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Aziz Abdoul Garba1, Traore Solo2, Hassane Moussa Diongole1

  • 1Clinical Research and Health System Laboratory (LaReCSS), Internal Medicine Department, Zinder National Hospital, Faculty of Health Sciences, André Saliou University, Zinder, Niger.

La Tunisie Medicale
|August 12, 2024
PubMed
Summary

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Journal of clinical medicine·2024

Peripartum cardiomyopathy (PPCM) is prevalent in Zinder, affecting young women with risk factors like multiparity and home births. Early diagnosis and management of heart failure are crucial for better outcomes in this condition.

Area of Science:

  • Cardiology
  • Internal Medicine
  • Epidemiology

Context:

  • Peripartum cardiomyopathy (PPCM) presents a significant challenge in internal medicine departments, particularly in regions like Zinder.
  • Understanding the specific epidemiological and clinical profile of PPCM is essential for targeted healthcare interventions.

Purpose:

  • This study aimed to characterize the epidemiological, clinical, paraclinical, therapeutic, and evolutionary aspects of peripartum cardiomyopathy (PPCM) at the Zinder National Hospital (ZNH).

Summary:

  • A cross-sectional study from 2018-2022 identified 100 PPCM cases (1.14% hospital prevalence) among 8706 admissions.
  • Key risk factors included hot baths, home births, natron porridge consumption, and multiparity, with symptoms predominantly appearing postpartum.
  • Patients presented with dyspnea, systolic murmurs, congestive heart failure (75%), left ventricular hypertrophy, cardiomegaly, and impaired ejection fraction; renal dysfunction affected 31%.
Keywords:
CardiomyopathyNigerZinderheart failureperipartum

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Impact:

  • The findings highlight PPCM as a common condition in young women in the Zinder region, often associated with specific risk factors and congestive heart failure.
  • This research underscores the need for further investigation into the underlying mechanisms and improved management strategies for PPCM.