Annales de cardiologie et d'angeiologie最新文献

{"title":"Origanum vulgare et risque hémorragique, à propos d'un cas","authors":"Imene Beghriche , Abdelaali Belhachem , Imene Hamidene , Allaoua Hicham Fendri","doi":"10.1016/j.ancard.2024.101856","DOIUrl":"10.1016/j.ancard.2024.101856","url":null,"abstract":"<div><h3>Introduction</h3><div>The use of medicinal plants in Algeria is an ancestral practice that remains relevant today. The population relies on plants to treat various diseases and everyday ailments, which can be dangerous, especially when taking medication [<span><span>1</span></span>,<span><span>2</span></span>]. The interaction between plants and medication can lead to a modification of the plasma concentrations of the latter, which can impact its therapeutic effectiveness and be responsible for toxicity or therapeutic failure [<span><span>1</span></span>,<span><span>2</span></span>]. The interaction can also be pharmacodynamic, resulting in the potentiation of the effect or its antagonism. The risk is even higher when the medication has a narrow therapeutic range or presents high inter- or intra-individual variability, such as with vitamin K antagonist anticoagulants.</div></div><div><h3>Clinical Case</h3><div>We report the case of patient B.Z., aged 77, who is suffering from complete atrial fibrillation (ACFA). The patient has been under antivitamin K (AVK) treatment with acenocoumarol for 8 years and has been followed at the central laboratory of Didouche Mourad Hospital since August 2019.</div><div>The patient has been stable with an INR within the therapeutic target range of <strong>2-3</strong> for 4 years. She is compliant and adheres to the dietary regimen. The dosage of acenocoumarol is alternated between <strong>1/2 tablet</strong> and <strong>1/4 tablet</strong>. On September 6, 2023, during a routine check-up, the patient's INR was <strong>6.42</strong>, and the PT was <strong>17.9%</strong>. The recommendation was to stop AVK and perform a control the following day. The interview revealed that the patient had started taking an infusion of oregano (<em>Origanum vulgare</em>), and occasionally verbena, at a rate of one <strong>200 ml cup</strong> per day for a week. On September 7, 2023, the INR decreased to <strong>3.80</strong> and the PT to <strong>26.9%</strong>, so the recommendation was to resume AVK at a dosage of <strong>1/4 tablet</strong> to <strong>1/2 tablet</strong>, with discontinuation of the herbal tea intake and an INR check after 72 hours. On the fourth day after resuming the anticoagulant, the INR was <strong>2.5</strong>. Despite being informed of the risk of interaction, the patient resumed taking the freshly picked oregano herbal tea from her garden. Given the patient's determination to continue her infusion, the recommendation was made to limit her intake, to prepare much more diluted infusions, and to reduce the dose of acenocoumarol to <strong>1/4 tablet</strong>; this allowed the stabilization of the patient's INR. The last check-up was performed on April 7, 2024, with an INR value of <strong>2.3</strong>.</div></div><div><h3>Results</h3><div>Oregano, a plant from the <em>Lamiaceae</em> family, is used in herbal tea to treat a wide range of diseases, including joint pain, respiratory conditions, and di","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 1","pages":"Article 101856"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142963560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimisation du traitement de l'insuffisance cardiaque à l'institut de cardiologie d'Abidjan","authors":"Marie Nina Koffi ,&nbsp;Anicet Kassi Adoubi ,&nbsp;Fatouma Sall ,&nbsp;Loa Ambroise Gnaba ,&nbsp;Florent Diby ,&nbsp;Serge Armel Dakoi ,&nbsp;Esaïe Soya","doi":"10.1016/j.ancard.2024.101854","DOIUrl":"10.1016/j.ancard.2024.101854","url":null,"abstract":"<div><h3>Introduction</h3><div>The aim of the study was to assess the level of treatment optimization after follow-up at discharge.</div></div><div><h3>Methods</h3><div>We conducted a retrospective study carried out from January 1st, 2016 to December 31st, 2018 in Abidjan Heart Institute with patients hospitalized for heart failure and reviewed in consultation.