Echocardiography in the University of Port Harcourt Teaching Hospital: April 2000 to March 2003

D I Agomuoh1, M R Akpa, D D Alasia

  • 1Department of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.

Insights

Hypertensive heart disease is the most common cardiac condition diagnosed by echocardiography at UPTH. This pattern aligns with findings in sub-Saharan Africa, highlighting the prevalence of specific heart diseases.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Public Health

Background:

  • Echocardiography offers a cost-effective, non-invasive method for diagnosing cardiac conditions.
  • Cardiac services at the University of Port Harcourt Teaching Hospital (UPTH) began in April 2000.
  • Establishing a local pattern of echocardiographically diagnosed cardiac diseases is essential.

Purpose of the Study:

  • To determine the pattern of cardiac diseases diagnosed via echocardiography.
  • To review echocardiography findings in the cardiology unit of UPTH.

Main Methods:

  • A prospective descriptive study was conducted.
  • 141 patients underwent two-dimensional and M-mode echocardiography.
  • Siemens Sonoline SL 1 machine with a 3.5 MHz sector probe was utilized.

Main Results:

  • Hypertensive heart disease (34.0%) was the most prevalent condition.
  • Cardiomyopathies (19.9%) and rheumatic heart disease (9.2%) were also common.
  • 30.5% of subjects showed normal echocardiographic findings.

Conclusions:

  • Hypertensive heart disease is the leading cardiac diagnosis at UPTH.
  • The observed pattern mirrors trends in sub-Saharan Africa.
  • Echocardiography effectively characterizes cardiac disease prevalence.
Abstract

Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...
Ultrasound I: Abdominal Ultrasonography01:20

Ultrasound I: Abdominal Ultrasonography

Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...
Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

Imaging Studies for Cardiovascular System II:Types of Echocardiography

Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for diagnosing...
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Imaging Studies II: Ultrasonography01:24

Imaging Studies II: Ultrasonography

IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...