Annales de cardiologie et d'angeiologie最新文献

{"title":"Réadmission précoce et mortalité chez les patients insuffisants cardiaques dans un hôpital de soins tertiaires en Afrique de l’Ouest (Ouagadougou) : facteurs prédictifs issus d’une étude rétrospective de deux ans","authors":"L.P. Thiombiano ,&nbsp;A. Thiam ,&nbsp;I. Bayire ,&nbsp;H.E. Lengani ,&nbsp;W.M. Nacanabo ,&nbsp;T.A.A. Seghda ,&nbsp;S. Dimzoure ,&nbsp;I. Sawadogo ,&nbsp;M. Loya ,&nbsp;C.D. Da ,&nbsp;N.V. Yameogo ,&nbsp;A.K. Samadoulougou ,&nbsp;P. Zabsonre","doi":"10.1016/j.ancard.2026.102019","DOIUrl":"10.1016/j.ancard.2026.102019","url":null,"abstract":"<div><h3>Introduction</h3><div>Heart failure (HF) is the final common pathway of most cardiovascular diseases and remains a leading cause of hospitalization and mortality worldwide. In sub-Saharan Africa, its burden is particularly high. This study aimed to identify predictors of 30-day readmission and in-hospital mortality among patients hospitalized for HF in a tertiary care hospital in West Africa.</div></div><div><h3>Patients and method</h3><div>It was a retrospective, descriptive, and analytical cohort study conducted at the Bogodogo University Hospital (Ouagadougou, Burkina Faso) from January 1, 2022, to December 31, 2023. All consecutive patients admitted for acute or decompensated chronic HF were included. Univariate and multivariate logistic regression analyses were performed to determine independent predictors of early readmission and mortality.</div></div><div><h3>Results</h3><div>The hospital prevalence of heart failure (HF) was 34.28% (396/1155). At discharge, 37.63% (149/396) of patients still exhibited clinical signs of HF. The overall in-hospital mortality rate during the study period (2 years) was 17.42% (69/396). The 30-day readmission rate was 7.57% (30/396), with 69.77% of readmissions occurring within the first two weeks after discharge. The mean length of hospital stays increased from 7 days during the index hospitalization to 11 days at readmission. Independent predictors of early readmission were male sex (<em>P</em> <!-->=<!--> <!-->0.043), chronic kidney disease (<em>P</em> <!-->=<!--> <!-->0.013), hypertensive heart disease (<em>P</em> <!-->=<!--> <!-->0.035), and betablocker use (<em>P</em> <!-->=<!--> <!-->0.033). Mortality among readmitted patients was 36.66% (11/30). Independent factors associated with mortality were intercurrent infections (<em>P</em> <!-->=<!--> <!-->0.016), mainly pneumonia (<em>P</em> <!-->=<!--> <!-->0.036), the presence of a mitral regurgitation murmur (<em>P</em> <!-->=<!--> <!-->0.020), and ventricular arrhythmias (<em>P</em> <!-->=<!--> <!-->0.023).</div></div><div><h3>Conclusion</h3><div>Heart failure remains highly prevalent and severe in low-resource settings. Although the 30-day readmission rate was relatively low, early rehospitalization was strongly associated with excess mortality. Optimizing guideline-directed medical therapy and targeting modifiable predictors are essential to improve clinical outcomes.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102019"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025709","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":"Profil épidémiologique de l’embolie pulmonaire au centre hospitalier universitaire de Bogodogo/Burkina Faso : étude transversale descriptive","authors":"M.W. Nacanabo ,&nbsp;A.A.T. Seghda ,&nbsp;A. Tall Thiam ,&nbsp;C.D. Dah ,&nbsp;I. Sawadogo ,&nbsp;M.S. Dimzouré ,&nbsp;M. Loya Abouga ,&nbsp;P.L. Thiombiano ,&nbsp;E.H. Lengani ,&nbsp;Y. Kambiré ,&nbsp;J.K. Kologo ,&nbsp;G.C. Millogo ,&nbsp;V.N. Yameogo ,&nbsp;A.K. Samadoulougou ,&nbsp;P. Zabsonre","doi":"10.1016/j.ancard.2026.102017","DOIUrl":"10.1016/j.ancard.2026.102017","url":null,"abstract":"<div><h3>Introduction</h3><div>Pulmonary embolism is a relatively common condition. The aim of this study was to examine the epidemiological, clinical, paraclinical, therapeutic and evolutionary aspects of PE.