TITLE:
100 Cases of Clinical and Etiological Aspects of Cardiac Insufficiency in N’Djamena, Chad
AUTHORS:
Natingar Madjirangar, Adam Ahamat Ali, Bekoutou Amngar, Jean Philippe Lesbre
KEYWORDS:
Cardiac Insufficiency, Etiology, Echocardiography, N’Djamena, Chad
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.9 No.8,
August
27,
2019
ABSTRACT: Introduction: Cardiac Insufficiency is progressively taking over as the leading cause of
morbidity and mortality in the world and a major public health problem in Chad.
Our study was to contribute and provide a deeper understanding of the clinical
and etiological aspects concerning the etiology and management of Cardiac
Insufficiency in N’Djamena, Chad. Due to having no
published data to distinctly understand this pathology in this part of the
world, we represent here a summary of available data which could be used to
describe the clinical and etiological aspects of Cardiac Insufficiency and to
help in changing practices for an optimal management as a baseline for
comparison in future studies. Patients
and Methods: This was a prospective, descriptive study conducted from November 30th 2011 to
May 30th 2013 at the Good Samaritan Hospital of N’Djamena. Results: 100 hospitalized patients
were included consecutively. The sex ratio was 1.08 with an average age of
40.21 ± 21.30 years. The main cardiovascular risk factors were high blood pressure (15%), obesity (12%) and diabetes (11%).
Clinically, exertional dyspnea was found in 95% of cases, and signs of
congestive heart failure in 61% of cases.
The etiologies were 50% of Rheumatic valvulopathy, 22% of Dilated cardiomyopathy,
13% of Hypertensive cardiomyopathy and 12% of Congenital heart disease. Conclusion: The most common etiologies were Rheumatic valvulopathy,
Congenital heart disease, Dilated cardiomyopathy and Hypertensive cardiomyopathy.