TITLE:
ECG and Echocardiographic Findings of Female Hypertension (fHTN) in the Cardiology Department of the University Hospital Gabriel Touré (UH-GT)
AUTHORS:
Hamidou Oumar Bâ, Ibrahima Sangaré, Youssouf Camara, Kassim Kamaté, Tawoufik Tchedre, Georges Rosario Christian Millogo, Djénébou Traoré, Noumou Sidibé, Fousseyni Samassékou, Massama Konaté, Coumba Thiam Doumbia, Asmaou Maiga, Réné-Marie Dakouo, Hamidou Camara, Adama Sogodogo, Boubacar Diarra, Mamadou Touré, Boubacar Sonfo, Aladji Traoré, Mamadou Diakité, Ilo Bella Diall, Ichaka Menta
KEYWORDS:
Hypertension, Female, ECG, Echocardiography, Mali
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.13 No.10,
October
20,
2023
ABSTRACT: Introduction: In our setting there
is a lack of publications on female hypertension in general population
motivating this study to look for electro- and echocardiographic findings of
female hypertension. Methods: We performed a cross-sectional study
during 6 months in the cardiology department of the UH-GT including 324 female
patients aged 18 and more seen in the outpatient unit and by whom the diagnosis
of hypertension was set. All patients consented to be study participants after
receiving clearly information about the study and that care giving will not be
affected by their eventual refusal. Data collection has been done with all
needed confidentiality rules. A survey formular was used to collect data in
order to record them in an Access database. Analysis was done using IBM SPSS
software. Quantitative data are presented as mean with standard deviation and
qualitative as proportion. Level of significance for statistic test was set at
5%. Results: During the study time 324 among 524 hypertensive patients
visited our outpatient unit giving a prevalence of fHTN of 61.8%. The means for
age, body mass index (BMI) in female hypertensive patients were respectively 52
± 14.461 years and 27.35 ± 06.585 Kg/m2. Main ECG findings were left
ventricular hypertrophy (LVH) and sinus tachycardia with respectively 93.6% and 46.4% followed by isolated ventricular
extrasystole with 33.7%. Echocardiography findings included LVH,
relative wall thickness (RWT) and reduced ejection fraction (EF) in
respectively 41.05%, 37.35% and 21.91%. The left ventricular mass (LV) mass and geometry were
abnormal in 44.4% and 37.3%. Remodeling as geometry modification (18.2%) and
mitral flow Type 2 (90.4%) have been the most abnormal findings. Conclusion: Hypertension induced modifications mainly LVH in ECG and Echocardiography in female patients less than
encountered among male hypertensive patients.