Cardiovascular Journal of Africa最新文献

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The effects of preoperative haemoglobin levels on early morbidity and mortality in patients undergoing isolated aortic valve replacement. 术前血红蛋白水平对孤立主动脉瓣置换术患者早期发病率和死亡率的影响。
IF 0.7 4区 医学
Cardiovascular Journal of Africa Pub Date : 2026-02-20 DOI: 10.5830/CVJA-2025-093
Rauf Önder, Salih Özçobanoğlu, İsmail Kakillioğlu, Veli Burak Taçkın, Bengi Polen Gündoğdu
{"title":"The effects of preoperative haemoglobin levels on early morbidity and mortality in patients undergoing isolated aortic valve replacement.","authors":"Rauf Önder, Salih Özçobanoğlu, İsmail Kakillioğlu, Veli Burak Taçkın, Bengi Polen Gündoğdu","doi":"10.5830/CVJA-2025-093","DOIUrl":"https://doi.org/10.5830/CVJA-2025-093","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the impact of preoperative haemoglobin levels on early morbidity and mortality in patients undergoing isolated aortic valve replacement.</p><p><strong>Material and methods: </strong>This retrospective study included 149 patients who underwent aortic valve replacement at Akdeniz University between 2013 and 2023. Patients were categorised as anaemic or non-anaemic based on the World Health Organisation (WHO) definition. Preoperative characteristics, intraoperative parameters, and postoperative outcomes were compared. Statistical analyses were performed using SPSS 27.0, with significance set at p < 0.05.</p><p><strong>Results: </strong>Anaemic patients were significantly older (62.8 ± 12.7 vs. 56.3 ± 18.3 years, p = 0.011) and had lower body surface area (1.84 ± 0.20 vs. 1.92 ± 0.24m<sup>2</sup>, p = 0.026). Aortic root diameter was smaller in the anaemic group (29.2 ± 3.7 mm vs. 31.2 ± 3.9 mm, p = 0.001). Prior cardiac surgery was more common in anaemic patients (23.1% vs. 9.1%, p = 0.025). Intraoperative blood transfusion (p < 0.001) and extubation time (p < 0.001) were significantly higher in anaemic patients. Postoperatively, renal failure (p = 0.010) and sepsis (p = 0.030) were more frequent. In-hospital mortality was higher in anaemic patients (10.3% vs. 1.4%), and this difference was statistically significant (p = 0.024). ICU length of stay was found to be significantly longer in anaemic patients (6.1 ± 10.9 days vs. 3.5 ± 2.1 days, p = 0.005).</p><p><strong>Conclusion: </strong>Preoperative anaemia was associated with increased postoperative morbidity and in-hospital mortality. Haemoglobin level emerged as an independent predictor of mortality, underscoring the importance of preoperative haemoglobin optimisation to improve surgical outcomes.</p>","PeriodicalId":9434,"journal":{"name":"Cardiovascular Journal of Africa","volume":"37 1","pages":"1-7"},"PeriodicalIF":0.7,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148276093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Persistent left superior vena cava from a pulmonology perspective. 从肺科角度看,持续性左上腔静脉。
IF 0.7 4区 医学
Cardiovascular Journal of Africa Pub Date : 2026-02-20 DOI: 10.5830/CVJA-2025-106
Emine Afşin, Hamza Ozer, Sena Melis Sert, Muhammed Enes Ünlü
