B Sonfo, C A Thiam, A Kéita, Y Camara, A Diarra, M Sako, M Touré, M Konaté, I Sangaré, H O Ba, M Diakité, B Dembélé, H Camara, S Daffé, D Fofana, S Coulibaly, I Menta
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Abstract
Introduction: Venous thromboembolic disease (MTEV) includes: deep venous thrombosis (DVT) and pulmonary embolism (PE). This work was initiated to identify the female particularities if they exist.
Materials and method: This was a retrospective, descriptive study conductedin the cardiology department of the Kati university hospital over a period from January 01, 2014 to December 31, 2021. Patients hospitalized during the period for venousthromboembolic disease were included. The variables studied were demographic social data, risk factors, clinical and para-clinical parameters, therapeutic and evolutionary aspects.
Results: In total we recorded 68 cases of MTEV of which 40 (58.8%) women. There were 12 (30%) cases of deep vein thrombosis, 25 (62.5%) cases of pulmonary embolism and their association in 3 (7.5%) cases. The majority (82.5%) of patients were housewives. Thepostpartum accounted for 10% of cases. The clinical probability according to the Wells score was high in 93% of deep vein thrombosis, intermediate for cases of pulmonary embolism with 50%. Angio-CT showed that pulmonary embolism was bilateral in 80% of cases. Heparin and anti-vitamin K were the most commonly used. Mortality was 7.5%.
Conclusion: women are more victims of venous thromboembolic diseases than men. Postpartum is a special situation for women. Recurrences are not uncommon.