</div></div><div><h3>Materials and methods</h3><div>This was a cross-sectional analytical study of a cohort of patients hospitalised in the cardiology department of the Bogodogo University Hospital Centre (CHU-B) between 5 March 2017 and 31 July 2023. The study included all patients whose diagnosis of pulmonary embolism was confirmed by pulmonary artery CT angiography or, in the absence of this, in an emergency situation, by echocardiographic signs. Epidemiological, demographic, clinical, paraclinical, therapeutic and evolutionary parameters were investigated.</div></div><div><h3>Results</h3><div>The prevalence in the cardiology department was 21.90% during the study period. The sex ratio was 0.86. The average age was 54.46<!--> <!-->±<!--> <!-->16.74 years. Sedentary lifestyle, obesity and a history of venous thromboembolic disease were the predominant thromboembolic risk factors. The mortality rate from pulmonary embolism was 10.72%. High mortality rates were recorded between 2020 and 2022 (<em>n</em> <!-->=<!--> <!-->50). Treatment was medication only. Seventy-seven (77) patients underwent thrombolysis.</div></div><div><h3>Conclusion</h3><div>Pulmonary embolism is a very serious condition with a high mortality rate in our context. Improving emergency treatment methods and our technical facilities could reduce this mortality rate.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102017"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025796","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":"Valeur pronostique du dipping status chez une population algérienne d’hypertendus non traités","authors":"L. Bounab ,&nbsp;M.S. Lounes ,&nbsp;M. Chemli ,&nbsp;A. Bouamra","doi":"10.1016/j.ancard.2026.102035","DOIUrl":"10.1016/j.ancard.2026.102035","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;Ambulatory blood pressure monitoring (ABPM) is the gold standard method for diagnosing hypertension (HTN). It allows for the determination of different blood pressure (BP) profiles according to the dipping status (DS). The objective of our study is to evaluate the impact of blood pressure profiles, according to dipping status, on target organ damage in a population of untreated adult hypertensives in Algeria.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We recruited 304 untreated adult patients with hypertension. All our patients underwent 24-hour ambulatory blood pressure monitoring (ABPM) and the following TOD assessment: urinary albumin/creatinine (ACR), ECG, echocardiography, fundoscopy, and carotid ultrasound. Our patients were divided into four groups according to their dipping status (dipper, non-dipper, extreme dipping, and reverse dipping). We carried out a descriptive study followed by an analytic study in search of predictors of TOD.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The mean age of patients was 46.4&lt;!--&gt; &lt;!--&gt;±&lt;!--&gt; &lt;!--&gt;12&lt;!--&gt; &lt;!--&gt;years, with 82% males. The frequencies according to dipping status were as follows: dipper (&lt;em&gt;n&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;106; 35.9%), non-dipper (&lt;em&gt;n&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;157; 51.6%), extreme dipper (&lt;em&gt;n&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;20; 6.6%) and reverse dipper (&lt;em&gt;n&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;21; 6.9%). In bivariate analysis, there was no difference in TOD between the different groups except for vascular damage: dipper (16.2%), non-dipper (21.9%), extreme dipper (0%) and reverse dipper (47.4%); &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.01. In logistic regression, cardiac damage was correlated with age (OR&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;1.035, &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.006), nocturnal systolic BP (SBP) (OR&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;1.048, &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.002) and body mass index (OR&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;1.115, &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.001). Renal damage was correlated with diurnal SBP (OR&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;1.028; &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.016) and