Annales de cardiologie et d'angeiologie最新文献

{"title":"[Hypertension and other cardiovascular risk factors in rural Africa: Results of screening in the rural population of Kozah (Togo)].","authors":"M Pio, T Tcherou, A M Bakai, K Yayehd, S N'Ando Rakotonarivo, B Atta G, Y M Afassinou, S Pessinaba","doi":"10.1016/j.ancard.2026.102034","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102034","url":null,"abstract":"<p><strong>Objective: </strong>Determining the prevalence of cardiovascular risk factors in the rural population of the Kozah prefecture in Togo.</p><p><strong>Methods: </strong>This was a cross-sectional, descriptive and analytical observational study conducted from July 8 to September 20, 2023 in the Kozah prefecture.</p><p><strong>Results: </strong>The survey included 10,424 subjects, the majority of whom were women (68.40%), giving a sex ratio of 2.16:1. The mean age of participants was 47.56±17.26years. The prevalences of identified risk factors were as follows: hypertension (58.31%, with a mean age of 52.34), diabetes (14.68%, with an average age of 50.12years), obesity (8.84%, with an average age of 48.45years), abdominal obesity (35.94% with an average age of 51.15years), and smoking (3.70%). Hypertension was known in 41% of cases and diabetes in 63%. Risk factors were predominantly associated with women. Two, three and four associated risk factors were found in 27.38%, 2.19% and 1.58% of subjects respectively.</p><p><strong>Conclusion: </strong>This study reveals a high prevalence of cardiovascular risk factors in the general Togolese population, with a predominance of women. This highlights the need to develop more effective prevention strategies for cardiovascular disease.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025833","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)00032-6","DOIUrl":"10.1016/S0003-3928(26)00032-6","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 2","pages":"Article 102027"},"PeriodicalIF":0.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147709763","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":"MINOCA révélant une anomalie de naissance de l’artère coronaire droite et un phéochromocytome : à propos d’un cas avec revue de la littérature","authors":"A. Owona ,&nbsp;C. Ebeni ,&nbsp;B.Y. Mengue ,&nbsp;L.A. Gakdang ,&nbsp;M.J. Hamika ,&nbsp;A.P. Menanga","doi":"10.1016/j.ancard.2025.101986","DOIUrl":"10.1016/j.ancard.2025.101986","url":null,"abstract":"<div><div>Pheochromocytoma is a rare secretory neuroendocrine tumor of the adrenal medulla, which usually presents with Ménard's triad or high blood pressure. Its diagnosis is based on elevated adrenaline and noradrenaline levels. Cross-sectional imaging, such as computed tomography or magnetic resonance imaging highlights the tumor and management consists of excision of this tumor. Cardiovascular complications of pheochromocytoma are multiple, such as rhythm disturbances, hypotension, shock, acute coronary syndromes, transient ischemic attacks and cerebrovascular accidents. Thus, in the face of acute coronary syndromes manifested by (1) typical chest pain associated with (2) an electrocardiogram in favor of persistent ST segment elevation (STEMI) or non-persistent ST segment elevation (NSTEMI), (3) an elevation of cardiac necrosis markers and (4) a coronary angiography revealing normal coronary arteries or without significant stenosis, a myocardial infarction with angiographically non obstructed coronary arteries (MINOCA) is confirmed. Certain etiologies of MINOCA such as cardiomyopathies induced by Takotsubo, myocarditis and catecholamines are currently clearly identified, have been able to explain the link between Minoca and pheochromocytoma [<span><span>1</span></span>]. Although a few cases of MINOCA revealing a pheochromocytoma have been reported, anomalous origin of coronary artery remains an exceptional cause of MINOCA. We report a case of myocardial infarction with angiographically normal coronary arteries revealing both an anomalous origin of right coronary artery and a pheochromocytoma, which, to our knowledge, appears to be the first described in the literature.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 1","pages":"Article 101986"},"PeriodicalIF":0.