{"title":"PCI for in-stent restenosis of an anomalous right coronary artery","authors":"Z. Laraichi, H. Benamer","doi":"10.1016/j.ancard.2026.102061","DOIUrl":"10.1016/j.ancard.2026.102061","url":null,"abstract":"<div><div>Coronary angioplasty for congenital anomalies of the coronary arteries (ANOCOR) remains a technically demanding procedure due to the difficulties associated with selective cannulation of the coronary ostium and achieving adequate support for the guide catheter. We report a case of in-stent restenosis in a proximal connection anomaly of the right coronary artery arising from the left coronary sinus, which was successfully treated using an innovative telescopic technique. A 63-year-old female patient, presenting with multiple cardiovascular risk factors and having previously undergone angioplasty of this right coronary artery, was referred for recurrent angina and exertional dyspnea. Myocardial scintigraphy revealed ischemia of the inferior wall, and coronary angiography demonstrated significant in-stent restenosis of the proximal and middle segments of the right coronary artery. Angioplasty was performed via the right femoral approach using a 7 Fr introducer. Selective intubation of the coronary ostium was achieved using a telescopic configuration consisting of inserting a 5 Fr internal mammary guide catheter within a 7 Fr 3.5 Extra Backup (EBU) guide catheter, allowing for optimal coaxial alignment and satisfactory support. This strategy allowed for lesion preparation followed by the implantation of two drug-eluting stents, resulting in an excellent angiographic outcome and significant clinical improvement.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 4","pages":"Article 102061"},"PeriodicalIF":0.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787427","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}
H. Yao, A. Ekou, A. Djoma, E. Ehouman, C. Touré, Z. Ouattara, K.J.M. Boka, E.P. Sepih, J.J. N’Djessan, B.C. Boka, C. Konin, R. N’Guetta
{"title":"Évolution des motifs d’admissions en unité de soins intensifs cardiologiques de 2018–2022 : données de l’institut de cardiologie d’Abidjan","authors":"H. Yao, A. Ekou, A. Djoma, E. Ehouman, C. Touré, Z. Ouattara, K.J.M. Boka, E.P. Sepih, J.J. N’Djessan, B.C. Boka, C. Konin, R. N’Guetta","doi":"10.1016/j.ancard.2026.102052","DOIUrl":"10.1016/j.ancard.2026.102052","url":null,"abstract":"<div><h3>Objective</h3><div>Assess trends of hospitalizations in the intensive care unit (ICU) at the Abidjan Heart Institute.</div></div><div><h3>Patients and methods</h3><div>We conducted a retrospective descriptive and analytical study over a five-year period, from January 1, 2018, to December 31, 2022. Data were collected from the ICU registry for the study period. We analyzed and compared sociodemographic data, diagnoses, length of stay, and mortality, as well as changes over time.</div></div><div><h3>Results</h3><div>Three thousand six hundred and ninety-seven (3697) patients were included in the study. There has been a gradual decrease in the number of admissions to the CCU for all causes, particularly in 2021. Males accounted for the majority of patients in all years considered (63.89%, sex ratio<!--> <!-->=<!--> <!-->1.72). However, there has been an increase in the proportion of female patients over the last two years. Over the study period, the median age of the entire population was 55<!--> <!-->years [39–66], with no significant variation over the years (<em>P</em> <!-->=<!--> <!-->0.39). Admissions were dominated by ischemic heart disease in 22.42% of cases, followed by cardiomyopathy (14.25%). This predominance of ischemic heart disease remained constant throughout the study period, despite a significant decrease in almost all admissions for cardiovascular disease. The overall mortality rate among all patients admitted to the CCU from 2018 to 2022 was 26.3% and remained unchanged over the study period (<em>P</em> <!-->=<!--> <!-->0.192). Considering specific annual mortality, there was a significant trends in mortality rates for cardiomyopathy (<em>P</em> <!-->=<!--> <!-->0.002) and pulmonary hypertension (<em>P</em> <!-->=<!--> <!-->0.031).