glycated haemoglobin (OR&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;1.438, &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.016). Vascular damage was correlated with age (OR&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;1.112, &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.001), diurnal SBP (OR&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;1.061, &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.001) and glycaemia (OR&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;1.016, &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.022). Ophthalmic damage was correlated with nocturnal SBP (OR&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;1.021; &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.03) and sedentarity (OR&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;1.758; &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.036).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The non-dipper pattern was prevalent in our population. There was not a correlation between dipping status and TOD, except for the reverse dipper profile, which presents a higher vascular risk. The nocturnal SBP was a predictive factor for cardiac and ophthalmic damage; however, the diurnal SBP was a predictive factor for renal","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102035"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969914","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":"Impact des connaissances et pratiques des mesures hygiénodiététiques chez les hypertendus à l’institut de cardiologie d’Abidjan","authors":"D. Bamba-Kamagaté,&nbsp;K.E. Soya,&nbsp;A.E.M. Avoh,&nbsp;F. Koffi,&nbsp;C. Gbassi,&nbsp;F. Traore-Diaby","doi":"10.1016/j.ancard.2026.102021","DOIUrl":"10.1016/j.ancard.2026.102021","url":null,"abstract":"<div><h3>Background</h3><div>Non-drug management of high blood pressure includes hygiene and dietary measures, the good knowledge and practice of which contribute to the control of hypertension with the reduction of complications.</div></div><div><h3>Objective</h3><div>To evaluate the impact of knowledge and practice of hygiene and dietary measures in the management of hypertension.</div></div><div><h3>Method</h3><div>This was a single-center, cross-sectional and analytical study of hypertensive patients followed in outpatient consultations at the Abidjan Institute of Cardiology from January 1 to October 31, 2022. The data studied were sociodemographic, clinical, therapeutic, lifestyle habits and complications.</div></div><div><h3>Results</h3><div>301 patients were included, mostly women (sex ratio: 0.9) with a mean age of 61.0<!--> <!-->±<!--> <!-->10.4 years. The majority of patients were on dual therapy (72.8%), followed by monotherapy (19.6%). The low-sodium diet (98.3%), fat reduction (89.4%), smoking cessation (87.4%), weight control (86%) and alcohol reduction (70.4%) were the hygiene-dietetic measures known by the patients. The level of the knowledge score did not seem to impact on the occurrence of complications (<em>P</em> <!-->=<!--> <!-->0.18) and the control of high blood pressure (<em>P</em> <!-->=<!--> <!-->0.5) and did not depend on gender (<em>P</em> <!-->=<!--> <!-->0.50). The low-sodium diet was the most practiced (84.4%). The practice of MHD was protective of the occurrence of complications [OR<!--> <!-->=<!--> <!-->0.50; 95% CI (0.30–0.80); <em>P</em> <!-->=<!--> <!-->0.005] and significantly impacted on the control of blood pressure (<em>P</em> <!-->=<!--> <!-->0.03).</div></div><div><h3>Conclusion</h3><div>The patients had a good knowledge of the hygiene-dietetic measures and mostly practiced the low-sodium diet.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102021"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025865","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":"Urban–rural disparities in hypertension prevalence, screening, and control in South Kivu Province, eastern Democratic Republic of the Congo","authors":"A.B Gendusa ,&nbsp;J.Z. Agishwe ,&nbsp;F.C. Chubaka ,&nbsp;J.M. Musung ,&nbsp;P.N. Katchunga ,&nbsp;A.Z. Byandike ,&nbsp;J.N. Mugalihya ,&nbsp;D.M Bihehe ,&nbsp;P.B. Katchunga","doi":"10.1016/j.ancard.2026.102015","DOIUrl":"10.1016/j.ancard.2026.102015","url":null,"abstract":"<div><h3>Background</h3><div>Socioeconomic development is gradually reducing in the prevalence of hypertension (HT) and associated risk factors between urban and rural areas.