Annales de cardiologie et d'angeiologie · 2025
[In-hospital results of the acute heart failure registry in mauritania].
СтатьяНаблюдательное исследованиеАннотация на английскомНазвание и аннотация: Перевод пока не подготовлен
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Elkharchi Mohamed Issa, Limame Sidi Mohamed Cheikh, Ethmane Sidi M'hamed, Fall Salihou, Seyid Mohamed Ahmedou, Memahi Mohamed Abdallahi, Taleb Mahfoudh Mohamed, Camara Sirakhé, Eba Ahmed, Zein Horma
Аннотация
INTRODUCTION: Acute heart failure is a major public health issue worldwide. However, its characteristics in Mauritania remain unknown.
OBJECTIVE: The aim of our study is to assess the characteristics of acute heart failure in Mauritania.
METHODS: We conducted a single-center, prospective, observational, and descriptive study. We included patients hospitalized for acute heart failure at the National Cardiology Center between January 1, 2024, and May 31, 2024.
RESULTS: During the study period, 307 patients were hospitalized for acute heart failure. The mean age of patients was 59.8 ± 15 years, with men accounting for 64.8%. The main cardiovascular risk factor was hypertension (31.6%). NYHA stages 3 and 4 represented 12.7% and 73.6%, respectively. Atrial fibrillation was present in 23.1% of cases, and anemia was found in 51.8%. The mean left ventricular ejection fraction was 41.6%. Decompensated chronic heart failure was the most common presentation (37.8%), while heart failure with reduced ejection fraction accounted for 55.7%. Ischemic heart disease was present in 33.2% of cases. Quadruple therapy for heart failure was initiated in the majority of patients before hospital discharge. The in-hospital mortality rate was 5.5%.
CONCLUSION: Acute heart failure in Mauritania primarily affects middle-aged individuals. The care follows the guidelines in the National Cardiology Center. A significant effort must be made to extend this organization to the rest of the country.
OBJECTIVE: The aim of our study is to assess the characteristics of acute heart failure in Mauritania.
METHODS: We conducted a single-center, prospective, observational, and descriptive study. We included patients hospitalized for acute heart failure at the National Cardiology Center between January 1, 2024, and May 31, 2024.
RESULTS: During the study period, 307 patients were hospitalized for acute heart failure. The mean age of patients was 59.8 ± 15 years, with men accounting for 64.8%. The main cardiovascular risk factor was hypertension (31.6%). NYHA stages 3 and 4 represented 12.7% and 73.6%, respectively. Atrial fibrillation was present in 23.1% of cases, and anemia was found in 51.8%. The mean left ventricular ejection fraction was 41.6%. Decompensated chronic heart failure was the most common presentation (37.8%), while heart failure with reduced ejection fraction accounted for 55.7%. Ischemic heart disease was present in 33.2% of cases. Quadruple therapy for heart failure was initiated in the majority of patients before hospital discharge. The in-hospital mortality rate was 5.5%.
CONCLUSION: Acute heart failure in Mauritania primarily affects middle-aged individuals. The care follows the guidelines in the National Cardiology Center. A significant effort must be made to extend this organization to the rest of the country.