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Clinical and Therapeutic Evaluation of Hypertensives According to the Practice of Ambulatory Blood Pressure Measurement (ABPM) at the Bel Air International Clinic in Conakry from January 1, 2019 to November 30, 2022 2019年1月1日至2022年11月30日科纳克里Bel Air国际诊所动态血压测量(ABPM)对高血压患者的临床和治疗评价
Pub Date : 2023-01-01 DOI: 10.4236/wjcd.2023.136030
A. Koné, F. Diakité, Abel Mansaré, M. S. Chérif, M. B. Bah, Sana Samoura, S. Diakite, I. Barry, I. Sylla, E. Y. Baldé, A. Bangoura, M. Béavogui, M. Baldé, M. Kaba
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引用次数: 0
Long-Term Outcomes after Coronary Artery Bypass Grafting with Risk Stratification 危险分层冠状动脉搭桥术的远期疗效
Pub Date : 2023-01-01 DOI: 10.4236/wjcd.2023.138043
Ayman R. Abdelrehim, Ibraheem H. Al Harbi, Hasan I. Sandogji, Faisal Alnasser, Mohammad Nizam S. H. Uddin, F. Taha, Fareed A. Alnozaha, Fath A. Alabsi, Shakir Ahmed, Waheed M. Fouda, Amir A. El Said, Tousif Khan, A. M. Shabaan
Background: Risk stratification of long-term outcomes for patients undergoing Coronary artery bypass grafting has enormous potential clinical importance. Aim: To develop risk stratification models for predicting long-term outcomes following coronary artery bypass graft (CABG) surgery. Methods: We retrospectively revised the electronic medical records of 2330 patients who underwent adult Cardiac surgery between August 2016 and December 2022 at Madinah Cardiac Center, Saudi Arabia. Three hundred patients fulfilled the eligibility criteria of CABG operations with a complete follow-up period of at least 24 months, and data reporting. The collected data included patient demographics, comorbidities, laboratory data, pharmacotherapy, echo-cardiographic parameters, procedural details, postoperative
背景:冠状动脉旁路移植术患者长期预后的风险分层具有巨大的潜在临床意义。目的:建立预测冠状动脉搭桥术(CABG)术后长期预后的风险分层模型。方法:我们回顾性修订了2016年8月至2022年12月在沙特阿拉伯麦地那心脏中心接受成人心脏手术的2330例患者的电子病历。300例患者符合CABG手术条件,随访时间至少24个月,并有数据报告。收集的数据包括患者人口统计学、合并症、实验室数据、药物治疗、超声心动图参数、手术细节、术后
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引用次数: 0
Predictive Factors of No Reflow during Primary Angioplasty 原发性血管成形术中无血流再流的预测因素
Pub Date : 2023-01-01 DOI: 10.4236/wjcd.2023.131004
Mouhaman-Inouwa Kpelafia, I. Chamtouri, Abdou Razak Moukaila, Ben Hamda Khaldoun, W. Jomaa, F. Maatouk
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引用次数: 0
Acute Coronary Syndromes: Epidemiological, Clinical and Management Aspects in Thies (Senegal) 急性冠状动脉综合征:Thies(塞内加尔)的流行病学、临床和管理方面
Pub Date : 2023-01-01 DOI: 10.4236/wjcd.2023.133009
D. A. Affangla, Jean-Paul Degue, W. N. Mboup, Stéphanie Claudia Akanni, Sheikh Mouhamadou B. M. Diop, M. Ndiaye, J. Dione, Hugues Elie Elame Ngwa, A. Phiri, D. Ba, M. Leye
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引用次数: 0
Increased Risk of Arterial Stiffness in Rhumatoid Arthritis Patients in a Sub-Saharan African Setting 撒哈拉以南非洲地区类风湿关节炎患者动脉僵硬风险增加
Pub Date : 2023-01-01 DOI: 10.4236/wjcd.2023.136029
Asongwed Achu Reid, J. Walinjom, C. Chenwi, Eho Emerentia, Achu Achiri Roosevelt, Daniel Tchamdeu, J. Nkeck, M. Doualla, D. Lemogoum
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引用次数: 0
Epidemiological and Prognostic Aspects of Anemia during Heart Failure in Brazzaville (The Republic of the Congo) 布拉柴维尔(刚果共和国)心力衰竭期间贫血的流行病学和预后
Pub Date : 2023-01-01 DOI: 10.4236/wjcd.2023.137037
S. Ikama, Joffode Mobet Memougame, Thibaut Oko, Jospin Jospin Makani, L. Ngolet, Bijou Moualengue, Eric Gibrel Kimbally Kaky, T. Gankama, S. K. Kaky
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引用次数: 0
Knowledge of Patients and Their Accompanying Persons about Obliterative Arteriopathy of the Lower Limbs at Conakry University Hospital in 2022 2022年科纳克里大学医院患者及其随行人员对下肢闭塞性动脉病变的了解情况
Pub Date : 2023-01-01 DOI: 10.4236/wjcd.2023.139044
