Pub Date : 2024-05-07DOI: 10.1016/j.ancard.2024.101766
Amnuay Kleebayoon, Viroj Wiwanitkit
{"title":"Acute myocarditis in dengue infection","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.1016/j.ancard.2024.101766","DOIUrl":"https://doi.org/10.1016/j.ancard.2024.101766","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140879872","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}
We report a case of fatal myocardial infarction (MI) after electrocution in a 26-year-old male patient without cardiovascular risk factors. The patient was admitted to the Emergency Department of the University Clinics of Lubumbashi for management of accidental electrocution on a high-voltage power line. The admission ECG showed lesions consistent with myocardial infarction. Despite treatment, the patient died 30 minutes after admission.
{"title":"Acute myocardial infarction due to accidental electrocution — A case report of a 26-year-old African male patient","authors":"Eric Yolola , Richie Kipenge , Didier Malamba-Lez , Dophra Ngoy","doi":"10.1016/j.ancard.2024.101743","DOIUrl":"https://doi.org/10.1016/j.ancard.2024.101743","url":null,"abstract":"<div><p>We report a case of fatal myocardial infarction (MI) after electrocution in a 26-year-old male patient without cardiovascular risk factors. The patient was admitted to the Emergency Department of the University Clinics of Lubumbashi for management of accidental electrocution on a high-voltage power line. The admission ECG showed lesions consistent with myocardial infarction. Despite treatment, the patient died 30 minutes after admission.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140619198","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}
Chronic constrictive pericarditis is a rare condition characterized by clinical signs of right heart failure, due to the symphysis of the two pericardial leaflets.
Our study focused on a retrospective analysis of 43 CCP surgery observations collected over an 11-year period (2003–2013).
The mean age of the patients was 32 years; 65% were male; exercise dyspnea (95%) was the most frequent sign. Two main etiologies were observed: tuberculosis 58% and idiopathic causes 42%. All of our patients received a subtotal pericardectomy per median sternotomy, of which 95% had no cardiopulmonary bypass.
{"title":"Gestion de la péricardite constrictive : à travers l’étude de 43 cas opérés","authors":"Hicham Wazaren , Abdelmalik Idrissa , Badre El Boussaadani , Abderahmane bakkali","doi":"10.1016/j.ancard.2024.101742","DOIUrl":"https://doi.org/10.1016/j.ancard.2024.101742","url":null,"abstract":"<div><p>Chronic constrictive pericarditis is a rare condition characterized by clinical signs of right heart failure, due to the symphysis of the two pericardial leaflets.</p><p>Our study focused on a retrospective analysis of 43 CCP surgery observations collected over an 11-year period (2003–2013).</p><p>The mean age of the patients was 32 years; 65% were male; exercise dyspnea (95%) was the most frequent sign. Two main etiologies were observed: tuberculosis 58% and idiopathic causes 42%. All of our patients received a subtotal pericardectomy per median sternotomy, of which 95% had no cardiopulmonary bypass.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140619197","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 : 2024-04-17DOI: 10.1016/j.ancard.2024.101744
Hicham El Malki , Yassine Morjane , Adam Belarbi , Mohammed Taha Berkane , El Mehdi Moutaouekkil
COVID-19 is an infectious disease caused by the SARS-CoV-2 virus. This epidemic has caused serious socio-economic problems worldwide, with a very high mortality rate. Several articles have been published in the literature showing the consequences of this disease on the human body. Among the most serious complications are venous and arterial thrombosis, which are rarely observed together in the same patient. In this article, we report an exceptional case of a patient with COVID-19 with the combination of intracardiac thrombus (left atrium) and venous thrombosis (splenic vein and portal trunk).
{"title":"A very rare combination of venous and arterial thrombosis in a patient with COVID-19","authors":"Hicham El Malki , Yassine Morjane , Adam Belarbi , Mohammed Taha Berkane , El Mehdi Moutaouekkil","doi":"10.1016/j.ancard.2024.101744","DOIUrl":"https://doi.org/10.1016/j.ancard.2024.101744","url":null,"abstract":"<div><p>COVID-19 is an infectious disease caused by the SARS-CoV-2 virus. This epidemic has caused serious socio-economic problems worldwide, with a very high mortality rate. Several articles have been published in the literature showing the consequences of this disease on the human body. Among the most serious complications are venous and arterial thrombosis, which are rarely observed together in the same patient. In this article, we report an exceptional case of a patient with COVID-19 with the combination of intracardiac thrombus (left atrium) and venous thrombosis (splenic vein and portal trunk).</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140558151","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}
Diabetes can lead to micro and macro-angiopathies. The peripheral arterial disease (PAD) is a serious and an incapacitating disease. It is still under-estimated and under-treated throughout the world, particularly in sub-Saharan Africa. Doppler ultrasound, and in particular ankle brachial index (ABI), can be used to detect it. The aim was to determine the prevalence of PAD to study the clinical and ultrasonographic aspects and to identify the determining factors.