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145817428","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":"Un signe de Frank (Diagonal Earlobe Crease) chez Georges Clemenceau (1929)","authors":"P. Charlier,&nbsp;L. Lentignac,&nbsp;S. Lhortolary","doi":"10.1016/j.ancard.2025.101985","DOIUrl":"10.1016/j.ancard.2025.101985","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 1","pages":"Article 101985"},"PeriodicalIF":0.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145760751","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 on slow-flow/no-reflow of intravascular ultrasound-guided primary percutaneous coronary intervention in ST-elevation myocardial infarction","authors":"Etienne Grenier,&nbsp;Sarah Balichard,&nbsp;Gaël Bouchou,&nbsp;Benjamain Haber,&nbsp;Pauline Brun,&nbsp;Alexis Cerisier,&nbsp;Karim Benali,&nbsp;Antoine Da Costa","doi":"10.1016/j.ancard.2025.101982","DOIUrl":"10.1016/j.ancard.2025.101982","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Intravascular imaging (IVI) using intravascular ultrasound (IVUS) or optical coherence tomography is now strongly recommended to guide percutaneous coronary intervention (PCI), as studies have shown reduced rates of stent thrombosis and target lesion failure. Benefits seem to be greater in acute coronary syndrome, especially when optimal PCI criteria are met. Despite these positive results and the fact that IVUS was introduced almost 30 years ago, IVI is far from having become a routine tool in everyday clinical practice in Europe and the United States. In ST-elevation myocardial infarction (STEMI), the acute risk of slow-flow/no-reflow associated with post-stenting optimization and loss of time in emergency situations are cited as reasons, in addition to cost concerns and lack of availability.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;In this case control study, 96 STEMI patients were assigned 1:2 to either IVUS-guided primary PCI (PPCI) (32 patients) or angiography-guided PPCI (64 patients). In the IVUS group, once a thrombolysis in myocardial infarction (TIMI) 3 flow was restored with minimalist immediate mechanical intervention, IVUS was performed before stenting for sizing, followed by direct stenting and angiography-guided optimization if necessary, with IVUS performed again after stenting until the result was considered optimal. In the control group, TIMI 3 flow restoration, predilatation, stenting, and postdilatation were left to the physician’s discretion based on angiographic assessment. Primary endpoint was the occurrence of slow-flow/no-reflow as assessed by TIMI flow score. Secondary endpoints were procedure time, contrast volume, X-ray exposure, distal embolization, in-hospital complications, and 1-month complications.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Primary endpoint (slow-flow/no-reflow) occurred in 11/32 (34.4%) patients in the IVUS group and in 22/64 (34.4%) patients in the control group (p=1.00) and was similar in patients with optimal IVUS-guided PCI criteria (5/19 [26.3%]) and in the suboptimal PCI group (4/11 [36.4%]; p=0.687). Regarding the secondary endpoints, there was no difference in X-ray time (median of 760 s in the control group &lt;em&gt;vs.&lt;/em&gt; 787 s in the IVUS group; p=0.529), procedure time (median of 32 min &lt;em&gt;vs&lt;/em&gt;. 34 min; p=0.278), contrast volume (165 ml &lt;em&gt;vs&lt;/em&gt;. 150 ml; p=0.319), and radiation dose (dose area product 5353 cGy.cm² &lt;em&gt;vs&lt;/em&gt;. 4745 cGy.cm²; p=0.633). Similar results were obtained for per-procedure complications, especially for distal embolization (5/64 [7.8%] in the control group &lt;em&gt;vs.&lt;/em&gt; 2/32 [6.3%] in the IVUS group; p=1.000). Slow-flow/no-reflow increased the risk of ventricular arrhythmia during the procedure (9% &lt;em&gt;vs&lt;/em&gt;. 0%; p=0.038), and was associated with higher troponin (6612 ng/L &lt;em&gt;vs&lt;/em&gt;. 3972 ng/L; p=0.025) and C-reactive protein (33 ng/L &lt;em&gt;vs&lt;/em&gt;. 15.4 ng/L; p=0.032) levels, lower left ventricular ejection fraction (median of 45% &lt;em&gt;","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 1","pages":"Article 101982"},"PeriodicalIF":0.