</div></div><div><h3>Objectives</h3><div>To update data for the Democratic Republic of the Congo by examining differences in the prevalence and control of HT and other cardiovascular risk factors between urban and rural populations of Congolese adults.</div></div><div><h3>Methodology</h3><div>During the May Measurement Month campaigns in 2023 and 2024, 4,012 participants aged ≥ 30 years (1,036 residing in the city of Bukavu and 2,976 in the rural areas of Kaziba and Katana) were interviewed and underwent measurements of blood pressure, weight, and height. HT was defined as blood pressure ≥ 140/90<!--> <!-->mmHg and/or current use of antihypertensive medication.</div></div><div><h3>Results</h3><div>Compared with urban participants, rural participants had a significantly higher prevalence of HT (33.4% vs. 27.8%; <em>P</em> <!-->=<!--> <!-->0.001), age &gt;<!--> <!-->60 years (29.4% vs. 20.4%; <em>P</em> <!-->&lt;<!--> <!-->0.0001), and smoking (27.6% vs. 14.0%; <em>P</em> <!-->&lt;<!--> <!-->0.0001). Conversely, overweight (32.9% vs. 23.2%; <em>P</em> <!-->&lt;<!--> <!-->0.0001), obesity (12.3% vs. 5.3%; <em>P</em> <!-->&lt;<!--> <!-->0.0001), physical inactivity (32.9% vs. 11.8%; <em>P</em> <!-->&lt;<!--> <!-->0.0001) and a history of diabetes mellitus (5.3% vs. 3.5%; <em>P</em> <!-->=<!--> <!-->0.01) were significantly more significantly more common in urban areas. Multivariate analysis indicated that rural residence (adjusted OR<!--> <!-->=<!--> <!-->1.55; <em>P</em> <!-->&lt;<!--> <!-->0.0001) was an independent predictor of HT after adjustment for age, sex, BMI, smoking, diabetes mellitus, and physical inactivity.</div></div><div><h3>Conclusion</h3><div>The findings suggest that the rural Congolese environment may contribute to hypertension due to an older age structure, the adoption of unhealthy behaviors, and low detection rates of HT. Enhanced awareness of HT diagnosis and promotion of healthy lifestyles are essential in these settings to mitigate this major cardiovascular risk factor.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102015"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025790","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":"Échocardiographie de stress à la dobutamine : pertinence des indications et conformité au protocole. Un retour d’expérience monocentrique","authors":"R. Demoulin,&nbsp;T. Prevautel,&nbsp;P. Schmitt,&nbsp;A. Adet,&nbsp;E. Capilla,&nbsp;G. Rohel,&nbsp;F. Pons,&nbsp;G.R. Cellarier","doi":"10.1016/j.ancard.2026.102016","DOIUrl":"10.1016/j.ancard.2026.102016","url":null,"abstract":"<div><h3>Introduction</h3><div>Dobutamine stress echocardiography is widely used in the evaluation of chronic coronary syndrome and silent myocardial ischaemia. Since 2017, its cost in France has increased following its integration into the diagnosis-related group reimbursement system, raising concerns regarding cost-effectiveness. We assessed the appropriateness of indications and compliance with current recommendations at our institution.</div></div><div><h3>Methods</h3><div>We retrospectively analysed all dobutamine stress echocardiograms performed at Sainte-Anne Military Hospital during the 2023–2024 academic year. For each examination, we collected patient characteristics, indications, treatments, electrocardiographic data, and echocardiographic findings.</div></div><div><h3>Results</h3><div>A total of 111 consecutive patients were included. The population was predominantly male (71%), with a mean age of 71.2 years. In total, 41.4% of patients had three or more cardiovascular risk factors. The examination was performed as part of routine follow-up of known coronary artery disease in 45.9% of cases and for the investigation of angina in 14.4%. Twenty-one patients (18.9%) had already undergone coronary assessment within the preceding 24 months. Image quality was acceptable or better in 90% of cases at rest and 79% at peak stress. Contrast agents were used in only two patients. Wall motion abnormalities were detected in 2.7% of cases. Sixteen patients underwent coronary angiography following the examination, of whom eight were revascularised.