Coronary angiographic findings in dilated cardiomyopathy in a sub-Saharan African population

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Roland N'Guetta1, Hermann Yao1, Esther Ehouman1

  • 1Abidjan Heart Institute, Abidjan, Côte d'Ivoire.

Cardiovascular Journal of Africa
|May 30, 2019
PubMed

Insights

Coronary angiography in sub-Saharan Africa revealed that a significant portion of dilated cardiomyopathy patients have coronary artery disease (CAD). Early assessment, especially with risk factors, can improve dilated cardiomyopathy management and outcomes.

Area of Science:

  • Cardiology
  • Internal Medicine
  • Public Health

Background:

  • Dilated cardiomyopathy (DCM) management can be complex, particularly in regions with potential underdiagnosis of contributing factors.
  • Understanding the coronary angiographic profile in DCM patients is crucial for effective treatment strategies.

Purpose of the Study:

  • To characterize coronary angiographic findings in patients diagnosed with dilated cardiomyopathy.
  • To enhance the management of dilated cardiomyopathy in a sub-Saharan African setting.

Main Methods:

  • A cross-sectional study was conducted involving 108 adult patients with DCM who underwent coronary angiography.
  • Data on patient demographics, cardiovascular risk factors, and angiographic results were analyzed.

Main Results:

  • Hypertension was the most prevalent cardiovascular risk factor (53.7%).
  • Coronary angiography showed abnormalities in 34.3% of patients, with 21.3% having obstructive coronary artery disease (CAD).
  • Hypertension and diabetes were significantly more common in patients with CAD.

Conclusions:

  • Ischemic heart disease may be underdiagnosed in sub-Saharan Africa among DCM patients.
  • Coronary angiography is recommended for DCM patients, particularly those with cardiovascular risk factors, to optimize management and prognosis.
Abstract

Keywords:
coronary angiographydilated cardiomyopathysub‐Saharan Africa

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