Annales de cardiologie et d'angeiologie最新文献

{"title":"Ce que le registre e-MUST dit de l’infarctus de la femme","authors":"Frédéric Lapostolle ,&nbsp;Hakim Benamer ,&nbsp;Aurélie Loyeau ,&nbsp;Hugo Michalak ,&nbsp;Tomislav Petrovic ,&nbsp;Sophie Bataille ,&nbsp;Yves Lambert","doi":"10.1016/j.ancard.2025.101925","DOIUrl":"10.1016/j.ancard.2025.101925","url":null,"abstract":"<div><div>The issue of gender in acute myocardial infarction (AMI) emerged in the literature over 25 years ago. It became evident that, all other factors being equal, women with AMI had higher mortality rates than men. The e-MUST registry, which includes patients with ST-segment elevation myocardial infarction (STEMI) of less than 24 hours’ duration managed by one of the 39 Mobile Emergency and Resuscitation Services (SMUR) in the Île-de-France region, has allowed for numerous gender-focused analyses. Key findings include: [1] higher mortality in women: women experiencing AMI have a higher mortality risk (OR = 1.4; 95% CI: 1.1–1.8) compared to men [2]. Younger age of onset in women: while the average age at AMI onset increased by 2.9 years in men between 2002 and 2021 (from 57.6 to 60.5 years; <em>p</em> &lt; 0.05), it decreased by 3.1 years in women (from 73.7 to 70.6 years; <em>p</em> &lt; 0.0001) [3]. Advanced age in a subset of women: women represented 22% of the total registry population but accounted for over 60% of nonagenarian patients. In this very elderly subgroup, the rate of myocardial reperfusion decisions rose from 50% in the early 2000s to over 90% by the early 2020s. This intervention was associated with a 58% reduction in mortality [4]. Nontraditional risk profiles: women with AMI often presented without traditional cardiovascular risk factors, or with risk factors not routinely screened for [5]. Circadian patterns and delayed calls: AMI in women frequently occurred in the early morning, peaking at 08:00. Call delays to emergency services increased with age and nighttime onset, reaching up to 300 minutes in women over 65 experiencing chest pain at 1 a.m [6]. Prehospital management: except for a slightly lower rate of myocardial reperfusion in women (93% vs. 96% in men; <em>p</em> &lt; 0.0001), prehospital management, including anticoagulant and antiplatelet therapy, was comparable between genders [7]. Gender bias in medical regulation: analysis of SAMU call regulation revealed that both the patient’s and the physician’s gender influenced the decision to dispatch a SMUR unit—ranging from 49% when both regulator and patient were men to just 18% when both were women [8]. Need for targeted approaches: these findings underscore the necessity for increased awareness, dedicated training, and gender-specific emergency care protocols to improve outcomes in women with AMI.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101925"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864198","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":"Séniors et lésions coronaires calcifiées","authors":"Ikram El marzouki ,&nbsp;Jacques Monsegu","doi":"10.1016/j.ancard.2025.101926","DOIUrl":"10.1016/j.ancard.2025.101926","url":null,"abstract":"<div><div>Coronary artery calcification is highly prevalent in elderly patients and poses significant challenges during percutaneous coronary intervention (PCI).</div><div>We report the case of an 86-year-old man admitted for ST-elevation myocardial infarction. Coronary angiography revealed triple-vessel disease with an acute coronary artery occlusion, a long, heavily calcified proximal-to-mid left anterior descending artery stenosis, and a severely calcified proximal circumflex lesion. PCI revascularization was performed in 3 steps: primary PCI of the right coronary artery initially, then 3 days after, PCI of the circumflex artery using rotational atherectomy, scoring balloon dilation, and intravascular lithotripsy. Then, at Day 15, PCI of the left anterior descending artery with orbital atherectomy finished complete revascularization.</div><div>This case underscores the importance of a comprehensive geriatric assessment—particularly frailty and physiological age—before selecting a revascularization strategy requiring the use of specific tools as advanced plaque-modification techniques and intravascular imaging, without any restriction according to age.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101926"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864200","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":"La réadaptation cardiaque de la femme coronarienne","authors":"Mohamed Ghannem ,&nbsp;Inès Cazaubiel","doi":"10.1016/j.ancard.2025.101920","DOIUrl":"10.1016/j.ancard.2025.101920","url":null,"abstract":"<div><div>The coronary disease is the leading cause of mortality in women, with 4 to 6 times more deaths than breast cancer. Classically, cardiovascular risk factors show some particularities. Acute coronary syndromes with non-obstructive forms, known as MINOCA (Myocardial Infarction with Non-Obstructive Coronary Arteries), occur more frequently in women than in men, particularly including coronary spasm, microcirculatory ischemia, spontaneous coronary artery dissections (SCAD), and stress cardiomyopathy (takotsubo). The proven benefits of cardiac rehabilitation on hard endpoints, such as morbidity and mortality, do not prevent it from being underutilized, especially in women. The cardiovascular rehabilitation program must be personalized and adapted.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101920"},"PeriodicalIF":0.3,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144827035","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":"2025-07-08","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}

{"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":"2025-07-07","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":"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":"2025-07-06","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":"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":"2025-07-05","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":"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":"2025-07-05","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":"Sommaire","authors":"","doi":"10.1016/S0003-3928(25)00049-6","DOIUrl":"10.1016/S0003-3928(25)00049-6","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101910"},"PeriodicalIF":0.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169230","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)00047-2","DOIUrl":"10.1016/S0003-3928(25)00047-2","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101908"},"PeriodicalIF":0.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169229","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}