{"title":"Persistent left superior vena cava from a pulmonology perspective.","authors":"Emine Afşin, Hamza Ozer, Sena Melis Sert, Muhammed Enes Ünlü","doi":"10.5830/CVJA-2025-106","DOIUrl":"https://doi.org/10.5830/CVJA-2025-106","url":null,"abstract":"<p><strong>Introduction: </strong>Persistent left superior vena cava (PLSVC) is a congenital vascular anomaly that is often asymptomatic and typically discovered incidentally. In this case, the patient had a known cardiac anomaly, and PLSVC was diagnosed following radiological suspicion.</p><p><strong>Case: </strong>A 38-year-old female patient was evaluated for chronic exertional dyspnoea. Chest radiography revealed enlargement of the upper and anterior mediastinum. Contrast-enhanced thoracic computed tomography confirmed the presence of PLSVC. Echocardiography showed that the PLSVC drained into the right atrium via an enlarged coronary sinus. The patient was also being followed for an atrial septal defect, cardiomyopathy, and an interatrial septal aneurysm. Additionally, she was diagnosed with asthma, and appropriate treatment was initiated.</p><p><strong>Conclusion: </strong>Enlargement of the upper and anterior mediastinum on chest radiography, the presence of a dilated coronary sinus on echocardiography, and/or associated congenital cardiac anomalies should prompt consideration of PLSVC. Recognising this anomaly prior to invasive procedures is critical, as it may lead to unexpected complications.</p>","PeriodicalId":9434,"journal":{"name":"Cardiovascular Journal of Africa","volume":"37 1","pages":"49-52"},"PeriodicalIF":0.7,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychometric evaluation and cultural adaptation of the Turkish version of the needs assessment tool: progressive disease-heart failure (NAT: PD-HF). 土耳其版需求评估工具的心理测量评估和文化适应:进行性疾病-心力衰竭(NAT: PD-HF)。
IF 0.7 4区 医学
Cardiovascular Journal of Africa Pub Date : 2025-12-18 Epub Date: 2025-12-12 DOI: 10.5830/CVJA-2025-112
Betülay Kiliç, İlknur Palaz, Tuğba Yardimci Gürel
{"title":"Psychometric evaluation and cultural adaptation of the Turkish version of the needs assessment tool: progressive disease-heart failure (NAT: PD-HF).","authors":"Betülay Kiliç, İlknur Palaz, Tuğba Yardimci Gürel","doi":"10.5830/CVJA-2025-112","DOIUrl":"10.5830/CVJA-2025-112","url":null,"abstract":"<p><p>Heart failure (HF) is a progressive, life-limiting condition that often leads to complex physical, emotional, and social needs. This study aimed to translate, culturally adapt, and validate the Turkish version of the Needs Assessment Tool: Progressive Disease-Heart Failure (NAT: PD-HF) to facilitate the timely identification of palliative care needs. A total of 98 patients with chronic HF, 91 caregivers, and 25 healthcare professionals participated in this single-centre validation study. The tool underwent forward-backward translation and pilot testing. Internal consistency was good (Cronbach's α = 0.812), and inter-rater and test-retest reliabilities were high (PABAK: 0.908-1.000). Most patients (84.7%) found the tool understandable, and 67.7% felt it enhanced care. Healthcare professionals from cardiology, intensive care, and palliative care rated it as clinically relevant and feasible. The Turkish NAT: PD-HF is a valid, reliable, and culturally appropriate tool for identifying the palliative care needs of patients with HF and their caregivers. This tool can be integrated into routine clinical practice to facilitate early identification of palliative care needs.</p>","PeriodicalId":9434,"journal":{"name":"Cardiovascular Journal of Africa","volume":"36 4","pages":"650-656"},"PeriodicalIF":0.7,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146225638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Isolated coronary artery bypass in octogenarians: does gender matter? 80多岁老人孤立冠状动脉搭桥术:性别重要吗?