Patients and methods
This was a descriptive and analytical study over a period of 5 years, including a total of 782 diabetic patients hospitalised in the diabetology department of the CHU la Reference Nationale.
Results
Among the 782 patients, 166 (21.2%) had an ABI < 0.9 reflected the PAD and 72 (9.2%) had an ABI > 1.3, suggestive of mediacalcosis. PAD of the lower limb was mild in 102 patients (61.4%), moderate in (26.3%) and severe in (12.3%). The mean age of the arteritic patients was 56.4 ± 10.2 years. Male gender predominated (59.6%) with a sex ratio of 1.6. All patients had type 2 diabetes (100%). The mean duration of diabetes was 13 ± 5.9 years. The majority of our patients with arterial disease had diabetes for at least 10 years (54.2%). The other cardiovascular in this population were obesity (45.2%), followed by hypertension and dyslipidaemia (32.5%). Diabetes was unbalanced (HbA ≥7%) in the majority of cases (75.3%). Clinically, the majority of patients had a trophic disorder (68%). Asymptomatic patients accounted for 24.6% of cases and those with intermittent claudication for 7.4%. Duplex doppler of the lower limbs showed that all patients with PAD had atheromatous lesions. The distal location was predominantly in the tibial arteries (54.8%). The determinants of PAD in this diabetic population were hypertension (p = 0.01) and obesity (p = 0.01).
Conclusion
In our series, PAD was often discovered at an advanced stage, with a non-negligible prevalence. The determining factors found were hypertension and obesity. Screening and control of major cardiovascular risk factors is a priority in the management of this disease.
背景糖尿病可导致微血管病变和大血管病变。外周动脉疾病(PAD)是一种严重的致残性疾病。全世界,尤其是撒哈拉以南非洲地区,对这种疾病的估计和治疗仍然不足。多普勒超声,尤其是踝肱指数(ABI),可用于检测这种疾病。患者和方法这是一项描述性和分析性研究,历时5年,共包括782名在CHU la Reference Nationale糖尿病科住院的糖尿病患者。结果在782名患者中,166人(21.2%)的ABI大于0.9,反映出有PAD;72人(9.2%)的ABI大于1.3,提示有中度钙化。102 名患者(61.4%)的下肢 PAD 为轻度,26.3% 为中度,12.3% 为重度。动脉粥样硬化患者的平均年龄为(56.4 ± 10.2)岁。男性占多数(59.6%),性别比为 1.6。所有患者均患有 2 型糖尿病(100%)。平均糖尿病病程为(13 ± 5.9)年。大多数动脉疾病患者的糖尿病病程至少为 10 年(54.2%)。该人群的其他心血管疾病是肥胖(45.2%),其次是高血压和血脂异常(32.5%)。大多数病例(75.3%)的糖尿病不均衡(HbA ≥7%)。临床上,大多数患者患有营养障碍(68%)。无症状患者占 24.6%,间歇性跛行患者占 7.4%。下肢双工多普勒显示,所有 PAD 患者都有动脉粥样硬化病变。远端病变主要位于胫动脉(54.8%)。结论在我们的系列研究中,PAD 通常在晚期才被发现,发病率不容忽视。高血压和肥胖是决定性因素。筛查和控制主要的心血管风险因素是治疗这种疾病的首要任务。
{"title":"Artériopathie oblitérante des membres inférieurs chez le sujet diabétique noir africain : profil épidémioclinique, ultrasonographique et facteurs déterminants","authors":"Oumar Mahamat-Azaki , Abdel-madjid Zakaria Zakaria , Abba Oumar , Yaya kichiné Mahamat , Adam Ahamat Ali , Deneube Lackdjoulki , Esaie Soya","doi":"10.1016/j.ancard.2024.101736","DOIUrl":"https://doi.org/10.1016/j.ancard.2024.101736","url":null,"abstract":"<div><h3>Background</h3><p>Diabetes can lead to micro and macro-angiopathies. The peripheral arterial disease (PAD) is a serious and an incapacitating disease. It is still under-estimated and under-treated throughout the world, particularly in sub-Saharan Africa. Doppler ultrasound, and in particular ankle brachial index (ABI), can be used to detect it. The aim was to determine the prevalence of PAD to study the clinical and ultrasonographic aspects and to identify the determining factors.</p></div><div><h3>Patients and methods</h3><p>This was a descriptive and analytical study over a period of 5 years, including a total of 782 diabetic patients hospitalised in the diabetology department of the CHU la Reference Nationale.