TITLE:
Clinic Evaluation of Heart Failure of Old People in the Department of Internal Medicine of Point G University Hospital from 2008 to 2012
AUTHORS:
Assétou Soukho Kaya, Abdel Kader Traoré, Djibril Sy, Djenebou Traoré, Ilo Diall, Youssouf Fofana, Ibahima Amadou Dembélé, Boua Daoud Camara, Mamadou Saliou, Karim Dao, Mamadou Cissoko, Kaly Kéïta, Barry Boubacar Sangaré, Mamadou Mallé, Alassane A. Doumbia, Hadiza A. Kaïlou, Mamadou Dembélé, Hamar Alassane Traoré
KEYWORDS:
Heart Failure, Clinic, Etiology, Therapeutics, The Elder
JOURNAL NAME:
Open Journal of Internal Medicine,
Vol.9 No.3,
September
5,
2019
ABSTRACT: Justification: Heart failure (HF) is the evolutionary end of all cardiac diseases. Given the aging population, the rate of incidence is increasing among the elderly. Objectives: The study aims to determine the prevalence of heart failure in the elderly; to describe the clinical aspects; describe etiologies; describe the therapeutic aspects; and describe the evolution of heart failure among the elderly. Method: This was a retrospective study over five years on the operating records of patients hospitalized in the internal medicine department of Hospital Point G. Result: The study included records of 22 elderly patients who were with heart failure of a total of 595 patients hospitalized from 1st January 2008 to 31st December 2012. The prevalence rate was 3.7%, and the average age was 67 ± 7.79 years. The sex ratio was equal to 1. HTA accounted for the cardiovascular risk factors in 77.3%. 72.7% of patients had the symptom of dyspnea and 95.5% of patients had the symptom of IMO. According to the cardiac ultrasound, dilation of the OG represented 68.2% of cases, followed by impaired LVEF (63.6%). The etiologies of IC were represented by dilated cardiomyopathy (95.5%), followed by 13.6% in cardiothyreosis. Drug treatment was dominated by the use of diuretics, ACE inhibitors and sodium diet respectively 95.5%; 81.8% and 45.5% of cases. The clinical outcome was favorable in 73%. We recorded four (4) cases of death, which accounted for 18% of patients.