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145817493","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 et prise en charge des patients hospitalisés pour syndrome coronaire aigu sans sus-décalage de ST à Dakar","authors":"Papa Guirane Ndiaye ,&nbsp;Aliou Alassane Ngaide ,&nbsp;Abdoulgabar Souleiman ,&nbsp;Pape MD Fall ,&nbsp;Joseph S. Mingou ,&nbsp;Cheikh MBM Diop ,&nbsp;Mohamed Gazal ,&nbsp;Aymard Abadassi ,&nbsp;Cheikh T Ndao ,&nbsp;Cherif Mboup ,&nbsp;Momar Dioum ,&nbsp;Bouna Diack ,&nbsp;Mouhamadou B. Ndiaye ,&nbsp;Maboury Diao ,&nbsp;Abdoul Kane","doi":"10.1016/j.ancard.2025.101983","DOIUrl":"10.1016/j.ancard.2025.101983","url":null,"abstract":"<div><div>Non-ST-segment elevation acute coronary syndrome (NSTE-ACS) is the most common form of acute coronary syndrome. Its diagnosis and management have always been subjects of controversy, complicating its treatment, particularly in our setting. This study aimed to evaluate the overall management of patients admitted to the hospital for NSTE-ACS.</div><div>Patients and Methods: A multicentre, prospective, descriptive, and analytical study was carried out over 12 months, including all patients admitted for NSTE-ACS in three cardiology departments in Dakar.</div><div>Results: Among 2,329 patients seen, 131 were admitted for NSTE-ACS, representing 5.63% of hospitalized patients and 26.3% of all ACS cases. The average âge was 61 years. Most patients were women, with a sex ratio of 1.3. The distribution was as follows: NSTE-ACS with positive troponin (86.7%) and NSTE-ACS with negative troponin (13.3%). The main risk factors included sedentary lifestyle (75.6%), hypertension (64.9%), and diabetes (36.7%). Chest pain was the most common symptom (81.7%). Physical examination was mostly normal (75%). Cardiac ultrasound detected kinetic disorders and left ventricular dysfunction in 45% and 38.6% of patients, respectively. According to the GRACE score, 46.6% of patients were at high risk of ischemia. Coronary angiography was performed in 64.8% of patients, with 82.4% showing coronary artery disease and 46.7% having triple-vessel disease. Coronary angioplasty was carried out in 19.9% of cases. There were eight deaths, resulting in an in-hospital mortality rate of 6.1%.</div><div>Conclusion: This study highlights that the diagnosis and treatment of NSTE-ACS remain major challenges in Dakar, with limited access to troponin testing, coronary angiography, and angioplasty.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 1","pages":"Article 101983"},"PeriodicalIF":0.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145780236","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(26)00003-X","DOIUrl":"10.1016/S0003-3928(26)00003-X","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 1","pages":"Article 101998"},"PeriodicalIF":0.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146074135","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":"Atelier sur les objets connectés et maintien de l’activité physique à domicile : étude descriptive préliminaire chez des patients cardiaques","authors":"Julie Capart ,&nbsp;Florent Krim ,&nbsp;Aurélien Dassonneville ,&nbsp;Éric passavant ,&nbsp;Pierre-Henri Bréchat ,&nbsp;Tarik Alaoui ,&nbsp;Mohamed Ghannem ,&nbsp;Pierre-Marie Leprêtre","doi":"10.1016/j.ancard.2025.101987","DOIUrl":"10.1016/j.ancard.2025.101987","url":null,"abstract":"<div><div>There is a link between physical activity level and survival of cardiac patient. Less than 50 % of patients would remain physically active two months after a phase II cardiac rehabilitation.</div><div>Objective. To descriptively assess the physical activity behavior of cardiac patients exposed to connected devices during rehabilitation, at 2- and 4-month post-discharge.</div><div>Method. 18 cardiac patients (52.3 ± 11.0 years) attended a therapeutic workshop on linked objects and social networks during four weeks of supervised cardiac rehabilitation. Then, they freely reported their adapted physical activity information on social networks during two periods of 8 weeks, intercepted by 2 weeks, at home.</div><div>Results. Three patients (16.7 %) dropped out during the second 8-week period. 15 patients practiced more different physical activities during the second period compared to the first period (1.2 ± 0.4 vs. 1.8 ± 0.9, <em>p</em>=0.007) with no significant effect on weekly duration (90.9 ± 40.8 vs. 91.8 ± 55.9 min, <em>p</em>=0.290) or frequency of adapted physical activities (2.6 ± 1.8 vs. 2.6 ± 1.1, <em>p</em>=0.183). Walking sessions (2.3 ± 0.9 vs. 2.0 ± 1.0, <em>p</em>=0.033) and distance (8.7 ± 3.7 vs. 7.8 ± 3.9 km, <em>p</em> = 0.002) decreased between both periods, the number of bicycling sessions increased (0.0 ± 0.0 vs. 9.0 ± 3.0).