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[Etiologic and nosologic considerations apropos of 574 cases of cardiac decompensation in Conakry]
M Fofana1, S Touré, M Dadhi Balde
1Service de Cardiologie, CHU Ignace-Deen, Conakry, Guinée.
Insights
Heart failure is common, with most patients severely affected (NYHA Stage IV). Hypertension and age-related heart conditions are the leading causes in Conakry, Guinea.
Area of Science:
- Cardiology
- Public Health
Context:
- Analysis of 574 heart failure cases over 5 years (1981-1985) at University Hospital Ignace-Deen, Conakry.
- Focus on etiological and nosological aspects of cardiac insufficiency.
Purpose:
- To determine the frequency and primary causes of heart failure in the observed population.
- To characterize the demographic and clinical profile of heart failure patients.
Summary:
- Cardiac insufficiency is highly prevalent, with 64.98% of patients in NYHA Stage IV.
- The most common etiologies include hypertension (37.47%), senile cardiopathies (20.20%), and various myocardiopathies (17.24%).
- Men constitute a higher proportion (59.75%) of cases, with ages ranging from 15 to 80 years (mean 49.2).
Impact:
- Highlights the significant burden of advanced heart failure in Conakry.
- Provides crucial etiological data for targeted public health interventions and clinical management strategies.
- Identifies key risk factors such as hypertension and age-related cardiac conditions.
Abstract:
The authors analyze 574 cases of heart failure observed in the Cardiology Department of the University Hospital Ignace-Deen in Conakry, in a period of 5 years (1981-1985), from the etiological and nosological standpoints. The result is that cardiac insufficiency is very frequent in the department and the patients, in most cases, are found in stage IV of the NYHA (64.98%). There are more men (59.75%) than women (40.25%). Age varies from 15 to 80 years (mean: 49.2 years). Hypertension (37.47%), senile cardiopathies (20.20%), various myocardiopathies (17.24%), rheumatoid valvulopathies (13.95%) are the most frequently encountered etiologies. Pericarditis is rare (0.34%).