Pub Date : 2025-08-20DOI: 10.1016/j.ancard.2025.101928
Pierre Bourbon , Matthieu Périer , Benamer Hakim
Refractory angina is characterized by angina-type pain, which remains uncontrolled despite pharmacological optimization, and patients are not eligible or unsuitable for further interventional or surgical revascularisation. This condition may concern 5 to 10 % of coronary artery disease patients. This review gives an overview of the conventional pharmacological and interventional approaches in the field of refractory angina. It considers the variety of emerging non-pharmacological therapeutics and technologies addressing neural pain processing or myocardial perfusion, and offers a special focus on the coronary sinus reducer implantation technique, its physiopathological rationale and its clinical evidence.
{"title":"Angor réfractaire et place du réducteur de sinus coronaire","authors":"Pierre Bourbon , Matthieu Périer , Benamer Hakim","doi":"10.1016/j.ancard.2025.101928","DOIUrl":"10.1016/j.ancard.2025.101928","url":null,"abstract":"<div><div>Refractory angina is characterized by angina-type pain, which remains uncontrolled despite pharmacological optimization, and patients are not eligible or unsuitable for further interventional or surgical revascularisation. This condition may concern 5 to 10 % of coronary artery disease patients. This review gives an overview of the conventional pharmacological and interventional approaches in the field of refractory angina. It considers the variety of emerging non-pharmacological therapeutics and technologies addressing neural pain processing or myocardial perfusion, and offers a special focus on the coronary sinus reducer implantation technique, its physiopathological rationale and its clinical evidence.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101928"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-20DOI: 10.1016/j.ancard.2025.101927
Taha Ettachfini , Karim Badaoui , Jose Castro Rodriguez
Background
The right radial approach has become the preferred access route for coronary angiography and percutaneous coronary intervention. However, its use for left internal mammary artery graft (LIMA) angiography in patients with prior coronary artery bypass grafting (CABG) remains controversial. This study aimed to assess the feasibility and safety of the right radial approach compared with the left radial and femoral approaches for LIMA graft angiography.
Methods
We compared feasibility criteria (LIMA visualization and selective engagement, procedure duration, contrast volume, and fluoroscopy time) and safety parameters during LIMA graft angiography, across right radial, left radial, and femoral access in 760 post-CABG patients.
Results
LIMA visualization was successful in 92% of cases via the right radial access, compared to 96% for both the left radial and femoral access (p = 0.158). Selective LIMA engagement was significantly lower with the right radial access (61%) than with the left radial (86%) and femoral (78%) access (p < 0.0001). No significant differences were observed in procedure duration, fluoroscopy time, or contrast volume. Haemorrhagic complications were significantly less frequent with the right radial approach (0%) compared to the femoral approach (6%, p = 0.0001). The rates of radial artery spasm and occlusion were similar between the two radial access groups.
Conclusion
The right radial access is a safe and effective alternative for LIMA graft angiography in post-CABG patients. It represents a valuable option when the left radial artery is unavailable, allowing to avoid the femoral access and its associated complications.