</p></div><div><h3>Results</h3><p>Among the 782 patients, 166 (21.2%) had an ABI < 0.9 reflected the PAD and 72 (9.2%) had an ABI > 1.3, suggestive of mediacalcosis. PAD of the lower limb was mild in 102 patients (61.4%), moderate in (26.3%) and severe in (12.3%). The mean age of the arteritic patients was 56.4 ± 10.2 years. Male gender predominated (59.6%) with a sex ratio of 1.6. All patients had type 2 diabetes (100%). The mean duration of diabetes was 13 ± 5.9 years. The majority of our patients with arterial disease had diabetes for at least 10 years (54.2%). The other cardiovascular in this population were obesity (45.2%), followed by hypertension and dyslipidaemia (32.5%). Diabetes was unbalanced (HbA ≥7%) in the majority of cases (75.3%). Clinically, the majority of patients had a trophic disorder (68%). Asymptomatic patients accounted for 24.6% of cases and those with intermittent claudication for 7.4%. Duplex doppler of the lower limbs showed that all patients with PAD had atheromatous lesions. The distal location was predominantly in the tibial arteries (54.8%). The determinants of PAD in this diabetic population were hypertension (<em>p</em> = 0.01) and obesity (<em>p</em> = 0.01).</p></div><div><h3>Conclusion</h3><p>In our series, PAD was often discovered at an advanced stage, with a non-negligible prevalence. The determining factors found were hypertension and obesity. Screening and control of major cardiovascular risk factors is a priority in the management of this disease.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140558150","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 : 2024-03-27DOI: 10.1016/S0003-3928(24)00026-X
{"title":"Editorial board / Ours rédaction","authors":"","doi":"10.1016/S0003-3928(24)00026-X","DOIUrl":"https://doi.org/10.1016/S0003-3928(24)00026-X","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S000339282400026X/pdfft?md5=4cad823c46468c23399e28266659fe94&pid=1-s2.0-S000339282400026X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140309858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-27DOI: 10.1016/S0003-3928(24)00029-5
{"title":"Sommaire","authors":"","doi":"10.1016/S0003-3928(24)00029-5","DOIUrl":"https://doi.org/10.1016/S0003-3928(24)00029-5","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0003392824000295/pdfft?md5=fdfc7d9b3562ec5ef220ec5f025e6a6b&pid=1-s2.0-S0003392824000295-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140309859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In contrast to developed countries, cardiac CT is not widely used in West Africa for the assessment of congenital heart disease, and has only recently been introduced in Côte d'Ivoire. The lack of data prompted this study, the aim of which was to describe our experience of the contribution of CT to the management of congenital heart disease in the Ivorian cardiology setting.
Patients and method
This was a prospective study which took place in the pediatric cardiology department over a period of 9 months (September 2022 to June 2023) which included all patients with congenital heart disease explored by echocardiography and cardiac scan.
Results
The average age was 5.7 ± 4.7 years with extremes of 5 months and 16 years. We noted a female predominance with a sex ratio of 0.52. The main heart diseases were: tetralogy of Fallot (37.1%), followed by pulmonary atresia with open septum (18.52%). The assessment of the anatomy of the pulmonary arteries (81.48%), the search for aortopulmonary collaterals (59.63%) and finally the assessment of the anatomy of the aorta (18.52%) were the main indications. The practice of cardiac CT scanning has enabled better accuracy in the diagnosis and management of congenital heart disease in several cases: an interruption of the aortic arch was found in 1 case initially suspected of hypoplasia of the aortic arch, three cases of partial abnormal pulmonary venous return and one case of total abnormal pulmonary venous return. Also, agenesis of the left pulmonary artery with birth anomaly of the right coronary artery in the assessment of tetralogy of Fallot was found in 1 case. The CT scan made it possible to specify the exact topography of the aortopulmonary collaterals in four cases of pulmonary atresia with an open septum.
Conclusion
CT has enabled better visualization of the arterial and venous pulmonary tree, identification and exact localization of aorto-pulmonary collaterals, precise description of the three-dimensional anatomy of the coronary arteries, and better precision of congenital anomalies of the aorta.
