[Epidemioclinical and evolutionary profile of dilated cardiomyopathies at the University Hospital in Brazzaville,

Stéphane Méo Ikama1,2, Bijou Moualengue1, Jospin Makani1

  • 1Service de Cardiologie et Médecine Interne, Centre Hospitalier Universitaire de Brazzaville, Congo.

Insights

Dilated cardiomyopathies (DCMs) are a frequent cause of heart failure in Brazzaville. Treatment protocols include diuretics and ACE inhibitors, but high loss to follow-up limits survival assessment.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Dilated cardiomyopathies (DCMs) are a significant cause of heart failure (HF).
  • Understanding DCM prevalence and treatment patterns in Brazzaville is crucial for improving patient care.

Observation:

  • A prospective study in Brazzaville included 100 hospitalized HF patients with DCM.
  • The cohort comprised 62% women, with an average age of 52.9 years.
  • Common ECG findings included left ventricular hypertrophy (40%) and normal sinus rhythm (95%).

Findings:

  • Mean left ventricular ejection fraction was 33.4%, with a left ventricle end-diastolic diameter of 65.5 mm.
  • Standard HF treatments were administered: 100% received loop diuretics and ACE inhibitors/ARBs.
  • Beta-blockers were used in 38% of patients.

Implications:

  • DCM is a leading cause of heart failure in Brazzaville.
  • High loss to follow-up (41%) and a short follow-up period hinder survival rate assessment.
  • Further research with longer follow-up is needed to evaluate long-term outcomes and refine treatment protocols.

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