</div></div><div><h3>Results</h3><div>The study involved 350 patients with an average age of 53.53 ± 16.38 years (54% were males). The prescription of diuretics (92%) after optimization was at the mean and with maximum doses of 29.1% and 7.7%. ACEIs/ARBs (77.1%) had optimal and mean doses for ACEIs of 14.3% and 29.7%. With beta-blockers (72.6%) there was an improvement in doses at 35.4% for the average doses and 3.1%. for the maximum dose. Spironolactone (44.3%) kept the same average dose at 5.7% The median time of optimization was 287.05 days with a median of 140 days. Only 13.4% of patients were receiving optimal treatment at optimal doses. By logistic regression, the presence of LVEF ≤ 0,40 or LVEF= 0.41–0.49 or global heart failure (<em>P</em> &lt; 0.001) favored drug optimization (OR = 24.68[7.15–82.22], <em>P</em> &lt; 0.001); (OR = 11.39[3.25–39.86], <em>P</em> &lt; 0.001) on the other hand, a high serum creatinine level was an obstacle for treatment optimization (OR = 0.92[0.88–0.96], <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The optimization of the treatment of heart failure is insufficient with too long delays in our context. The optimization time was so long. It could be improved by setting up a clinic to optimize the treatment of heart failure.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 1","pages":"Article 101854"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promising long-term surgical outcomes of aortic valve replacement in patients with important isolated aortic regurgitation and severe left ventricular dysfunction","authors":"A. Soufiani ,&nbsp;Z. Agoumy ,&nbsp;M. Tribak ,&nbsp;S. El Mhadi ,&nbsp;Z. Fassi Fehri ,&nbsp;H. Chraibi ,&nbsp;L. Bakamel ,&nbsp;O. Soussi ,&nbsp;H. El Assili ,&nbsp;K. Berrag ,&nbsp;J. Raoui ,&nbsp;FZ Hattab ,&nbsp;Z. Idrissi ,&nbsp;S. Essebany ,&nbsp;H. Leghlimi ,&nbsp;F. Lachhab ,&nbsp;N. Fellat ,&nbsp;R. Fellat ,&nbsp;A. Bensouda ,&nbsp;A. Chaib ,&nbsp;S. Moughil","doi":"10.1016/j.ancard.2024.101859","DOIUrl":"10.1016/j.ancard.2024.101859","url":null,"abstract":"<div><h3>Background</h3><div>Surgical management of patients with severe aortic regurgitation (AR) in the setting of significantly impaired left ventricle (LV) function generally carries very high operative risk. The aim of this study is to assess the short and long-term outcomes of aortic valve replacement (AVR) in a selected young Moroccan population.</div></div><div><h3>Materiel and methods</h3><div>This is a retrospective study between January 2008 and June 2022 including all patients who underwent AVR for massive isolated AR with an LV ejection fraction EF ≤35%.</div></div><div><h3>Results</h3><div>In this center, a total of 3820 patients were operated for valvular disease, from which 110 had important AR. Overall, 42 patients of 110 patients had an LV ejection fraction≤35%, and benefited from AVR. Rheumatic cause was predominant (50%). Preoperative characteristics find an average age of 46.3 ±14.4 years with male prevalence. Only two deaths are noted in the immediate postoperative period. At the 15 years follow-up, the survival was 86.8%. Clinical improvement was present in the majority of patients. The mean LVEF post-AVR has increased by an average of 16% with proof of reverse remodeling.</div></div><div><h3>Conclusions</h3><div>In this series, patients benefited largely from AVR with good postoperative outcomes. The global operative mortality was acceptable (4.7%). The long-term survival (86.8%) was better than that described in the western series. Therefore, our results should encourage a surgical approach for those patients.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 1","pages":"Article 101859"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coronarographie et étiologies de l'insuffisance cardiaque à fraction d’éjection ventriculaire gauche altérée au Sénégal","authors":"Yassine Rabab,&nbsp;Ndao Serigne Cheikh Tidiane,&nbsp;Ka Mame Madjiguene,&nbsp;Mboup Waly Niang,&nbsp;Fall Aissatou,&nbsp;Dia Khadidiatou,&nbsp;Mboup Mouhamed Chérif","doi":"10.1016/j.ancard.2024.101860","DOIUrl":"10.1016/j.ancard.2024.101860","url":null,"abstract":"<div><h3>Introduction</h3><div>Heart failure is a major public health problem because of the number and duration of hospitalizations. Patients with heart failure may have mixed etiologies that are not mutually exclusive, and etiologies vary between high-income and developing countries. The aim of our work was to study the contribution of coronary angiography in the etiological investigation of heart failure with impaired LVEF in the cardiology department of HPD.