Annales de cardiologie et d'angeiologie最新文献

{"title":"Contribution de la téléexpertise échocardiographique à la prise en charge des cardiopathies congénitales : expérience du Burkina Faso","authors":"Relwendé Aristide Yameogo ,&nbsp;Lydie Kologo ,&nbsp;Adama Sawadogo ,&nbsp;Yibar Kambire ,&nbsp;Hippolyte N Some ,&nbsp;Lassina Konate ,&nbsp;Safiatou Tiemtore ,&nbsp;Lynda Compaore ,&nbsp;Patrice Zabsonre ,&nbsp;Nicolas Meda ,&nbsp;Cheick Oumar Bagayoko","doi":"10.1016/j.ancard.2025.101902","DOIUrl":"10.1016/j.ancard.2025.101902","url":null,"abstract":"<div><h3>Introduction</h3><div>Medical imaging is a major focus of information and communication technologies (ICTs) as it generates the largest volume of digital data. L’utilisation de la télémédecine est une opportunité qui permettra d’améliorer la prise en charge des patients. The objective of our study was to assess the contribution of echocardiographic tele-expertise in the management of heart diseases in Burkina Faso.</div></div><div><h3>Methods</h3><div>This was a prospective cohort study conducted from February 16, 2021, to April 6, 2023, in the thoracic and cardiovascular surgery department of the Tengandogo University Hospital. Patients included were those who had undergone echocardiographic tele-expertise and cardiac surgery in Burkina Faso. We compared the concordance between the diagnoses of the requesting cardiologist and the consulting cardiologist on one hand, and between the consulting physician and intraoperative diagnoses on the other hand. Diagnostic concordance rates were used for comparisons.</div></div><div><h3>Results</h3><div>A total of 384 patients benefited from tele-expertise, and 123 underwent surgery in Burkina Faso. Of these, 111 patients were included in the study. The cohort exhibited a female predominance (59.5%), with a mean age of 9.3 years. Congenital heart diseases accounted for 82.9% of cases, dominated by patent ductus arteriosus (40.2%). Acquired heart diseases represented 17.1%, mainly mitral stenosis (52.6%). The diagnostic concordance rate was 94.5% between the requesting and consulting cardiologists and 100% between the consulting cardiologist and intraoperative findings. The mortality rate was 3.6%.</div></div><div><h3>Conclusion</h3><div>Echocardiographic tele-expertise is a reliable and safe practice for both patient management and continuous training of cardiologists. Deploying this practice in regional hospital with cardiologists can improve healthcare delivery.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101902"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563303","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":"Infarctus du myocarde inférieur avec extension au ventricule droit lié à un énorme thrombus naissant de l’aorte ascendante et envahissant la coronaire droite – cas clinique","authors":"H. Bensussan ,&nbsp;R. Auger ,&nbsp;T. Genet ,&nbsp;A. Bernard","doi":"10.1016/j.ancard.2025.101959","DOIUrl":"10.1016/j.ancard.2025.101959","url":null,"abstract":"<div><div>This case report tells the story of a non-trivial infarction, where the usual rapid management of a ST-segment elevation infarction could have led to serious consequences for the patient. It is important to maintain a systematic clinical assessment before performing invasive procedures.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101959"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145386023","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":"Time in therapeutic range in venous thromboembolism : Role in preventing complications","authors":"Imène Rachdi,&nbsp;Mariem Ben Brahim,&nbsp;Mehdi Somai,&nbsp;Ibrahim Arbaoui,&nbsp;Besma Ben Dhaou,&nbsp;Fatma Boussema,&nbsp;Fatma Daoud,&nbsp;Zohra Aydi","doi":"10.1016/j.ancard.2025.101958","DOIUrl":"10.1016/j.ancard.2025.101958","url":null,"abstract":"<div><h3>Background</h3><div>Vitamin K antagonists (VKAs) are the most commonly prescribed drug for the treatment of venous thromboembolism (VTE). Our study’s aim was to evaluate the role of Time in Therapeutic Range (TTR) in preventing thrombotic and hemorrhagic complications in patients treated by VKAs for VTE.</div></div><div><h3>Methods</h3><div>Our study is prospective, descriptive, and longitudinal, including patients admitted to an Internal Medicine department in Tunis, during a 9-month period. One hundred patients diagnosed with VTE confirmed with imaging and treated with VKAs were included. TTR was calculated using Rosendaal’s method through a free software <em>INR</em> PRO<em>©</em>.</div></div><div><h3>Results</h3><div>The mean age of patients was 59.4 ± 16.7 years. Sex-ratio was 1.5. VKAs were mainly prescribed for deep venous thromboses (57%). Cancer was the most common etiology (26%). The mean follow-up period was 5.3 months. The mean TTR was 36.1±22.5%. Twenty-seven percent of patients had a TTR&gt;50%. We noted 25% of hemorrhagic events and 15% of thromboembolic recurrence. A TTR&lt;50% was correlated with hemorrhagic complications (<em>p</em>=0.02), but not with thrombotic ones (<em>p</em> = 0.224).