. |
| [2] | Menta Ichaka, University Hospital Gabriel Touré, Bamako, Mali. |
| [3] | Touré Mamadou, University Hospital “Le Luxembourg”, Bamako, Mali. |
| [4] | Maiga Asmaou Kéita, University Hospital “Le Luxembourg”, Bamako, Mali. |
| [5] | Landouré Guida, University Hospital Point G, Bamako, Mali. |
| [6] | Camara Youssouf, University Hospital Kati, Kati, Mali. |
| [7] | Diall Ilo Bella, University Hospital Point G, Bamako, Mali. |
| [8] | Coulibaly Souleymane, University Hospital Point G, Bamako, Mali. |
| [9] | Sacko Abdoul Karim, University Hospital Point G, Bamako, Mali. |
| [10] | Doumbia Coumba Thiam, University Hospital Kati, Kati, Mali. |
| [11] | Sidibé Salimata, University Hospital “Le Luxembourg”, Bamako, Mali. |
| [12] | Diallo Souleymane, University Hospital “Le Luxembourg”, Bamako, Mali. |
| [13] | Diarra Mamadou Bocary, University Hospital “Le Luxembourg”, Bamako, Mali. |
Objectives: Published data on HF are rare in sub-saharan Africa and Mali made no exception. That why we performed this study to provide epidemiological data on HF in Bamako. Methodology: the study was performed prospectively on all patients (outpatients and those hospitalized) with a diagnosis of HF established clinically and echocardiographically. Socio-demographic, clinical and labor tests data were recorded in an Access database, checked with Excel and analyzed with SPSS. We performed a descriptive and then an analytic study dividing patients in those with and without known HF. Results: HF prevalence was 2.21% among outpatients and %18.64 in hospitalized patients. The male patients represented 55,9% of the sample and 38,7% of the patients were aged over 60 years. From the socio-demographic characteristics only age showed a significant difference, 42,05± 19,606 for patients with known HF and 54,84±20,101 for those without known HF (p =0,003).Referred patients represented 37.6% of the patients and 54.4% of these patients were without previous known HF record. Decompensation was found in 87.1% of cases. Dyspnea, cough and legs edema were found respectively in 75.3, 60.2 and 52.7% of cases. Dietary (16,1%) and medication nonadherence (16,1%) were the main causes. Ischemic heart disease, valvular heart disease and hypertensive heart disease predominated over other HF cases as they were seen in 28.0, 28.0 and 17.2% of patients respectively. Loop diuretics, Angiotensin Converting Enzyme Inhibitor and antiplatelet agents were the most prescribed drugs in 91.3 respectively 82.61 and 69.57% of cases. Conclusion: The dominant etiology in our study was ischemic heart disease. Medical consultation in advanced stage of disease and medication non-compliance for various reasons were the main situations promoting cardiac decompensation.
Keywords
Heart Failure, Prevalence, Signs, Cardiology, Treatment, Bamako
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