Résultats hospitaliers du registre de l'insuffisance cardiaque aiguë en mauritanie

IF 0.3 Q4 Medicine

Annales de cardiologie et d'angeiologie Pub Date : 2025-07-07 DOI:10.1016/j.ancard.2025.101914

Mohamed Issa Elkharchi , Sidi Mohamed Cheikh Limame , Sidi M’hamed Ethmane , Salihou Fall , Mohamed Ahmedou Seyid , Mohamed Abdallahi Memahi , Mahfoudh Mohamed Taleb , Sirakhé Camara , Ahmed Eba , Horma Zein

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引用次数: 0

Abstract

Introduction

Acute heart failure is a major public health issue worldwide. However, its characteristics in Mauritania remain unknown.

Objective

The aim of our study is to assess the characteristics of acute heart failure in Mauritania.

Methods

We conducted a single-center, prospective, observational, and descriptive study. We included patients hospitalized for acute heart failure at the National Cardiology Center between January 1, 2024, and May 31, 2024.

Results

During the study period, 307 patients were hospitalized for acute heart failure. The mean age of patients was 59.8 ± 15 years, with men accounting for 64.8%. The main cardiovascular risk factor was hypertension (31.6%). NYHA stages 3 and 4 represented 12.7% and 73.6%, respectively. Atrial fibrillation was present in 23.1% of cases, and anemia was found in 51.8%. The mean left ventricular ejection fraction was 41.6%. Decompensated chronic heart failure was the most common presentation (37.8%), while heart failure with reduced ejection fraction accounted for 55.7%. Ischemic heart disease was present in 33.2% of cases. Quadruple therapy for heart failure was initiated in the majority of patients before hospital discharge. The in-hospital mortality rate was 5.5%.

Conclusion

Acute heart failure in Mauritania primarily affects middle-aged individuals. The care follows the guidelines in the National Cardiology Center. A significant effort must be made to extend this organization to the rest of the country.

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毛里塔尼亚医院急性心力衰竭登记结果

急性心力衰竭是世界范围内的一个重大公共卫生问题。然而，它在毛里塔尼亚的特点仍然未知。目的研究毛里塔尼亚急性心力衰竭的特点。方法采用单中心、前瞻性、观察性、描述性研究。我们纳入了2024年1月1日至2024年5月31日期间在国家心脏病中心因急性心力衰竭住院的患者。结果在研究期间，307例患者因急性心力衰竭住院。患者平均年龄59.8±15岁，男性占64.8%。主要心血管危险因素为高血压（31.6%）。NYHA阶段3和4分别占12.7%和73.6%。房颤发生率为23.1%，贫血发生率为51.8%。平均左室射血分数为41.6%。失代偿性慢性心力衰竭是最常见的表现（37.8%），而心力衰竭伴射血分数降低占55.7%。33.2%的病例存在缺血性心脏病。大多数患者在出院前就开始了心力衰竭的四联治疗。住院死亡率为5.5%。结论毛里塔尼亚的急性心力衰竭主要发生在中年人身上。护理遵循国家心脏病学中心的指导方针。必须作出重大努力，把这个组织推广到全国其他地区。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annales de cardiologie et d'angeiologie 医学-外周血管病

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Organe scientifique de référence fondé en 1951, les Annales de cardiologie et d''angéiologie abordent tous les domaines qui intéressent quotidiennement les cardiologues et les angéiologues praticiens : neurologie et radiologie vasculaires, hémostase, diabétologie, médecine interne, épidémiologie et prévention. Les Annales de cardiologie et d''angéiologie sont indexées aux grandes bases de données et publient rapidement, et en conformité avec les normes internationales de publication scientifique, des articles en français sur la pathologie cardiaque.