</div></div><div><h3>Conclusion</h3><div>Our results outline the necessity of implementing adequate tools to improve anticoagulation in our population. Implementing TTR as a quality assessment tool for anticoagulation will likely decrease complications related to VKAs.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101958"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145385965","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)00129-5","DOIUrl":"10.1016/S0003-3928(25)00129-5","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101990"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145516509","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":"Complications successives dans le syndrome de takotsubo – de l'oedème pulmonaire au choc cardiogénique aigu à l'arythmie ventriculaire : un rapport de cas","authors":"Alexia François ,&nbsp;Eddy Ngando Ngena ,&nbsp;Laurence Van Der Haert ,&nbsp;Emmanuel Haine ,&nbsp;Linda Kubangumusu Bunzi","doi":"10.1016/j.ancard.2025.101903","DOIUrl":"10.1016/j.ancard.2025.101903","url":null,"abstract":"<div><div>Takotsubo syndrome (TTS), also known as “stress cardiomyopathy”, manifests as transient left ventricular dysfunction and shares similarities with acute coronary syndrome (ACS). Although often considered benign, it has mortality rates and complications (cardiogenic shock, arrhythmias, etc.) close to those of ACS.</div><div>This article reports on a clinical case of Takotsubo syndrome in a 70-year-old female patient who presented a series of complications. This serves as a reminder of the need for intensive follow-up during the acute phase.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101903"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563892","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)00131-3","DOIUrl":"10.1016/S0003-3928(25)00131-3","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101992"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145516508","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":"Analyse rétrospective de la prise en charge de la fibrillation atriale dans un service de cardiologie à l’Institut de Cardiologie d’Abidjan (Côte d’Ivoire)","authors":"Iklo Coulibaly ,&nbsp;Marie-Paule Bernadette N'cho-Mottoh ,&nbsp;Florent Kouassi Koffi ,&nbsp;Inès Angoran ,&nbsp;Fatoumata Traoré ,&nbsp;Stéphane Youmbi Simeu","doi":"10.1016/j.ancard.2025.101904","DOIUrl":"10.1016/j.ancard.2025.101904","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to analyze the management of atrial fibrillation in a cardiology department in sub-Saharan Africa.</div></div><div><h3>Methodology and results</h3><div>We conducted a retrospective study of 146 consecutive patients aged at least 18 years hospitalized for atrial fibrillation over a two-year period in our cardiology department at the cardiology institute of Abidjan (Côte d'Ivoire). The mean age of the study population was 61.2 ±15.5 years, and the majority were women (51.4%). The respective prevalences of paroxysmal, persistent, and permanent fibrillation were 11.6%, 4.1%, and 32.2%.</div><div>The underlying pathologies found in 105 patients were: hypertensive heart disease (47.2%), valvular heart disease (15.7%), and dilated cardiomyopathy (4.1%). A heart rate control strategy was chosen in the majority of cases (84.2%). Beta-blockers (36.3%), digoxin (20.5%), and amiodarone (18%) were the most commonly used drug classes. The mean CHA2DS2VASc score was 3±1.57, and 85.2% of patients had a CHA2DS2VASc score ≥ 2. Of the patients requiring oral anticoagulation, 91 (76.5%) received it.</div></div><div><h3>Conclusion</h3><div>Atrial fibrillation is severe in our context because of the greater prevalence of heart failure, hypertensive heart disease and cardiovascular risk factors, all of which increase the risk of thromboembolism. The heart rate control strategy was predominant and oral anticoagulation was correctly prescribed in 76.5% despite a high CHA2DS2VASc score.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101904"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144557487","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":"Thromboembolic complications following rituximab therapy in a patient with bullous pemphigoid : A case report","authors":"Nouhaila Wakil,&nbsp;Lamia Tlohi,&nbsp;Meryem Haboub,&nbsp;Rachida Habbal","doi":"10.1016/j.ancard.2025.101957","DOIUrl":"10.1016/j.ancard.2025.101957","url":null,"abstract":"<div><div>Venous thromboembolism (VTE), encompassing deep vein thrombosis (DVT) and pulmonary embolism (PE), is the third leading cause of cardiovascular mortality worldwide, following stroke and myocardial infarction. Rituximab, a monoclonal antibody targeting CD20 on B lymphocytes, is increasingly used in the management of autoimmune conditions. While generally well tolerated, rare thromboembolic events have been reported. The pathophysiological mechanisms remain unclear but may involve endothelial dysfunction, cytokine release, or immune-mediated vascular injury.