</div></div><div><h3>Methodology</h3><div>This was a descriptive and analytical cross-sectional study with retrospective data collection on 103 patients hospitalized in the cardiology department of DAKAR's Hospital Principal presenting with heart failure with impaired LVEF and who underwent coronary angiography from January 2019 to December 2022.</div></div><div><h3>Results</h3><div>Our study included 103 patients with a clear male predominance 79.6% and a sex ratio of 3.7. Their mean age was 64±13.5 years. Diabetes was prevalent at 24.3% (<em>p</em>=0.033). All patients had impaired segmental and/or global left ventricular kinetics. Mean ejection fraction was 28.1±6.8. The right radial route was predominantly used 83.7% of the time, and there were no procedural incidents or accidents. Diabetes was significantly associated with coronary involvement (<em>p</em>=0.033). Coronary angiography was normal in 37.8% of patients and showed tri-truncular lesions in 19.4% of patients and bi-truncular lesions in 17.4%.</div><div>We found 91 significant lesion and 67 non-significant lesion. A total of 41 patients had ischemic heart disease, equivalent to 39.8%.</div></div><div><h3>Conclusion</h3><div>Our study shows that ischemic heart disease plays an important role in the etiology of heart failure with impaired LVEF, and that coronary angiography should be performed routinely.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 1","pages":"Article 101860"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142963558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sommaire","authors":"","doi":"10.1016/S0003-3928(25)00010-1","DOIUrl":"10.1016/S0003-3928(25)00010-1","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 1","pages":"Article 101871"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143180454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tamponnade due à la rupture d'un tératome mature : un cas rare","authors":"I. Atlas,&nbsp;M. Khaldi,&nbsp;S. Hayar,&nbsp;M. Haboub,&nbsp;S. Arous,&nbsp;E.M. Benouna,&nbsp;A. Drighil,&nbsp;R. Habbal","doi":"10.1016/j.ancard.2024.101855","DOIUrl":"10.1016/j.ancard.2024.101855","url":null,"abstract":"<div><h3>Introduction</h3><div>Mature teratomas, a diverse group of germ cell tumors, rarely present with complications such as rupture.</div></div><div><h3>Case presentation</h3><div>We present a case of a 27-year-old male who was admitted to our hospital with acute dyspnea. A tamponade was diagnosed and the patient underwent a pericardial puncture. Further radiological investigations revealed a large mediastinal teratoma with evidence of rupture, leading to pericardial effusion. Surgical intervention was performed, which involved pericardial drainage and complete resection of the teratoma. Histopathological examination confirmed the diagnosis of a mature teratoma. The patient made a full recovery postoperatively.</div></div><div><h3>Discussion</h3><div>This rare case underscores the importance of early recognition and prompt surgical management in patients with ruptured mediastinal teratomas to prevent complications. We discuss the clinical presentation, diagnostic workup, and surgical approach to aid in the understanding and management of similar cases.</div></div><div><h3>Conclusion</h3><div>Mature teratomas are relatively rare benign tumors that rarely present with complications such as tamponade. Management of tamponade remains the same, and complete surgical removal of the teratoma is essential. In general, the outcome is favorable after surgical treatment.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 1","pages":"Article 101855"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Les enjeux des nouvelles technologies numériques sur le système de santé marocain : cas du service de cardiologie -B- du Centre Hospitalier Universitaire Ibn Sina (CHUIS) Rabat","authors":"Kaoutar Chafiq ,&nbsp;Kaoutar Dib ,&nbsp;Ahmed Zahidi ,&nbsp;Mohamed Cherti ,&nbsp;Anass Doukkali ,&nbsp;Kaoutar El Menzhi","doi":"10.1016/j.ancard.2024.101858","DOIUrl":"10.1016/j.ancard.2024.101858","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Nous vivons dans l’ère des innovations technologiques de l'information (TI) dans le secteur de la santé, cela a induit à l'appropriation de nouveaux modèles d'organisation qui modifient en profondeur la pratique de la médecine.