</div></div><div><h3>Conclusion</h3><div>Our study conducted at Abidjan Heart Institute among a population of patients hospitalized in the ICU revealed significant temporal variations. Despite an overall decline in hospitalizations due to COVID-19, it appears that ischemic heart disease was the main reason for admission to the ICU. The conditions found in the ICU, most often cardiovascular, affect relatively young male patients. However, there has been a notable increase in the proportion of women over the last two years, with a particular focus of specific cardiovascular condition, and higher mortality. These observations will need to be verified over longer periods and could help guide health policies and priorities in order to address the outbreak of cardiovascular diseases observed in our practice.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 4","pages":"Article 102052"},"PeriodicalIF":0.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560765","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}
S. Chahid, J. Boyer, T. Roussel, O. Torras, F. Arregle, T. Cuisset, P. Deharo
{"title":"A Pascal in ring: Transcatheter edge-to-edge tricuspid repair for severe regurgitation within a surgical annuloplasty ring","authors":"S. Chahid, J. Boyer, T. Roussel, O. Torras, F. Arregle, T. Cuisset, P. Deharo","doi":"10.1016/j.ancard.2026.102059","DOIUrl":"10.1016/j.ancard.2026.102059","url":null,"abstract":"<div><h3>Background</h3><div>Severe tricuspid regurgitation (TR) carries a poor prognosis and its management is particularly challenging in patients with recurrent TR after prior surgical annuloplasty. For those patients redo surgery is often high-risk and transcatheter valve replacement may be anatomically precluded by the presence of a rigid or semi-rigid ring.</div></div><div><h3>Case summary</h3><div>We report the case of a 69-year-old woman with a history of rheumatic heart disease, multiple previous cardiac surgeries who presented with heart failure related to severe, symptomatic tricuspid regurgitation caused by leaflet restriction within a previously implanted annuloplasty ring (Carpentier Edwards 30<!--> <!-->mm). Given a high surgical risk (three prior sternotomies, TRI-SCORE and EuroSCORE II both indicating elevated operative risk) and anatomical screen failure for transcatheter tricuspid valve replacement because of the pre-existing ring, the Heart Team elected transcatheter edge-to-edge repair with the PASCAL system. A single device was implanted in the antero-septal position, achieving no residual leak, without complication.</div></div><div><h3>Conclusion</h3><div>Transcatheter edge-to-edge repair with the PASCAL device is technically feasible and effective for the treatment of severe TR recurring within a surgical annuloplasty ring, and should be considered as a valid alternative when redo surgery is high-risk and transcatheter valve replacement is anatomically not feasible.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 4","pages":"Article 102059"},"PeriodicalIF":0.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148849699","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}
Antoine Delapierre, Guilhem Tonnerre, Fatima-Zohra Mokrane, Frédéric Bouisset
{"title":"[Coronary CT angiography: Diagnosis, prognosis and PCI planning].","authors":"Antoine Delapierre, Guilhem Tonnerre, Fatima-Zohra Mokrane, Frédéric Bouisset","doi":"10.1016/j.ancard.2026.102086","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102086","url":null,"abstract":"<p><p>Coronary CT angiography (CCTA), long confined to a diagnostic triage role, now occupies a central place at every stage of coronary artery disease management. Diagnostically, it overcomes the limitations of the calcium score - blind to non-calcified plaque - by directly visualizing the arterial wall, and now integrates functional assessment through CT-derived fractional flow reserve. Prognostically, overall atherosclerotic burden and plaque morphology (high-risk plaque, pericoronary fat) prove more predictive of cardiovascular events than stenosis severity alone, a finding that led to the revision of the CAD-RADS classification. Therapeutically, CCTA enables detailed planning of percutaneous coronary intervention - guiding catheter selection, anticipating calcium modification needs, and determining stent length - foreshadowing the concept of CT-guided PCI. This trajectory reflects a broader paradigm shift in cardiology, from ischaemia to atheroma. Upcoming technical developments (photon-counting CT, myocardial perfusion) are expected to further consolidate CCTA's central role in interventional coronary cardiology.