</div></div><div><h3>Conclusion</h3><div>Most examinations were performed in asymptomatic patients, although recent European guidelines no longer support this systematic screening approach. Optimising patient selection and broader adoption of multiparametric protocols could improve diagnostic yield, safety, and cost-efficiency of the examination.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102016"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025721","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":"Étude du syndrome d’apnée du sommeil chez des patients atteints d’insuffisance cardiaque chronique au service de cardiologie du CHU Yalgado Ouédraogo en 2024 et 2025","authors":"L.J. Kagambega ,&nbsp;Y.P.C. Lankoande ,&nbsp;H. Tieno ,&nbsp;M. Ouedraogo ,&nbsp;N.V. Yameogo","doi":"10.1016/j.ancard.2026.102020","DOIUrl":"10.1016/j.ancard.2026.102020","url":null,"abstract":"<div><h3>Introduction</h3><div>Sleep apnea syndrome (SAS) is a common condition in cardiology. Through this study, we sought to investigate SAS in patients with chronic heart failure at the cardiology department of Yalgado Ouédraogo University Hospital from 2024 to 2025.</div></div><div><h3>Methodology</h3><div>We achieved a descriptive and analytical cross-sectional study conducted from October 28, 2024, to January 24, 2025, including 205 patients with chronic heart failure. We screened for SAS using the Epworth scale, the STOP-BANG questionnaire, and the Berlin questionnaire. Data analysis was performed using SPSS version 27 software.</div></div><div><h3>Results</h3><div>Among the 205 patients included, 54.15% were women. The mean age was 54<!--> <!-->±<!--> <!-->18.68 years, with a predominance of patients aged 50 to 75 years. The majority lived with a partner (77.56%) and high blood pressure was the most common medical history. Diuretics were prescribed in 94.15% of cases. The prevalence of OSA was 22.44% according to the Epworth scale, 26.34% according to the STOP-BANG questionnaire, and 30.24% according to the Berlin questionnaire. Factors associated with OSA, regardless of the score used, included age, high blood pressure, BMI, reduced LVEF, sedentary lifestyle, and NYHA stage III.</div></div><div><h3>Conclusion</h3><div>SAS is common in patients with chronic heart failure in our setting. Screening tools such as the Epworth scale and the STOP-BANG and Berlin questionnaires are relevant for the diagnosis of SAS in resource-limited countries.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102020"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025836","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":"Corrélation entre athérome carotidien et DAS28 gamma GT score au cours de la polyarthrite rhumatoïde dans une population noire africaine","authors":"Dieu-Donné Ouédraogo ,&nbsp;Taryetba André Arthur Seghda ,&nbsp;Fulgence Kabore ,&nbsp;Raissa Ki ,&nbsp;J.W.S Tiendrébéogo Zabsonré ,&nbsp;Jerome Avouac","doi":"10.1016/j.ancard.2026.102014","DOIUrl":"10.1016/j.ancard.2026.102014","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the correlation between the presence of carotid atherosclerosis and DAS28 gamma GT in rheumatoid arthritis in an African black population.</div></div><div><h3>Patients and methods</h3><div>Descriptive and analytical cross-sectional study for diagnostic purposes in patients with rheumatoid arthritis meeting the 2010 ACR EULAR criteria. The DAS28-GGT score was calculated using the following formula: 0.56<!--> <!-->×<!--> <!-->√TJ – 28<!--> <!-->+<!--> <!-->0.28<!--> <!-->×<!--> <!-->√SJ – 28<!--> <!-->+<!--> <!-->2<!--> <!-->×<!--> <!-->ln(GGT)<!--> <!-->+<!--> <!-->0.14<!--> <!-->×<!--> <!