&lt;/div&gt;&lt;div&gt;Notre étude vise à déterminer les enjeux des nouvelles technologies numériques sur le système de santé marocain, cas du service de cardiologie - B - du centre Hospitalier Universitaire Ibn Sina.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Matériels et méthodes&lt;/h3&gt;&lt;div&gt;Il s'agit d'une étude monocentrique observationnelle descriptive analytique menée au niveau du service de cardiologie- B- durant 6 mois, à partir du 1&lt;sup&gt;er&lt;/sup&gt; septembre 2022. Des questionnaires ont été distribués en support papier au personnel médical affilié ou effectuant leurs stages, utilisant un dispositif numérique au sein du service.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultats&lt;/h3&gt;&lt;div&gt;Trente-et-un (31) réponses ont été collectées, soit un taux de participation de 78 %; l’âge des enquêtés varie entre 21 et 55 ans avec une moyenne de 30,3 ± 8,71 ans et une prédominance féminine de (67,7 %). Près de la moitié des professionnels de santé de notre échantillon 42 % étaient des résidents. Le dispositif numérique le plus déployé est le Système Informatique Hospitalier (SIH) dans 80,6 %; 93,5 % des répondants constataient le gain du temps est un des avantages de la télémédecine et 71 % des répondants qui affirmaient que le meilleur suivi des patients situés dans des zones enclavées afin d’éviter un renoncement aux soins. 74,2 % des enquêtés considéraient que les problèmes techniques constituaient un frein face au déploiement des actes à distance contre 22,2 % pour un diagnostic faible ; 64,5 % des sondés constataient que la formation serait un levier majeur pour intégrer plus d'acte à distance dans leurs pratiques et 54,5 % des enquêtés sont pour des créneaux d'horaire adaptés.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Les avantages perçus par les répondants de ces outils numériques sont nombreux bien qu'il y ait des freins empêchant la transformation digitale d'atteindre son plein potentiel. Le recours aux nouvelles technologies numériques dans ce secteur de santé répond à des enjeux positifs en termes d'efficience d'ordre organisationnel et éducationnel, cela implique la coordination de tous les acteurs. Le service de cardiologie – B - est un espace propice à la mise en place de nouvelles technologies numériques.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;We live in the era of information technology (IT) innovations in the health sector, this has led to the appropriation of new organizational models which are profoundly changing the practice of medicine.&lt;/div&gt;&lt;div&gt;Our study aims to determine the challenges of new digital technologies in the Moroccan health system, the case of the cardiology department - B - of the Ibn Sina University Hospital Center.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Materials and methods&lt;/h3&gt;&lt;div&gt;This is a single-center observational descriptive-ana","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 1","pages":"Article 101858"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial board / Ours rédaction","authors":"","doi":"10.1016/S0003-3928(25)00008-3","DOIUrl":"10.1016/S0003-3928(25)00008-3","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 1","pages":"Article 101869"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143180453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Office white-coat effect tail: A useful tool in family practice?” [Annales de cardiologie et d'angéiologie 73/2 (2024) 101733]","authors":"X. Humbert ,&nbsp;E. Touze ,&nbsp;J. Le Bas ,&nbsp;L. Schonbrodt ,&nbsp;P.-A. Couette ,&nbsp;S. De Jaegher ,&nbsp;A. Pithon ,&nbsp;J. Alexandre ,&nbsp;P.-E. Puddu","doi":"10.1016/j.ancard.2024.101861","DOIUrl":"10.1016/j.ancard.2024.101861","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 1","pages":"Article 101861"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142963564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial board / Ours rédaction","authors":"","doi":"10.1016/S0003-3928(24)00122-7","DOIUrl":"10.1016/S0003-3928(24)00122-7","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 6","pages":"Article 101844"},"PeriodicalIF":0.3,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}