IF 0.7 4区 医学
Cardiovascular Journal of Africa Pub Date : 2025-12-12 DOI: 10.5830/CVJA-2025-057
Zinar Apaydın, Batuhan Yazıcı, Mustafa Can Kaplan, Barış Timur, Tural Muradlı, Orhan Tarhan, Ersin Kadiroğulları
{"title":"Isolated coronary artery bypass in octogenarians: does gender matter?","authors":"Zinar Apaydın, Batuhan Yazıcı, Mustafa Can Kaplan, Barış Timur, Tural Muradlı, Orhan Tarhan, Ersin Kadiroğulları","doi":"10.5830/CVJA-2025-057","DOIUrl":"10.5830/CVJA-2025-057","url":null,"abstract":"<p><strong>Background: </strong>Coronary artery bypass grafting (CABG) in octogenarians remains a challenging but increasingly common procedure due to extended life expectancy and the growing burden of coronary artery disease in the elderly. This study aimed to evaluate sex-specific differences in perioperative characteristics and early outcomes in patients aged ≥80 years undergoing isolated CABG.</p><p><strong>Methods: </strong>A total of 104 patients aged ≥80 years who underwent isolated CABG between 2017 and 2023 were retrospectively analysed. Patients were stratified by gender, and comparisons were made regarding preoperative comorbidities, intraoperative variables, and postoperative outcomes. The primary endpoint was in-hospital mortality.</p><p><strong>Results: </strong>The mean age was 82.01 ± 2.04 years, with 64.4% male and 35.6% female patients. While body surface area was significantly higher in males (p < 0.001), EuroSCORE II was numerically higher in females (p = 0.18). Chronic obstructive pulmonary disease (COPD) and smoking were more prevalent in males (p = 0.039 and p < 0.001, respectively), whereas CABG x5 was more frequent in females (p = 0.043). ICU stay was significantly longer in males (p = 0.014).Overall mortality was low (3.8%) and not significantly different between genders.</p><p><strong>Conclusions: </strong>CABG in patients aged ≥80 years is associated with low early mortality and acceptable complication rates regardless of gender. Preoperative and intraoperative gender based differences may inform individualised perioperative management strategies in this growing patient population.</p>","PeriodicalId":9434,"journal":{"name":"Cardiovascular Journal of Africa","volume":"36 4","pages":"502-505"},"PeriodicalIF":0.7,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Late mediastinal haematoma compressing the left atrium after circumflex artery perforation. 旋动脉穿孔后晚期纵隔血肿压迫左心房。
IF 0.7 4区 医学
Cardiovascular Journal of Africa Pub Date : 2025-12-12 DOI: 10.5830/CVJA-2025-082
Veysel Ozgur Bariş, Fatih Poyraz, Emin Erdem Kaya, Engin Dondurmacı, Murat Kaya
{"title":"Late mediastinal haematoma compressing the left atrium after circumflex artery perforation.","authors":"Veysel Ozgur Bariş, Fatih Poyraz, Emin Erdem Kaya, Engin Dondurmacı, Murat Kaya","doi":"10.5830/CVJA-2025-082","DOIUrl":"10.5830/CVJA-2025-082","url":null,"abstract":"<p><p>Mediastinal hematoma is a very rare complication during percutaneous coronary interventions. It is almost always observed because of large artery injuries when the radial route is used, and symptoms manifest themselves in the acute setting. In this case, we presented a mediastinal hematoma occurred at the late phase of coronary artery perforation through a femoral access.</p>","PeriodicalId":9434,"journal":{"name":"Cardiovascular Journal of Africa","volume":"36 4","pages":"615-618"},"PeriodicalIF":0.7,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Percutaneous coronary intervention of saphenous vein grafts is associated with increased radiation exposure in patients with non-ST-elevation myocardial infarction. 非st段抬高型心肌梗死患者经皮冠状动脉介入治疗隐静脉移植物与辐射暴露增加相关。
IF 0.7 4区 医学
Cardiovascular Journal of Africa Pub Date : 2025-12-12 DOI: 10.5830/CVJA-2025-111