-->GH. Two gold standards were used to test the correlation between the DAS28-GGT score and the World Health Organization (WHO) cardiovascular risk assessment score on the one hand, and the presence of carotid atheroma on supra-aortic Doppler ultrasound on the other.</div></div><div><h3>Results</h3><div>Seventy-eight patients were included in the study. The mean age was 51.48<!--> <!-->±<!--> <!-->14.59 years. There were 65 (83.33%) women and 13 (16.67%) men, giving a sex ratio of 0.2. The mean duration of rheumatoid arthritis was 77.50<!--> <!-->±<!--> <!-->68.95 months. According to the WHO cardiovascular risk classification, the efficacy of DAS-GGT, for a threshold set at 7.5, was 55.93%; this efficacy for a threshold of 9 was 79.11% and the area under the ROC curve was 0.89. Based on the presence of carotid atherosclerosis, the effectiveness of DAS-GGT for a threshold of 7.5 was 37.5%; the effectiveness for a threshold of 9 was 79.43% and the area under the ROC curve was 0.9.</div></div><div><h3>Conclusion</h3><div>Our study provides further evidence of the usefulness of the DAS28-GGT score in predicting cardiovascular risk and carotid atherosclerotic risk. It can therefore be used in patients with RA for secondary prevention of atherosclerotic disease.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102014"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025764","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(26)00046-6","DOIUrl":"10.1016/S0003-3928(26)00046-6","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102041"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208268","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":"Facteurs associés à la mortalité hospitalière après un syndrome coronarien aigu en Côte d’Ivoire : données du registre REACTIV de 2019 à 2023","authors":"H. Yao ,&nbsp;S. N’Zonzy ,&nbsp;A. Ekou ,&nbsp;C. Akoun ,&nbsp;E. Sepih ,&nbsp;E. Ehouman ,&nbsp;C. Touré ,&nbsp;S. Kouamé ,&nbsp;I. Kouamé ,&nbsp;E. Soya ,&nbsp;J. Boka ,&nbsp;I. Brou ,&nbsp;R. N’Guetta","doi":"10.1016/j.ancard.2026.102036","DOIUrl":"10.1016/j.ancard.2026.102036","url":null,"abstract":"<div><h3>Aim</h3><div>To assess the predictive factors for in-hospital death after acute coronary syndromes (ACS) in Abidjan Heart Institute.</div></div><div><h3>Patients and methods</h3><div>Observational prospective study from January, 2019 to December, 2023 using data from REgistre des syndromes coronAriens aigus de CôTe d’IVoire (REACTIV). Patients aged 18 years old and over admitted to the Intensive Care Unit (ICU) of the Abidjan Heart Institute for ACS were included. We collected socio-demographic, clinical, paraclinical and outcomes data. Predictive factors for in-hospital death were identified by multivariate analysis.</div></div><div><h3>Results</h3><div>Six hundred and sixty one (661) patients presented with ACS among the 3302 admitted to the ICU of the Abidjan Heart Institute, giving an overall prevalence of 20.0%. ACS occurred in relatively young patients, with a median age of 57 years [48–65] and a male predominance (sex ratio<!--> <!-->=<!--> <!-->2.86). Hypertension (55.6%), active smoking (33.4%) and diabetes (25.7%) were the most common cardiovascular risk factors. Median admission time was 24 [8–72]<!--> <!-->h. Overall in-hospital mortality was 9.5%, decreasing from 11.2% in 2019 to 5.0% in 2023. In multivariate analysis, age (RR 1.08; CI95% 1.05–1.12), diabetes (RR 1.9; CI95% 1.1–3.3), Killip class<!--> <!-->≥<!--> <!-->2 on admission (RR 3.5; CI95% 2.1–5.8) and severe ventricular rhythm disorder (RR 8.3; CI95% 3.3–20.4), were risk factors for in-hospital death. Percutaneous coronary intervention (PCI), performed in 56% of patients, was a protective factor (RR 0.4; CI95% 0.2–0.7).</div></div><div><h3>Conclusion</h3><div>ACS, which is increasing our practice, is responsible for high mortality, with well-identified in-hospital death risk factors. PCI appeared to be a protective factor. The implementation of ACS management networks and improved technical facilities should help improve long-term outcomes.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102036"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025855","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}