{"title":"Faisabilité et sécurité de l’abord radial droit pour l’angiographie des pontages mammaires internes gauches","authors":"Taha Ettachfini , Karim Badaoui , Jose Castro Rodriguez","doi":"10.1016/j.ancard.2025.101927","DOIUrl":"10.1016/j.ancard.2025.101927","url":null,"abstract":"<div><h3>Background</h3><div>The right radial approach has become the preferred access route for coronary angiography and percutaneous coronary intervention. However, its use for left internal mammary artery graft (LIMA) angiography in patients with prior coronary artery bypass grafting (CABG) remains controversial. This study aimed to assess the feasibility and safety of the right radial approach compared with the left radial and femoral approaches for LIMA graft angiography.</div></div><div><h3>Methods</h3><div>We compared feasibility criteria (LIMA visualization and selective engagement, procedure duration, contrast volume, and fluoroscopy time) and safety parameters during LIMA graft angiography, across right radial, left radial, and femoral access in 760 post-CABG patients.</div></div><div><h3>Results</h3><div>LIMA visualization was successful in 92% of cases via the right radial access, compared to 96% for both the left radial and femoral access (<em>p</em> = 0.158). Selective LIMA engagement was significantly lower with the right radial access (61%) than with the left radial (86%) and femoral (78%) access (<em>p</em> < 0.0001). No significant differences were observed in procedure duration, fluoroscopy time, or contrast volume. Haemorrhagic complications were significantly less frequent with the right radial approach (0%) compared to the femoral approach (6%, <em>p</em> = 0.0001). The rates of radial artery spasm and occlusion were similar between the two radial access groups.</div></div><div><h3>Conclusion</h3><div>The right radial access is a safe and effective alternative for LIMA graft angiography in post-CABG patients. It represents a valuable option when the left radial artery is unavailable, allowing to avoid the femoral access and its associated complications.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101927"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144879755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-20DOI: 10.1016/j.ancard.2025.101922
Sara Jourani , Zakariae Laraichi , Hakim Benamer
Myocardial ischemia occurring in patients with history of coronary artery bypass grafting (CABG) presents a significant therapeutic challenge. Vein graft degeneration, particularly of saphenous vein grafts, is a common complication with a time-dependent increase in incidence. Although arterial grafts offer greater long-term durability, they are not exempt from complications and may also require percutaneous interventions, which are often technically complex. Through this literature review, we examine the various revascularization strategies and reassess current guidelines, with the aim of optimizing therapeutic management in this high-risk patient population.
{"title":"Revascularisation du patient ponté : revue de la littérature des stratégies thérapeutiques","authors":"Sara Jourani , Zakariae Laraichi , Hakim Benamer","doi":"10.1016/j.ancard.2025.101922","DOIUrl":"10.1016/j.ancard.2025.101922","url":null,"abstract":"<div><div>Myocardial ischemia occurring in patients with history of coronary artery bypass grafting (CABG) presents a significant therapeutic challenge. Vein graft degeneration, particularly of saphenous vein grafts, is a common complication with a time-dependent increase in incidence. Although arterial grafts offer greater long-term durability, they are not exempt from complications and may also require percutaneous interventions, which are often technically complex. Through this literature review, we examine the various revascularization strategies and reassess current guidelines, with the aim of optimizing therapeutic management in this high-risk patient population.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101922"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-20DOI: 10.1016/j.ancard.2025.101915
Radwan Hakim, Franck Albert
TAVI has emerged as a safe and effective alternative to surgical aortic valve replacement, including in low-risk patients. However, French regulations still require the procedure to be performed exclusively in centers with on-site cardiac surgery. While historically justified, this requirement now appears outdated in light of technical advancements, reduced complication rates, and reassuring registry data. Several countries have already demonstrated the feasibility and safety of TAVI in experienced non-surgical centers. The current restriction generates inequalities in access, longer waiting times, and loss of patient opportunity. A structured evolution of the model, based on experience, quality criteria, and organized collaborations, could broaden access to TAVI without compromising safety. It is time to reconcile safety, pragmatism, and equitable access.