Çağın Mustafa Üreyen, Kahraman Coşansu, Mustafa Gökhan Vural, Sabiye Yilmaz, Sait Emir Şahin, Cihat Aksoy
{"title":"Percutaneous coronary intervention of saphenous vein grafts is associated with increased radiation exposure in patients with non-ST-elevation myocardial infarction.","authors":"Çağın Mustafa Üreyen, Kahraman Coşansu, Mustafa Gökhan Vural, Sabiye Yilmaz, Sait Emir Şahin, Cihat Aksoy","doi":"10.5830/CVJA-2025-111","DOIUrl":"10.5830/CVJA-2025-111","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to evaluate radiation exposure during percutaneous coronary intervention (PCI) based on the culprit coronary artery in non-ST-elevation myocardial infarction (NSTEMI) patients.</p><p><strong>Methods: </strong>A total of 504 NSTEMI patients were categorised into four groups according to the affected artery: left anterior descending, right coronary, circumflex, or saphenous vein graft (SVG). Radiation parameters, including dose area product (DAP), reference air kerma (RAK), number of exposures (NoE), and fluoroscopy time (FT), were analysed.</p><p><strong>Results: </strong>Significant differences were observed in DAP, NoE, and FT among the groups (p = 0.009, p < 0.001, p = 0.001, respectively),with no significant variation in RAK (p = 0.242). Group IV (PCI of SVG) showed higher values in DAP, NoE, and FT compared to other groups.</p><p><strong>Conclusions: </strong>PCI of SVGs in NSTEMI patients moderately increases radiation exposure compared to PCI of native coronary arteries, whereas PCI of native coronary arteries does not significantly elevate radiation exposure risk in this patient population.</p>","PeriodicalId":9434,"journal":{"name":"Cardiovascular Journal of Africa","volume":"36 4","pages":"657-661"},"PeriodicalIF":0.7,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146225650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Valve-sparing aortic root replacement in acute type A aortic dissection. 保留瓣膜的主动脉根部置换术治疗急性A型主动脉夹层。
IF 0.7 4区 医学
Cardiovascular Journal of Africa Pub Date : 2025-12-09 DOI: 10.5830/CVJA-2025-027
Süleyman Sürer, İbrahim Duvan, İlker İnce, Özgür Ersoy, Uğursay Kızıltepe
{"title":"Valve-sparing aortic root replacement in acute type A aortic dissection.","authors":"Süleyman Sürer, İbrahim Duvan, İlker İnce, Özgür Ersoy, Uğursay Kızıltepe","doi":"10.5830/CVJA-2025-027","DOIUrl":"10.5830/CVJA-2025-027","url":null,"abstract":"<p><strong>Aim: </strong>The aortic valve-sparing procedure is an elective option for patients with aortic aneurysms. The feasibility of the surgical method in treating acute type A aortic dissection is still controversial. We aimed to study the outcomes of the David V aortic valve-sparing root replacement procedure.</p><p><strong>Methods: </strong>We studied 21 acute type A aortic dissection patients who received the David V re-implantation technique. Patients were followed up with annual postoperative echocardiograms. Follow-up was 100% complete, with a mean duration of 40 ± 26 months.</p><p><strong>Results: </strong>In 15 (71%) patients, the David V re-implantation technique was performed together with hemiarch; in 6 (29%) patients, it was combined with total aortic arch replacement. Three (14%) patients died in the hospital. None of the patients developed aortic regurgitation (AI) greater than second-degree at discharge. One patient had 2+ AI during the follow-up period, and the others showed trace/no AI.</p><p><strong>Conclusion: </strong>The David V operation can be considered for younger patients with suitable anatomy for acute type A aortic dissection with favourable outcomes.</p>","PeriodicalId":9434,"journal":{"name":"Cardiovascular Journal of Africa","volume":"36 4","pages":"646-649"},"PeriodicalIF":0.7,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical characteristics and short-term outcomes of patients with STEMI treated by percutaneous coronary intervention in a military hospital in Senegal. 塞内加尔一家军队医院经皮冠状动脉介入治疗STEMI患者的临床特征和短期结局
