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Published on: June 10, 2025
[Heart failure patterns in Djibouti: epidemiologic transition].
P L Massoure1, N C Roche, G Lamblin
1Service de cardiologie, hôpital d'instruction des armées Laveran, boulevard A. Laveran, 13384 Marseille cedex 13, France. plmassoure@aol.com
Medecine Et Sante Tropicales
|July 12, 2013
Summary
Heart failure patterns in Djibouti are similar to industrialized nations, with coronary artery disease being more common than previously thought in African patients. This study documents current heart failure trends in Djibouti.
Area of Science:
- Cardiology
- Epidemiology
- Public Health
Context:
- Heart failure (HF) characteristics in Djibouti remain largely undescribed.
- Djiboutian adults hospitalized for HF were studied between August 2008 and December 2010.
Purpose:
- To document current patterns of heart failure in Djibouti.
- To analyze the underlying causes, risk factors, and outcomes of heart failure in Djiboutian patients.
Summary:
- A prospective study of 45 hospitalized Djiboutian adults revealed symptomatic heart failure in 2.7% of medical admissions.
- Coronary artery disease (CAD) was the predominant cause (62%), followed by hypertensive heart disease (18%) and rheumatic valvular disease (13%).
- Common risk factors included hypertension (69%), tobacco use (53%), hypercholesterolemia (51%), and diabetes (47%). Mean left ventricular ejection fraction was 39%. Outcomes included an 18% mortality rate and 20% rehospitalization for HF within 14.4 months.
Impact:
- Findings suggest that heart failure patterns in hospitalized Djiboutians largely mirror those in industrialized countries.
- Coronary artery disease prevalence in African patients with heart failure is higher than previously reported.
- This research highlights the need for targeted cardiovascular disease prevention and management strategies in Djibouti.
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