{"title":"TAVI en centres non chirurgicaux : entre pragmatisme clinique et mirage réglementaire","authors":"Radwan Hakim, Franck Albert","doi":"10.1016/j.ancard.2025.101915","DOIUrl":"10.1016/j.ancard.2025.101915","url":null,"abstract":"<div><div>TAVI has emerged as a safe and effective alternative to surgical aortic valve replacement, including in low-risk patients. However, French regulations still require the procedure to be performed exclusively in centers with on-site cardiac surgery. While historically justified, this requirement now appears outdated in light of technical advancements, reduced complication rates, and reassuring registry data. Several countries have already demonstrated the feasibility and safety of TAVI in experienced non-surgical centers. The current restriction generates inequalities in access, longer waiting times, and loss of patient opportunity. A structured evolution of the model, based on experience, quality criteria, and organized collaborations, could broaden access to TAVI without compromising safety. It is time to reconcile safety, pragmatism, and equitable access.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101915"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144863950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-20DOI: 10.1016/j.ancard.2025.101925
Frédéric Lapostolle , Hakim Benamer , Aurélie Loyeau , Hugo Michalak , Tomislav Petrovic , Sophie Bataille , Yves Lambert
The issue of gender in acute myocardial infarction (AMI) emerged in the literature over 25 years ago. It became evident that, all other factors being equal, women with AMI had higher mortality rates than men. The e-MUST registry, which includes patients with ST-segment elevation myocardial infarction (STEMI) of less than 24 hours’ duration managed by one of the 39 Mobile Emergency and Resuscitation Services (SMUR) in the Île-de-France region, has allowed for numerous gender-focused analyses. Key findings include: [1] higher mortality in women: women experiencing AMI have a higher mortality risk (OR = 1.4; 95% CI: 1.1–1.8) compared to men [2]. Younger age of onset in women: while the average age at AMI onset increased by 2.9 years in men between 2002 and 2021 (from 57.6 to 60.5 years; p < 0.05), it decreased by 3.1 years in women (from 73.7 to 70.6 years; p < 0.0001) [3]. Advanced age in a subset of women: women represented 22% of the total registry population but accounted for over 60% of nonagenarian patients. In this very elderly subgroup, the rate of myocardial reperfusion decisions rose from 50% in the early 2000s to over 90% by the early 2020s. This intervention was associated with a 58% reduction in mortality [4]. Nontraditional risk profiles: women with AMI often presented without traditional cardiovascular risk factors, or with risk factors not routinely screened for [5]. Circadian patterns and delayed calls: AMI in women frequently occurred in the early morning, peaking at 08:00. Call delays to emergency services increased with age and nighttime onset, reaching up to 300 minutes in women over 65 experiencing chest pain at 1 a.m [6]. Prehospital management: except for a slightly lower rate of myocardial reperfusion in women (93% vs. 96% in men; p < 0.0001), prehospital management, including anticoagulant and antiplatelet therapy, was comparable between genders [7]. Gender bias in medical regulation: analysis of SAMU call regulation revealed that both the patient’s and the physician’s gender influenced the decision to dispatch a SMUR unit—ranging from 49% when both regulator and patient were men to just 18% when both were women [8]. Need for targeted approaches: these findings underscore the necessity for increased awareness, dedicated training, and gender-specific emergency care protocols to improve outcomes in women with AMI.
{"title":"Ce que le registre e-MUST dit de l’infarctus de la femme","authors":"Frédéric Lapostolle , Hakim Benamer , Aurélie Loyeau , Hugo Michalak , Tomislav Petrovic , Sophie Bataille , Yves Lambert","doi":"10.1016/j.ancard.2025.101925","DOIUrl":"10.1016/j.ancard.2025.101925","url":null,"abstract":"<div><div>The issue of gender in acute myocardial infarction (AMI) emerged in the literature over 25 years ago. It became evident that, all other factors being equal, women with AMI had higher mortality rates than men. The e-MUST registry, which includes patients with ST-segment elevation myocardial infarction (STEMI) of less than 24 hours’ duration managed by one of the 39 Mobile Emergency and Resuscitation Services (SMUR) in the Île-de-France region, has allowed for numerous gender-focused analyses. Key findings include: [1] higher mortality in women: women experiencing AMI have a higher mortality risk (OR = 1.4; 95% CI: 1.1–1.8) compared to men [2]. Younger age of onset in women: while the average age at AMI onset increased by 2.9 years in men between 2002 and 2021 (from 57.6 to 60.5 years; <em>p</em> < 0.05), it decreased by 3.1 years in women (from 73.7 to 70.6 years; <em>p</em> < 0.0001) [3]. Advanced age in a subset of women: women represented 