A. Koné, Alpha Mamadou Diallo, Sana Samoura, I. Barry, Diane Kapché, M. B. Bah, Mamadou Saliou Diallo, S. Diakite, I. Sylla, E. Y. Baldé, Z. Onivogui, Nicolas Zoumanigui, M. Béavogui, M. Baldé
Introduction: Obliterative arterial disease of the lower limbs is a marker of advanced atherosclerosis. It is one of the world’s most common cardiovascular diseases, present in one in five people over the age of 60, and carries an increased risk of morbidity and mortality. The aim of this study was to assess the knowledge of patients and their carers about obliterative arteriopathy of the lower limbs at Conakry University Hospital. Material and Methods: We conducted a descriptive cross-sectional study lasting 3 months, from March 12 to June 12, 2022 in the hospitals of the University Hospital of Conakry (Donka and Ignace Deen
下肢闭塞性动脉疾病是晚期动脉粥样硬化的标志。它是世界上最常见的心血管疾病之一,60岁以上的人群中有五分之一患有此病,发病率和死亡率都有增加的风险。本研究的目的是评估在科纳克里大学医院的患者及其护理人员对下肢闭塞性动脉病变的知识。材料和方法:我们于2022年3月12日至6月12日在科纳克里大学医院(Donka和Ignace Deen)的医院进行了为期3个月的描述性横断面研究
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引用次数: 0
Epidemiological, Clinical and Angiographic Profile of Chronic Coronary Syndromes in the Catheterization Room. Single-Centre Study Carried Out in the Cardiology Department of the Chu Aristide Le Dantec in Dakar (Senegal) 导管室慢性冠状动脉综合征的流行病学、临床和血管造影分析。达喀尔(塞内加尔)Chu Aristide Le Dantec医院心内科开展的单中心研究
Pub Date : 2023-01-01 DOI: 10.4236/wjcd.2023.1310060
C.M.B.M. Diop, Radja Juste Bissakonou Nzaya, Joseph Salvador Mingou, Papa Guirane Ndiaye, Youssou Diouf, Khadimu Rassoul Diop, Demba Ware Balde, Ahmadou Bamba Samb, Malick Bodian, Fatou Aw, Simon Antoine Sarr, Mouhamadou Bamba Ndiaye, Abdoul Kane, Maboury Diao
Background: Ischaemic heart disease is the cause of 7.4 million deaths per year. Their prevention is based on the management of cardiovascular risk factors, but also on the early detection and management of chronic coronary syndromes (CCS), for which few data are available in Africa. The main objective of our study was to determine the factors related to significative coronary artery disease in patients undergoing coronarography for suspected chronic coronary syndrome (CCS). Methodology: We conducted a retrospective descriptive and analytical study over 2 years (from January, 1st, 2018 to December 31st, 2019) in the Cardiology Department of the University Hospital Aristide Le DANTEC in Dakar. All patients admitted for coronary angiography for suspected chronic coronary syndrome were included. Results: One hundred and fifty-two patients were included with a mean age of 60.79 ± 9.73 years, the most represented age group was 60 - 69 years. Advanced age was the most frequent risk factor (77.63%) followed by sedentary lifestyle (56.58%) and hypertension (41.45%). Diabetes was present in 17.1% of cases. A history of angioplasty was found in 1.97% of patients. Typical pain was found in 71.05% of cases, atypical pain in 19.74% and exertional dyspnoea in 2.63%. The pre-test probability was intermediate in 67.1% of cases, low in 25% and high in 7.9%. Significative coronary lesion was found in 52.63% of the patients, while coronary angiography was normal in the remaining cases. Tritroncular status was observed in 37.50%, it was bitroncular in 26.25% and monotroncular in 36.25% of cases. Factors associated with significative coronary artery disease were age (p = 0.0001), diabetes (p = 0.006), previous angioplasty (p = 0.023), previous myocardial infarction (p = 0.018), typical angina (p = 0.001), intermediate pretest probability (p = 0.001). Low pretest probability was significantly correlated with the absence of a coronary lesion with a p = 0.001. Conclusion: Our study shows that screening for chronic coronary disease should be done especially in diabetics, elderly subjects and those with previous angioplasty taking into account symptoms and pretest probability to avoid unnecessary invasive procedures.