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149103166","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":"[Serial coronary lesions: The value of FFR pullback to guide revascularization].","authors":"P Gautier, F Bouisset","doi":"10.1016/j.ancard.2026.102084","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102084","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149079520","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}
K Chalbi, A Chetoui, S Neji, E Allouche, M Elarbi, F Boudiche, W Wechtati, H Ben Ahmed, L Bezdah
{"title":"[Predictive factors of recurrent acute coronary syndrome].","authors":"K Chalbi, A Chetoui, S Neji, E Allouche, M Elarbi, F Boudiche, W Wechtati, H Ben Ahmed, L Bezdah","doi":"10.1016/j.ancard.2026.102089","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102089","url":null,"abstract":"<p><strong>Introduction: </strong>The recurrence of acute coronary syndrome (ACS) represents a major public health issue due to its significant contribution to cardiovascular morbidity and mortality. Despite therapeutic advances in interventional cardiology, a substantial proportion of patients remains at risk of recurrent ACS. The objective of our study was to identify predictive factors for ACS recurrence.</p><p><strong>Methods: </strong>We conducted a single-center, observational, retrospective, etiological study between January 2017 and December 2023. A total of 224 patients were included, of whom 107 experienced recurrent ACS, while 117 presented with only one episode. Clinical and paraclinical data were collected from medical records and univariate and multivariate statistical analyses were performed.</p><p><strong>Results: </strong>The mean age of the study population was 60.01±10.69 years, with a male predominance (79%). Statistical analyses showed that patients with recurrent ACS had a significantly higher number of cardiovascular risk factors (3.89±1.36 vs 2.91±1.17; OR=3.43, 95% CI: 1.79-6.57; P<0.001), particularly smoking (83.2% vs 70.9%, OR=2.03; 95% CI: 1.07-3.87; P=0.015), diabetes (60.7% vs 45.3%, OR=1.87; 95% CI: 1.10-3.18; P=0.021), and hypertension (51.4% vs 36.8%, OR=2.07; 95% CI: 1.22-3.55; P=0.027). Moreover, multivessel disease (57.9% vs 42.7%, OR=1.84; 95% CI: 1.08-3.13; P=0.035), low HDL cholesterol levels (0.31 vs 0.35g/L, OR=2.07; 95% CI: 1.04-4.14; P=0.006), elevated C-reactive protein levels (14.75 vs 8.2mg/L, OR=2.10; 95% CI: 1.11-3.98; P=0.018), implantation of two or more stents (40% vs 13.6%, OR=4.05; 95% CI: 2.04-8.03; P<0.001), suboptimal angioplasty outcomes (9.5% vs 1.9%, OR=2.13; 95% CI: 1.83-2.48; P=0.021), and poor medication adherence (50.5% vs 26.2%, OR=2.96; 95% CI: 1.68-5.17; P=0.001) were more frequent among patients with recurrent ACS. Multivariate analysis revealed that diabetes, elevated CRP levels, and implantation of two or more stents were independently associated with ACS recurrence.</p><p><strong>Conclusion: </strong>This study identified predictive factors for ACS recurrence. Diabetes, inflammation, and multi-stenting were independently associated with recurrence. These results highlight the importance of strict management of metabolic and inflammatory factors, as well as the optimization of revascularization strategies.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149029593","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":"[Assessment of stress and anxiety among Moroccan interventional cardiologists].","authors":"S Arous, I Atlas","doi":"10.1016/j.ancard.2026.102063","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102063","url":null,"abstract":"<p><strong>Introduction: </strong>Physicians are particularly vulnerable to stress, anxiety, and burnout. However, data on these conditions among interventional cardiologists remain limited. The objective of our study is to assess the prevalence of anxiety and depression among Moroccan interventional cardiologists.