22% of the total registry population but accounted for over 60% of nonagenarian patients. In this very elderly subgroup, the rate of myocardial reperfusion decisions rose from 50% in the early 2000s to over 90% by the early 2020s. This intervention was associated with a 58% reduction in mortality [4]. Nontraditional risk profiles: women with AMI often presented without traditional cardiovascular risk factors, or with risk factors not routinely screened for [5]. Circadian patterns and delayed calls: AMI in women frequently occurred in the early morning, peaking at 08:00. Call delays to emergency services increased with age and nighttime onset, reaching up to 300 minutes in women over 65 experiencing chest pain at 1 a.m [6]. Prehospital management: except for a slightly lower rate of myocardial reperfusion in women (93% vs. 96% in men; <em>p</em> < 0.0001), prehospital management, including anticoagulant and antiplatelet therapy, was comparable between genders [7]. Gender bias in medical regulation: analysis of SAMU call regulation revealed that both the patient’s and the physician’s gender influenced the decision to dispatch a SMUR unit—ranging from 49% when both regulator and patient were men to just 18% when both were women [8]. Need for targeted approaches: these findings underscore the necessity for increased awareness, dedicated training, and gender-specific emergency care protocols to improve outcomes in women with AMI.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101925"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-20DOI: 10.1016/j.ancard.2025.101926
Ikram El marzouki , Jacques Monsegu
Coronary artery calcification is highly prevalent in elderly patients and poses significant challenges during percutaneous coronary intervention (PCI).
We report the case of an 86-year-old man admitted for ST-elevation myocardial infarction. Coronary angiography revealed triple-vessel disease with an acute coronary artery occlusion, a long, heavily calcified proximal-to-mid left anterior descending artery stenosis, and a severely calcified proximal circumflex lesion. PCI revascularization was performed in 3 steps: primary PCI of the right coronary artery initially, then 3 days after, PCI of the circumflex artery using rotational atherectomy, scoring balloon dilation, and intravascular lithotripsy. Then, at Day 15, PCI of the left anterior descending artery with orbital atherectomy finished complete revascularization.
This case underscores the importance of a comprehensive geriatric assessment—particularly frailty and physiological age—before selecting a revascularization strategy requiring the use of specific tools as advanced plaque-modification techniques and intravascular imaging, without any restriction according to age.
{"title":"Séniors et lésions coronaires calcifiées","authors":"Ikram El marzouki , Jacques Monsegu","doi":"10.1016/j.ancard.2025.101926","DOIUrl":"10.1016/j.ancard.2025.101926","url":null,"abstract":"<div><div>Coronary artery calcification is highly prevalent in elderly patients and poses significant challenges during percutaneous coronary intervention (PCI).</div><div>We report the case of an 86-year-old man admitted for ST-elevation myocardial infarction. Coronary angiography revealed triple-vessel disease with an acute coronary artery occlusion, a long, heavily calcified proximal-to-mid left anterior descending artery stenosis, and a severely calcified proximal circumflex lesion. PCI revascularization was performed in 3 steps: primary PCI of the right coronary artery initially, then 3 days after, PCI of the circumflex artery using rotational atherectomy, scoring balloon dilation, and intravascular lithotripsy. Then, at Day 15, PCI of the left anterior descending artery with orbital atherectomy finished complete revascularization.</div><div>This case underscores the importance of a comprehensive geriatric assessment—particularly frailty and physiological age—before selecting a revascularization strategy requiring the use of specific tools as advanced plaque-modification techniques and intravascular imaging, without any restriction according to age.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101926"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-11DOI: 10.1016/j.ancard.2025.101920
Mohamed Ghannem , Inès Cazaubiel
The coronary disease is the leading cause of mortality in women, with 4 to 6 times more deaths than breast cancer. Classically, cardiovascular risk factors show some particularities. Acute coronary syndromes with non-obstructive forms, known as MINOCA (Myocardial Infarction with Non-Obstructive Coronary Arteries), occur more frequently in women than in men, particularly including coronary spasm, microcirculatory ischemia, spontaneous coronary artery dissections (SCAD), and stress cardiomyopathy (takotsubo). The proven benefits of cardiac rehabilitation on hard endpoints, such as morbidity and mortality, do not prevent it from being underutilized, especially in women. The cardiovascular rehabilitation program must be personalized and adapted.
