[Management of heart failure at the CHU the National Reference of Ndjamena/Chad]
Abdel-Madjid Zakaria Zakaria1, Oumar Mahamat-Azaki1, Yaya Kichiné Mahamat1
1Service de Cardiologie du CHU de la Référence Nationale. BP : 130 Ndjamena, Tchad.
Insights
Heart failure (HF) is a significant public health issue. This study in Chad found hypertension, valvular, and ischemic heart disease as primary causes, with high diuretic and ACE inhibitor use and a 9% mortality rate.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Context:
- Heart failure (HF) presents a substantial global health challenge.
- This study was conducted in the cardiology department of a national referral university hospital in N'Djamena, Chad.
Purpose:
- To investigate the clinical, etiological, therapeutic, and evolutionary profiles of heart failure patients.
- To understand the prevalence and characteristics of heart failure in a specific African setting.
Summary:
- Heart failure constituted 30.84% of cardiovascular hospitalizations.
- The average patient age was 52 ± 34 years, with a slight female predominance (50.7%).
- Hypertensive, valvular, and ischemic heart disease were the leading causes. Loop diuretics, ACE inhibitors, and beta-blockers were commonly prescribed, and the in-hospital mortality rate was 9%.
Impact:
- Provides crucial data on heart failure epidemiology in Chad.
- Highlights the importance of managing hypertension and valvular diseases for HF prevention.
- Informs clinical practice and public health strategies for heart failure management in similar regions.
Introduction:
Heart failure (HF) is a syndrome of diverse etiologies, and a real public health problem in both developed and developing countries. The aim of this study was to determine the clinical, etiological, therapeutic and evolutionary aspects of heart failure.
Materials And Methods:
This was a descriptive and analytical study carried out in the cardiology department of the national referral university hospital in N'Djamena (Chad).
Results:
Heart failure accounted for 30.84% of cardiovascular pathologies hospitalized in the cardiology department during the study period. The mean age of our patients was 52 ± 34 years, with extremes ranging from 18 to 87 years. Females predominated, accounting for 50.7% of cases, with a M/F sex-ratio of 0.97. Hypertensive heart disease (33.7%), valvular heart disease (16.6%) and ischemic heart disease (15.1%) were the most frequent etiologies. The drugs most frequently used were loop diuretics (97%), ACE inhibitors (96%) and beta-blockers (93.5%). The in-hospital mortality rate was 9% in our series.
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