</p><p><strong>Methods: </strong>We conducted a cross-sectional study using an online survey of Moroccan interventional cardiologists. Anxiety and depression were assessed using the HADS scale. Statistical analyses were performed using RStudio.</p><p><strong>Results: </strong>The study included 77 Moroccan interventional cardiologists, the majority of whom were men (75.3%), with a mean age of 43.5 years. Assessment using the HADS scale showed a prevalence of anxiety of 58.4%, including 28.6% with moderate to severe anxiety. Depression was present in 32.5% of participants (including 10.4% with moderate to severe depression), and 64.9% exhibited an overall depressive state (minor or major). In univariate analysis, anxiety was significantly associated with difficulty falling asleep after emergency shifts, apprehension about complications, and stress related to contact with families. Depressive state was associated with working in the private sector, post-emergency sleep disturbances, and family-related stress. As for depression, no significant associations were found for the factors studied.</p><p><strong>Conclusion: </strong>Anxiety and depression are common among Moroccan interventional cardiologists, linked to significant professional, emotional, and financial pressures. These findings highlight the need for appropriate prevention strategies and psychological support, as well as larger-scale research to better assess and manage this distress.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148917987","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":"Syndrome de tachycardie orthostatique posturale post-COVID : documentation d’un phénotype hyperadrénergique par exploration autonome complète","authors":"Z. Rahali, B. El Boussaadani, Z. Raissuni","doi":"10.1016/j.ancard.2026.102018","DOIUrl":"10.1016/j.ancard.2026.102018","url":null,"abstract":"<div><div>Postural orthostatic tachycardia syndrome (POTS) is a form of dysautonomia characterized by an excessive increase in heart rate upon standing, in the absence of orthostatic hypotension. Post-infectious forms, particularly following SARS-CoV-2 infection, have been increasingly reported. We report the case of a 34-year-old woman presenting with persistent palpitations, marked fatigue, and orthostatic intolerance that developed two weeks after a mild COVID-19 infection. Standard cardiological evaluation revealed no abnormalities. Comprehensive autonomic testing demonstrated an increase in heart rate from 72 to 109 beats per minute at the 11th minute of active standing (Δ +37 bpm), without significant blood pressure drop, confirming the diagnosis of POTS. Additional autonomic assessment identified a hyperadrenergic phenotype. After two months of treatment with ivabradine (5<!--> <!-->mg daily), heart rate in the standing position stabilized between 80 and 100 beats per minute, with partial clinical improvement. This case highlights the importance of comprehensive autonomic evaluation in post-COVID forms of POTS and supports the role of targeted therapy.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102018"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025830","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}
B. Boka, A.H. Djoma, N. Ateba, M. Tano, J. Oné, A. Yéo, B. Agbikossi, J. Boka, H. Yao, J.B. Anzouan-Kacou
{"title":"Aspects épidémiologique, clinique et thérapeutique de l’hypertension artérielle de l’adulte jeune à l’institut de cardiologie d’Abidjan","authors":"B. Boka, A.H. Djoma, N. Ateba, M. Tano, J. Oné, A. Yéo, B. Agbikossi, J. Boka, H. Yao, J.B. Anzouan-Kacou","doi":"10.1016/j.ancard.2026.102022","DOIUrl":"10.1016/j.ancard.2026.102022","url":null,"abstract":"<div><h3>Introduction</h3><div>Hypertension in young adults has become a health problem due to its increasing prevalence.</div></div><div><h3>Objective</h3><div>To describe the epidemiological, clinical, and therapeutic aspects of hypertension in young adults in Côte d’Ivoire.</div></div><div><h3>Patients and methods</h3><div>This was a retrospective and analytical study over a 3-year period from 2016 to 2018 conducted at the Abidjan Heart Institute (ICA). We used data from the medical records of hypertension patients aged 18 to 39<!--> <!