{"title":"La réadaptation cardiaque de la femme coronarienne","authors":"Mohamed Ghannem , Inès Cazaubiel","doi":"10.1016/j.ancard.2025.101920","DOIUrl":"10.1016/j.ancard.2025.101920","url":null,"abstract":"<div><div>The coronary disease is the leading cause of mortality in women, with 4 to 6 times more deaths than breast cancer. Classically, cardiovascular risk factors show some particularities. Acute coronary syndromes with non-obstructive forms, known as MINOCA (Myocardial Infarction with Non-Obstructive Coronary Arteries), occur more frequently in women than in men, particularly including coronary spasm, microcirculatory ischemia, spontaneous coronary artery dissections (SCAD), and stress cardiomyopathy (takotsubo). The proven benefits of cardiac rehabilitation on hard endpoints, such as morbidity and mortality, do not prevent it from being underutilized, especially in women. The cardiovascular rehabilitation program must be personalized and adapted.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101920"},"PeriodicalIF":0.3,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144827035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Limited data are available on cardiac manifestations in systemic lupus erythematosus (SLE) in Cameroon. The aim of this study was to report on electrocardiographic and echocardiographic abnormalities in this population.
Methods
A cross-sectional study was conducted from October 2023 to May 2024 at the Yaoundé Central Hospital, involving patients followed up for SLE satisfying the ACR/EULAR 2019 criteria, paired with healthy subjects. They underwent electrocardiographic and echocardiographic examinations. Frequencies of abnormalities were compared using Fisher's exact test. The significance threshold was 0.05.
Results
We included 55 SLE patients (94.5% female) with a mean age of 39 (10) years, and 55 matched control subjects. Clinically, 10 (18.2%) SLE patients presented with functional cardiac signs. Electrocardiographic and echographic abnormalities accounted for 29.1% and 43.6% of patients, respectively, with frequencies significantly higher than those of controls (10.9% and 7.3%, respectively). These included sinus tachycardia (14.5%), ST elevation (14.5%), and T-wave inversion (16.3%) on electrocardiography; pericardial effusion (25.5%), mitral insufficiency (23.6%), aortic insufficiency (20%), and pulmonary hypertension (14.5%) on echocardiography.
Conclusion
Electrocardiographic and echocardiographic abnormalities are common, affecting one-third and two-fifths respectively of SLE patients in our sample. They are usually asymptomatic, calling for screening and follow-up, as some can have a long-term prognostic impact.
{"title":"Anomalies électrocardiographiques et échocardiographiques au cours du lupus érythémateux systémique : les premières données des patients Camerounais","authors":"Jan René Nkeck , Valérie Ndobo-Koe , Stela Valdesse Kamgue Wambo , Carelle Doen Guedi , Adeline Pelda , Gisèle Flora Nandjip , Baudelaire Fojo , Caroline Ngoufack-Tientcheu , Blondelle Ndifon , Laeticia Yowo , Liliane Kuate Mfeukeu , Madeleine Ngandeu Singwé","doi":"10.1016/j.ancard.2025.101905","DOIUrl":"10.1016/j.ancard.2025.101905","url":null,"abstract":"<div><h3>Introduction</h3><div>Limited data are available on cardiac manifestations in systemic lupus erythematosus (SLE) in Cameroon. The aim of this study was to report on electrocardiographic and echocardiographic abnormalities in this population.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted from October 2023 to May 2024 at the Yaoundé Central Hospital, involving patients followed up for SLE satisfying the ACR/EULAR 2019 criteria, paired with healthy subjects. They underwent electrocardiographic and echocardiographic examinations. Frequencies of abnormalities were compared using Fisher's exact test. The significance threshold was 0.05.</div></div><div><h3>Results</h3><div>We included 55 SLE patients (94.5% female) with a mean age of 39 (10) years, and 55 matched control subjects. Clinically, 10 (18.2%) SLE patients presented with functional cardiac signs. Electrocardiographic and echographic abnormalities accounted for 29.1% and 43.6% of patients, respectively, with frequencies significantly higher than those of controls (10.9% and 7.3%, respectively). These included sinus tachycardia (14.5%), ST elevation (14.5%), and T-wave inversion (16.3%) on electrocardiography; pericardial effusion (25.5%), mitral insufficiency (23.6%), aortic insufficiency (20%), and pulmonary hypertension (14.5%) on echocardiography.</div></div><div><h3>Conclusion</h3><div>Electrocardiographic and echocardiographic abnormalities are common, affecting one-third and two-fifths respectively of SLE patients in our sample. They are usually asymptomatic, calling for screening and follow-up, as some can have a long-term prognostic impact.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101905"},"PeriodicalIF":0.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-07DOI: 10.1016/j.ancard.2025.101914
Mohamed Issa Elkharchi , Sidi Mohamed Cheikh Limame , Sidi M’hamed Ethmane , Salihou Fall , Mohamed Ahmedou Seyid , Mohamed Abdallahi Memahi , Mahfoudh Mohamed Taleb , Sirakhé Camara , Ahmed Eba , Horma Zein
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.