</div><div>We report the case of a 56-year-old woman with bullous pemphigoid treated with rituximab, who developed extensive thromboembolic complications. The patient presented with acute dyspnea and leg pain. Clinical evaluation and imaging confirmed the diagnosis of DVT and PE. No predisposing factors such as recent surgery, immobilization, or malignancy were identified. The temporal relationship with rituximab infusion suggested a possible causal link. Anticoagulation was initiated, and rituximab therapy was discontinued. The aim of this report is to underscore the possible thromboembolic risk related to rituximab, and to discuss the underlying pathophysiological mechanisms, contributing risk factors, and strategies for prevention and clinical management.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101957"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145386017","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":"Résultats hospitaliers du registre de l'insuffisance cardiaque aiguë en mauritanie","authors":"Mohamed Issa Elkharchi ,&nbsp;Sidi Mohamed Cheikh Limame ,&nbsp;Sidi M’hamed Ethmane ,&nbsp;Salihou Fall ,&nbsp;Mohamed Ahmedou Seyid ,&nbsp;Mohamed Abdallahi Memahi ,&nbsp;Mahfoudh Mohamed Taleb ,&nbsp;Sirakhé Camara ,&nbsp;Ahmed Eba ,&nbsp;Horma Zein","doi":"10.1016/j.ancard.2025.101914","DOIUrl":"10.1016/j.ancard.2025.101914","url":null,"abstract":"<div><h3>Introduction</h3><div>Acute heart failure is a major public health issue worldwide. However, its characteristics in Mauritania remain unknown.</div></div><div><h3>Objective</h3><div>The aim of our study is to assess the characteristics of acute heart failure in Mauritania.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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%.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101914"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570559","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":"Anomalies électrocardiographiques et échocardiographiques au cours du lupus érythémateux systémique : les premières données des patients Camerounais","authors":"Jan René Nkeck ,&nbsp;Valérie Ndobo-Koe ,&nbsp;Stela Valdesse Kamgue Wambo ,&nbsp;Carelle Doen Guedi ,&nbsp;Adeline Pelda ,&nbsp;Gisèle Flora Nandjip ,&nbsp;Baudelaire Fojo ,&nbsp;Caroline Ngoufack-Tientcheu ,&nbsp;Blondelle Ndifon ,&nbsp;Laeticia Yowo ,&nbsp;Liliane Kuate Mfeukeu ,&nbsp;Madeleine Ngandeu Singwé","doi":"10.1016/j.ancard.2025.101905","DOIUrl":"10.1016/j.ancard.2025.101905","url":null,"abstract":"<div><h3>Introduction</h3><div>Limited data are available on cardiac manifestations in systemic lupus erythematosus (SLE) in Cameroon. The aim of this study was to report on electrocardiographic and echocardiographic abnormalities in this population.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted from October 2023 to May 2024 at the Yaoundé Central Hospital, involving patients followed up for SLE satisfying the ACR/EULAR 2019 criteria, paired with healthy subjects. They underwent electrocardiographic and echocardiographic examinations. Frequencies of abnormalities were compared using Fisher's exact test. The significance threshold was 0.05.</div></div><div><h3>Results</h3><div>We included 55 SLE patients (94.5% female) with a mean age of 39 (10) years, and 55 matched control subjects. Clinically, 10 (18.2%) SLE patients presented with functional cardiac signs. Electrocardiographic and echographic abnormalities accounted for 29.1% and 43.6% of patients, respectively, with frequencies significantly higher than those of controls (10.9% and 7.3%, respectively). These included sinus tachycardia (14.5%), ST elevation (14.5%), and T-wave inversion (16.3%) on electrocardiography; pericardial effusion (25.5%), mitral insufficiency (23.6%), aortic insufficiency (20%), and pulmonary hypertension (14.5%) on echocardiography.</div></div><div><h3>Conclusion</h3><div>Electrocardiographic and echocardiographic abnormalities are common, affecting one-third and two-fifths respectively of SLE patients in our sample. They are usually asymptomatic, calling for screening and follow-up, as some can have a long-term prognostic impact.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101905"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572393","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}