背景:每年有740万人死于缺血性心脏病。它们的预防基于心血管危险因素的管理,但也基于慢性冠状动脉综合征(CCS)的早期发现和管理,这方面的数据在非洲很少。本研究的主要目的是确定疑似慢性冠状动脉综合征(CCS)接受冠状动脉造影的患者发生显著冠状动脉病变的相关因素。方法:我们在达喀尔Aristide Le DANTEC大学医院心内科进行了为期2年(2018年1月1日至2019年12月31日)的回顾性描述性和分析性研究。所有因疑似慢性冠状动脉综合征而接受冠状动脉造影的患者均被纳入研究。结果:纳入患者152例,平均年龄60.79±9.73岁,以60 ~ 69岁年龄组为主。高龄是最常见的危险因素(77.63%),其次是久坐生活方式(56.58%)和高血压(41.45%)。17.1%的病例存在糖尿病。1.97%的患者有血管成形术史。典型疼痛占71.05%,非典型疼痛占19.74%,用力性呼吸困难占2.63%。检测前概率为67.1%,低25%,高7.9%。52.63%的患者冠脉病变明显,其余患者冠脉造影正常。37.50%为三圆,26.25%为双圆,36.25%为单圆。与显著性冠状动脉疾病相关的因素有年龄(p = 0.0001)、糖尿病(p = 0.006)、既往血管成形术(p = 0.023)、既往心肌梗死(p = 0.018)、典型心绞痛(p = 0.001)、中间预测概率(p = 0.001)。低预测概率与无冠状动脉病变显著相关(p = 0.001)。结论:我们的研究表明,慢性冠状动脉疾病的筛查尤其应该在糖尿病患者、老年人和既往血管成形术患者中进行,同时考虑症状和预诊概率,以避免不必要的侵入性手术。
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引用次数: 0
Heart Disease Scleroderma Revelators: About a Clinical Case 心脏病硬皮病启示:关于一个临床病例
Pub Date : 2023-01-01 DOI: 10.4236/wjcd.2023.139051
Coumba Thiam, Boubacar Sonfo, Youssouf Camara, Asmaou Keita, Mariam Sako, Békaye Traoré, Djeneba Koné, Mamadou Touré, Massama Konaté, Hamidou Oumar Bâ, Ibrahima Sangaré, Sanoussi Daffe, Daouda Fofana, Mariam Cheick Traoré, Boureima Dembélé, Boubacar Diarra, Hamidou Camara, Samba Sidibé, Souleymane Coulibaly, Ichaka Menta, Ousmane Faye
Scleroderma (or systemic sclerosis) is a disease characterized by abnormalities in the functioning of small blood vessels and the immune system, ultimately leading to inflammation and excessive fibrosis of the skin and various organs, including the heart. Management must be multidisciplinary, to avoid complications that are often serious. We report the case of a 20-year-old patient with no known cardiovascular history who consults for dyspnea, and retrosternal pain associated with a dry cough. On physical examination, she had tachycardia, swelling of the lower limbs, jugular turgidity, and deafening heart sounds. Cardiac Doppler ultrasound shows dilation of the right cavities, paradoxical septum and significant pulmonary arterial hypertension, pericardial effusion of medium abundance. On oral examination, it presents an ulceration of the lips, dermatological examination finds scattered hypo chromic spots in the body, more accentuated in the face. Before the hypo chromic dermatosis, a dermatological consultation was carried out with an autoimmune assessment that came back positive for systemic scleroderma.
硬皮病(或系统性硬化症)是一种以小血管和免疫系统功能异常为特征的疾病,最终导致皮肤和包括心脏在内的各种器官的炎症和过度纤维化。治疗必须是多学科的,以避免经常严重的并发症。我们报告一例20岁的患者,没有已知的心血管病史,询问呼吸困难,胸骨后疼痛与干咳相关。体格检查,她有心动过速,下肢肿胀,颈静脉充血,心音聋。心脏多普勒超声显示右腔扩张,异隔和明显肺动脉高压,心包积液中度丰富。口腔检查表现为嘴唇溃疡,皮肤检查发现体内散在的低铬斑,在面部更为突出。在患低色素皮肤病之前,进行了皮肤科会诊,并进行了自身免疫评估,结果显示系统性硬皮病呈阳性。
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引用次数: 0
Atrial Fibrillation in Wolff Parkinson White Syndrome: About a Case in Senegal 沃尔夫帕金森白综合征的心房颤动:关于塞内加尔的一个病例
Pub Date : 2023-01-01 DOI: 10.4236/wjcd.2023.131001
W. N. Mboup, K. Dia, M. Ka, S. C. Ndao, D. Balde, D. Ba, M. C. Mboup, A. Kane
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引用次数: 0
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心血管病(英文)
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