{"title":"Résultats hospitaliers du registre de l'insuffisance cardiaque aiguë en mauritanie","authors":"Mohamed Issa Elkharchi , Sidi Mohamed Cheikh Limame , Sidi M’hamed Ethmane , Salihou Fall , Mohamed Ahmedou Seyid , Mohamed Abdallahi Memahi , Mahfoudh Mohamed Taleb , Sirakhé Camara , Ahmed Eba , Horma Zein","doi":"10.1016/j.ancard.2025.101914","DOIUrl":"10.1016/j.ancard.2025.101914","url":null,"abstract":"<div><h3>Introduction</h3><div>Acute heart failure is a major public health issue worldwide. However, its characteristics in Mauritania remain unknown.</div></div><div><h3>Objective</h3><div>The aim of our study is to assess the characteristics of acute heart failure in Mauritania.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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%.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101914"},"PeriodicalIF":0.3,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-06DOI: 10.1016/j.ancard.2025.101902
Relwendé Aristide Yameogo , Lydie Kologo , Adama Sawadogo , Yibar Kambire , Hippolyte N Some , Lassina Konate , Safiatou Tiemtore , Lynda Compaore , Patrice Zabsonre , Nicolas Meda , Cheick Oumar Bagayoko
Introduction
Medical imaging is a major focus of information and communication technologies (ICTs) as it generates the largest volume of digital data. L’utilisation de la télémédecine est une opportunité qui permettra d’améliorer la prise en charge des patients. The objective of our study was to assess the contribution of echocardiographic tele-expertise in the management of heart diseases in Burkina Faso.
Methods
This was a prospective cohort study conducted from February 16, 2021, to April 6, 2023, in the thoracic and cardiovascular surgery department of the Tengandogo University Hospital. Patients included were those who had undergone echocardiographic tele-expertise and cardiac surgery in Burkina Faso. We compared the concordance between the diagnoses of the requesting cardiologist and the consulting cardiologist on one hand, and between the consulting physician and intraoperative diagnoses on the other hand. Diagnostic concordance rates were used for comparisons.
Results
A total of 384 patients benefited from tele-expertise, and 123 underwent surgery in Burkina Faso. Of these, 111 patients were included in the study. The cohort exhibited a female predominance (59.5%), with a mean age of 9.3 years. Congenital heart diseases accounted for 82.9% of cases, dominated by patent ductus arteriosus (40.2%). Acquired heart diseases represented 17.1%, mainly mitral stenosis (52.6%). The diagnostic concordance rate was 94.5% between the requesting and consulting cardiologists and 100% between the consulting cardiologist and intraoperative findings. The mortality rate was 3.6%.
Conclusion
Echocardiographic tele-expertise is a reliable and safe practice for both patient management and continuous training of cardiologists. Deploying this practice in regional hospital with cardiologists can improve healthcare delivery.
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