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[Cardiovascular Emergencies In The Emergency Department Of the Chu Gabriel Touré]
Th M Diop1, M Mangané1, A Almeimoune1
1Département anesthésie-réanimation et médecine d'urgence du CHU Gabriel TOURE.
Insights
Cardiovascular emergencies are a significant health issue in sub-Saharan Africa, with stroke and heart failure being common diagnoses. This study highlights the urgent need for better diagnostic tools to manage these life-threatening conditions.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Context:
- Cardiovascular diseases pose a global health challenge, with 12 million deaths annually.
- The prevalence and burden of cardiovascular emergencies in sub-Saharan Africa are not well understood.
- This study addresses the knowledge gap regarding cardiovascular emergencies in the region.
Purpose:
- To determine the prevalence and etiologies of cardiovascular emergencies.
- To investigate the demographic and clinical characteristics of patients presenting with cardiovascular emergencies.
- To assess the mortality rate associated with cardiovascular emergencies in Bamako.
Summary:
- A 12-month prospective study at CHU Gabriel Touré, Bamako, identified 510 cardiovascular emergency cases (1.2% of ER admissions).
- The most frequent diagnoses were stroke (51.4%), global heart failure (15.1%), and coronary syndrome (10.1%).
- High blood pressure was the leading risk factor (54%), and the overall mortality rate was 23.3%.
Impact:
- Findings underscore the significant burden of cardiovascular emergencies in sub-Saharan Africa.
- The study emphasizes the underestimation of cardiovascular emergencies due to limited diagnostic resources.
- Results highlight the need for improved diagnostic tools and management strategies for cardiovascular emergencies in low-resource settings.
Abstract:
Cardiovascular disease is a global public health problem. The management of cardiovascular emergencies is urgent due to the immediate life-threat.. Indeed, cardiovascular emergencies are responsible for 12 million deaths a year worldwide. In sub-Saharan Africa, its prevalence and burden are still poorly understood. Our study aimed to determine the prevalence and etiologies of cardiovascular emergencies.
Material And Methods:
We conducted a 12-month prospective study from May 1st, 2014 to April 30th, 2015 at the Emergency Department of CHU Gabriel Touré, Bamako. It Included all patients aged ≥ 15 years old (y.o) hospitalized for cardiovascular emergency during the study period. The data were collected in a questionnaire and analyzed with EPI - info French version 6.04.
Results:
During this study, we collected 510 cases of cardiovascular emergency from 21600 ER admission, a prevalence of 1.2%.The average age was 57.07y.o ± 17.17. The female gender predominated with 57.3% with a sex ratio of 0.7. Patients had a low socio-economic status in 62.6% with 33% cases of unemployment. .Patients arrived in a taxi in 71.2% of the cases and they came right at the onset of the symptoms between 8 P.M and 12 A.M.28.7%Dyspnea was the most frequent reason for consultation with 23.7%. High blood pressure (HTA) was the most common cardiovascular risk factor with 54 % (Table I).Stroke was the most common diagnosis with 51.4% followed by global heart failure (15.1%) and coronary syndrome (10.1%) (Table II). The overall mortality rate was 23.3% (Table III).
Conclusion:
The frequency and burden of cardiovascular emergencies are still underestimated due to the lack or scarcity of diagnostic tools.