IF 0.7 4区 医学
Cardiovascular Journal of Africa Pub Date : 2025-11-28 DOI: 10.5830/CVJA-2025-088
Serigne Cheikh Tidiane Ndao, Waly Niang Mboup, Mame Madjiguène Ka, Khadidiatou Dia, Rabab Yassin, Papa Momar Guissé, Mouhamed Cherif Mboup
{"title":"Clinical characteristics and short-term outcomes of patients with STEMI treated by percutaneous coronary intervention in a military hospital in Senegal.","authors":"Serigne Cheikh Tidiane Ndao, Waly Niang Mboup, Mame Madjiguène Ka, Khadidiatou Dia, Rabab Yassin, Papa Momar Guissé, Mouhamed Cherif Mboup","doi":"10.5830/CVJA-2025-088","DOIUrl":"10.5830/CVJA-2025-088","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of in-hospital acute coronary syndrome (ACS) has risen from 4% to 10% in Dakar cardiology departments over the past 15 years, while the management of patients with persistent ST-segment elevation myocardial infarction (STEMI) has improved thanks to the availability of catheterisation laboratories in multiple hospitals of the Senegalese capital, including our centre at Hôpital Principal Dakar (HPD). The aim of this study was to describe the clinical characteristics and short-term prognosis of patients with STEMI treated by percutaneous coronary intervention (PCI).</p><p><strong>Methods: </strong>We conducted a single-centre descriptive study using prospective data collection from September 2020 to July 2022, including all patients with STEMI PCI-treatment at Hôpital Principal Dakar (HPD).</p><p><strong>Results: </strong>Out of 1146 patients admitted to HPD's cardiology department, 156 (13.61%) had STEMI. Of whom 58.97% underwent PCI. The mean age of STEMI patients with PCI was 60 years, and 78.26% were male. 90.2% consulted within 12 hours, with an average time of 3.26 ± 3 hours. Almost all patients (98.9%) were in Killip class II. 84.8% had a qualifying ECG within the first 12 hours, with a mean of 3.95 ± 2.95 hours. Thrombolysis was performed in 10.86%. The radial approach was used in 89% of cases, and primary PCI was performed in 71.73% of patients. A drugeluting stent was exclusively implanted in 95.65% of cases. PCI was successful in 98.91% of patients. Three non-fatal periprocedural complications were noted. The in-hospital mortality rate was 4.34%.</p><p><strong>Conclusions: </strong>At HPD, the prognosis of STEMI has been improved by coronary angioplasty, albeit with delays in management still to be perfected.</p>","PeriodicalId":9434,"journal":{"name":"Cardiovascular Journal of Africa","volume":"36 4","pages":"601-607"},"PeriodicalIF":0.7,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Data science applications for non-communicable disease prevention and control in Africa: a systematic review protocol. 非洲非传染性疾病预防和控制的数据科学应用:系统审查议定书。
IF 0.7 4区 医学
Cardiovascular Journal of Africa Pub Date : 2025-11-28 DOI: 10.5830/CVJA-2025-085
Akinkunmi Paul Okekunle, Muideen Tunbosun Olaiya, Paul Olowoyo, Grace Ajuwon, Alison Annet Kinengyere, Judit Kumuthini, Osahon Jeffery Asowata, Onoja Matthew Akpa, Adekunle Fakunle, Shakuntala Baichoo, Folakemi Odedina, Yosr Hamdi, Charles Agyemang, Bruce Ovbiagele, Mayowa Owolabi