-->years with a minimum of six months of outpatient follow-up. Data were analyzed using Stata 12.0 software.</div></div><div><h3>Results</h3><div>We included 95 patients aged 18 to 39<!--> <!-->years. The mean age was 34.6<!--> <!-->±<!--> <!-->4.2<!--> <!-->years. The M/F sex ratio was 0.98. Hypertension was predominantly systolic-diastolic (83.1%) and grade III (42.1%). Its severity at the first consultation was significantly reduced by prior treatment (<em>P</em> <!-->=<!--> <!-->0.015). The mean duration of hypertension was 1.7<!--> <!-->±<!--> <!-->2.4<!--> <!-->years. Cardiac involvement was present at the start of follow-up: left ventricular hypertension (44.2%) and CV risk was high (53.7%). Hypotensive treatment was initiated with dual therapy (61.1%) combining RAAS blockers (87.4%) and calcium channel blockers (57.9%). We found that self-measurement at home significantly improved blood pressure control (<em>P</em> <!-->=<!--> <!-->0.0087).</div></div><div><h3>Conclusion</h3><div>This study calls for strengthening screening and management policies for hypertension in young adults in our context.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102022"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025872","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}
G.H.K. Ouedraogo , Z.C. Meda , L.J. Kagambega , B. Ilboudo , H. Zamane , Y.E. Dabire , N.V. Yameogo
{"title":"Facteurs associés à la persistance de l’hypertension artérielle gravido-puerpérale au-delà de 3 mois après l’accouchement, au centre hospitalier régional de Kaya, au Burkina Faso","authors":"G.H.K. Ouedraogo , Z.C. Meda , L.J. Kagambega , B. Ilboudo , H. Zamane , Y.E. Dabire , N.V. Yameogo","doi":"10.1016/j.ancard.2026.102033","DOIUrl":"10.1016/j.ancard.2026.102033","url":null,"abstract":"<div><h3>Introduction</h3><div>Arterial hypertension (AH) is common during pregnancy and in the post-partum period. It is often complicated by pre-eclampsia or eclampsia, with a risk of progression to chronicity. The aim of this study was to determine the prevalence of this persistence beyond 3 months after delivery, and the factors associated with it.</div></div><div><h3>Methods</h3><div>This was a cohort study (one arm) with an analytical aim and prospective collection among women received for gravido-puerperal hypertension in the medicine and gynecology-obstetrics departments of the regional hospital center of Kaya. They were followed up to 3 months after delivery. The evolution of blood pressure figures was regularly monitored every two weeks. The gestational or postpartum hypertension was declared cured when systolic blood pressure<!--> <!-->˂<!--> <!-->140<!--> <!-->mmHg and diastolic blood pressure<!--> <!-->˂<!--> <!-->90<!--> <!-->mmHg were recorded at two successive checks spaced two weeks apart. After the descriptive analysis, a logistic regression made it possible to investigate the factors associated with the persistence of hypertension in the postpartum period beyond 3 months after delivery.</div></div><div><h3>Results</h3><div>A total of 119 women aged 16 to 49 participated in the study with a mean age of 26.18<!--> <!-->±<!--> <!-->7.74 years. The age group of 20 to 30 was the most represented (42%). They were housewives (69.75%), uneducated (60.5%). In total, 75.63% had given birth vaginally, 19.33% had a history of cured postpartum hypertension, 22.69% had achieved less than 4 prenatal follow-up, 49.58% had pre-eclampsia, 10 .92% had eclampsia and 29.41% had dyslipidemia. The prevalence of persistence of gravido-puerperal hypertension was 22.69%. The factors associated with its persistence beyond 3 months were: age<!--> <!-->><!--> <!-->30 years (3.73 [1.26–11.17]; <em>P</em> <!-->=<!--> <!-->0.0169), the number of procedures<!--> <!-->><!--> <!-->4 (4, 44 [1.43–14.18]; <em>P</em> <!-->=<!--> <!-->0.0100) and pre-eclampsia (3.3 [1.12–10.26]; <em>P</em> <!-->=<!--> <!-->0.0260).</div></div><div><h3>Conclusion</h3><div>The prevalence of persistent gravido-puerperal hypertension beyond 3 months postpartum is high. Addressing the associated factors in healthcare interventions will help to reduce it.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102033"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969926","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}