</div><div>Conclusion. Education on connected health devices, combined with remote professional support, appears to help maintain physical activity in post-discharge cardiac patients. These preliminary findings highlight the need for further studies to assess the intervention’s impact on cardiovascular rehabilitation.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 1","pages":"Article 101987"},"PeriodicalIF":0.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145760750","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)00005-3","DOIUrl":"10.1016/S0003-3928(26)00005-3","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 1","pages":"Article 102000"},"PeriodicalIF":0.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146074136","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":"Supervised Exercise-Based Cardiac Rehabilitation Program for Lower-Limb Peripheral Arterial Disease : Effect on Walking Capacity, Hemodynamic Parameters, Anxiety, Depression, and Quality of Life in Cameroon","authors":"Valérie Ndobo ,&nbsp;Augustine Telouwe Ndava ,&nbsp;Hermann Tsague ,&nbsp;Amalia Owona ,&nbsp;Nafissatou Nsangou ,&nbsp;Carole Ngo Yon ,&nbsp;Zéphanie Kobe ,&nbsp;Marcus Fokou ,&nbsp;Sépolin Lowe ,&nbsp;Alain Patrick Menanga ,&nbsp;Liliane Mfeukeu Kuate","doi":"10.1016/j.ancard.2025.101984","DOIUrl":"10.1016/j.ancard.2025.101984","url":null,"abstract":"<div><h3>Background</h3><div>Lower-limb peripheral arterial disease (PAD) is underdiagnosed despite its high prevalence among patients with cardiovascular risk factors. Given the well-documented benefits of physical activity on physical and mental capacities, we aimed to assess the effects of a supervised exercise-based cardiac rehabilitation program for PAD on walking performance, hemodynamic parameters, anxiety, depression, and quality of life.</div></div><div><h3>Methods</h3><div>We conducted a prospective quasi-experimental before–after study at Yaoundé General Hospital from November 2024 to June 2025 among adult patients, with or without prior revascularization (bypass, stent, or angioplasty), at Leriche and Fontaine stages II/III, recruited consecutively in clinic. The intervention comprised 20 sessions over 7 weeks combining therapeutic education, walking-centered endurance training (45–60 min) and muscle strengthening (15–30 min), with psychological support. Maximal walking distance, pain-free walking distance, hemodynamic parameters, anxiety/depression, and quality of life were assessed pre- and post-intervention.</div></div><div><h3>Results</h3><div>We included 13 patients (mean age 57 ± 10 years), predominantly male. Hypertension was present in 67% and diabetes in 31%. After 7 weeks, walking performance improved markedly: pain-free walking time increased from 3.70 ± 1.57 to 6.30 ± 1.95 min (p = 0.006) and pain-free distance from 220.30 ± 76.21 to 350.10 ± 89.39 m (p = 0.002); maximal walking time from 8.00 ± 4.08 to 14.00 ± 5.06 min (p = 0.003) and maximal distance from 446.38 ± 258.75 to 754.50 ± 331.09 m (p = 0.002). Hemodynamically, systolic blood pressure decreased significantly in both arms (≈154–153 to ≈134 mmHg) and diastolic blood pressure decreased in the right arm (p = 0.039); BMI also declined (28.63 to 27.01 kg/m²; p &lt; 0.001). Anxiety scores decreased from 8.46 ± 2.63 to 5.38 ± 1.45 (p &lt; 0.001), while the reduction in depression scores (7.31 ± 2.78 to 4.69 ± 2.06) did not reach significance (p = 0.16). Finally, optimal quality of life was achieved in 100% of patients (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The rehabilitation program improved walking capacity, systolic blood pressure, weight/BMI, and anxiety, with overall better quality of life. However, evidence remains limited (pre–post without control, single center, small sample, short follow-up), underscoring the need for multicenter randomized controlled trials.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 1","pages":"Article 101984"},"PeriodicalIF":0.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145780198","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}