{"title":"Data science applications for non-communicable disease prevention and control in Africa: a systematic review protocol.","authors":"Akinkunmi Paul Okekunle, Muideen Tunbosun Olaiya, Paul Olowoyo, Grace Ajuwon, Alison Annet Kinengyere, Judit Kumuthini, Osahon Jeffery Asowata, Onoja Matthew Akpa, Adekunle Fakunle, Shakuntala Baichoo, Folakemi Odedina, Yosr Hamdi, Charles Agyemang, Bruce Ovbiagele, Mayowa Owolabi","doi":"10.5830/CVJA-2025-085","DOIUrl":"10.5830/CVJA-2025-085","url":null,"abstract":"<p><strong>Aim: </strong>This systematic review protocol describes the proposed method for evaluating evidence from original articles to understand the benefits, opportunities, and challenges of using data science for non-communicable disease (NCD) prevention and control in Africa.</p><p><strong>Methods: </strong>Literature searches will be implemented in five scientific databases and one search engine using predefined keywords/ MeSH terms to identify relevant articles. At least two reviewers will independently screen, appraise, extract, and summarise data from eligible articles using predefined inclusion criteria.</p><p><strong>Results: </strong>This systematic review will consider primary studies from articles that applied data science methods (such as artificial intelligence, machine learning, and risk or prognosis model algorithms, among others) to address NCD prevention and control exclusively among Indigenous Africans.</p><p><strong>Conclusion: </strong>Findings from this systematic review could serve as a roadmap to guide future initiatives to apply data science methods to revolutionise NCD prevention and control in Africa.</p>","PeriodicalId":9434,"journal":{"name":"Cardiovascular Journal of Africa","volume":"36 4","pages":"625-633"},"PeriodicalIF":0.7,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sex differences in mortality and hospitalisation in heart failure patients: sex differences in heart failure. 心力衰竭患者死亡率和住院率的性别差异:心力衰竭的性别差异。
IF 0.7 4区 医学
Cardiovascular Journal of Africa Pub Date : 2025-11-28 DOI: 10.5830/CVJA-2025-083
Ahmet Genç, Gülsüm Meral Yılmaz Öztekin
{"title":"Sex differences in mortality and hospitalisation in heart failure patients: sex differences in heart failure.","authors":"Ahmet Genç, Gülsüm Meral Yılmaz Öztekin","doi":"10.5830/CVJA-2025-083","DOIUrl":"10.5830/CVJA-2025-083","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to investigate the clinical and demographic characteristics, and mortality differences between male and female patients with heart failure (HF) with reduced ejection fraction (HFrEF) admitted to our hospital.</p><p><strong>Method: </strong>The files of patients who were referred to the HF outpatient clinic of our hospital in Antalya and the surrounding provinces between 2014 and 2019 were analysed retrospectively.</p><p><strong>Results: </strong>875 patients were included in the study (63.75 ± 13.26 years; 73.1% male). The women were older than the men (67 vs. 64 years, p = 0.002), with higher body mass indexes (27.05 vs. 26.44 kg/m<sup>2</sup>, p = 0.029) and higher heart rates (78 bpm vs. 76 bpm, p = 0.034). The majority of women had non-ischemic HFrEF (55.7 vs. 38.1% p < 0.001) in contrast to the men, and the prevalence of hypertension and diabetes mellitus was more frequent than in men (65.5%, 52.3% vs. 48.6%, 35.2%, p < 0.001, respectively). Atrial fibrillation was also observed more frequently in women (25.5 vs 17.2%, p = 0.032). Female patients had higher N-terminal pro-B-type natriuretic peptide (2543 vs. 1564 pg/mL, p < 0.001) and lower estimated glomerular filtration rate (59.4 vs. 66.8%, p < 0.001). The all-cause 1-year mortality rate was 12.3% among female patients and 9.1% among male patients. There was no difference between the sexes in total cumulative survival (p = 0.118).</p><p><strong>Conclusion: </strong>There are significant sex differences in patients with HFrEF in terms of clinical features, laboratory parameters, aetiologic causes, and survival. We hope that this study will create a significant awareness in the treatment and follow-up of patients with HFrEF in our country.</p>","PeriodicalId":9434,"journal":{"name":"Cardiovascular Journal of Africa","volume":"36 4","pages":"545-551"},"PeriodicalIF":0.7,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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