{"title":"Apport du scanner cardiaque dans la prise en charge des cardiopathies congénitales : expérience de l'institut de cardiologie d'Abidjan à propos de 27 cas","authors":"Ami Echua Manzan Avoh , Yves N'da Kouakou N'goran , Marie Paul N'cho-Mottoh , Diaby Fatou Traore , Micesse Tano-Akoto , Cedrick Zole Doh , Legre Vy , Kacou Jean-Baptiste Anzouan , Kouadio Euloge Kramoh","doi":"10.1016/j.ancard.2024.101739","DOIUrl":"https://doi.org/10.1016/j.ancard.2024.101739","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>In contrast to developed countries, cardiac CT is not widely used in West Africa for the assessment of congenital heart disease, and has only recently been introduced in Côte d'Ivoire. The lack of data prompted this study, the aim of which was to describe our experience of the contribution of CT to the management of congenital heart disease in the Ivorian cardiology setting.</p></div><div><h3>Patients and method</h3><p>This was a prospective study which took place in the pediatric cardiology department over a period of 9 months (September 2022 to June 2023) which included all patients with congenital heart disease explored by echocardiography and cardiac scan.</p></div><div><h3>Results</h3><p>The average age was 5.7 ± 4.7 years with extremes of 5 months and 16 years. We noted a female predominance with a sex ratio of 0.52. The main heart diseases were: tetralogy of Fallot (37.1%), followed by pulmonary atresia with open septum (18.52%). The assessment of the anatomy of the pulmonary arteries (81.48%), the search for aortopulmonary collaterals (59.63%) and finally the assessment of the anatomy of the aorta (18.52%) were the main indications. The practice of cardiac CT scanning has enabled better accuracy in the diagnosis and management of congenital heart disease in several cases: an interruption of the aortic arch was found in 1 case initially suspected of hypoplasia of the aortic arch, three cases of partial abnormal pulmonary venous return and one case of total abnormal pulmonary venous return. Also, agenesis of the left pulmonary artery with birth anomaly of the right coronary artery in the assessment of tetralogy of Fallot was found in 1 case. The CT scan made it possible to specify the exact topography of the aortopulmonary collaterals in four cases of pulmonary atresia with an open septum.</p></div><div><h3>Conclusion</h3><p>CT has enabled better visualization of the arterial and venous pulmonary tree, identification and exact localization of aorto-pulmonary collaterals, precise description of the three-dimensional anatomy of the coronary arteries, and better precision of congenital anomalies of the aorta.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140000322","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 : 2024-02-27DOI: 10.1016/j.ancard.2024.101740
Othmani Safia , Jendoubi Asma , Hedhli Hana , Jouini Sarra , Zoubli Aymen , Jemai Mouna , Maaref Amal , Ben Kaddour Rym
Introduction
Infective endocarditis (IE) remains a serious disease with significant morbidity and mortality despite therapeutic advancements. The aim of our study was to determine the predictive factors of in-hospital mortality.
Patients and methods
A prospective comparative study over a period of 54 months was conducted, including all patients admitted for definite infective endocarditis, diagnosed according to the modified Duke criteria published in 2015 by the European Society of Cardiology.
Results
Thirty-four patients were included. Drug addiction was the main risk factor for infective endocarditis (56%). Tricuspid valve involvement was predominant (50%). Staphylococcus aureus was the most commonly isolated pathogen (65%). In-hospital mortality rate was 47%. In multivariate analysis, predictive factors for mortality were acute heart failure (OR=7.4; p=0.026; 95% CI [1.2–44]) and cerebral embolic localization (OR=11.1; p=0.024; 95% CI [13–90]).
Conclusions
Cardiac and cerebral complications influence the prognosis of IE. Thus, close collaboration among multidisciplinary teams is necessary for improved diagnostic and therapeutic management.
导言感染性心内膜炎(IE)是一种严重的疾病,尽管治疗手段不断进步,但发病率和死亡率仍然很高。我们的研究旨在确定院内死亡率的预测因素。患者和方法 我们开展了一项为期 54 个月的前瞻性比较研究,研究对象包括所有确诊为感染性心内膜炎的住院患者,诊断标准为欧洲心脏病学会 2015 年发布的修订版杜克标准。吸毒是感染性心内膜炎的主要风险因素(56%)。三尖瓣主要受累(50%)。金黄色葡萄球菌是最常见的分离病原体(65%)。院内死亡率为 47%。在多变量分析中,预测死亡率的因素是急性心力衰竭(OR=7.4;P=0.026;95% CI [1.2-44])和脑栓塞定位(OR=11.1;P=0.024;95% CI [13-90])。结论心脑并发症会影响 IE 的预后,因此多学科团队之间必须密切合作,以改善诊断和治疗管理。
{"title":"Endocardite infectieuse : facteurs prédictifs de mortalité intrahospitalière","authors":"Othmani Safia , Jendoubi Asma , Hedhli Hana , Jouini Sarra , Zoubli Aymen , Jemai Mouna , Maaref Amal , Ben Kaddour Rym","doi":"10.1016/j.ancard.2024.101740","DOIUrl":"https://doi.org/10.1016/j.ancard.2024.101740","url":null,"abstract":"<div><h3>Introduction</h3><p>Infective endocarditis (IE) remains a serious disease with significant morbidity and mortality despite therapeutic advancements. The aim of our study was to determine the predictive factors of in-hospital mortality.</p></div><div><h3>Patients and methods</h3><p>A prospective comparative study over a period of 54 months was conducted, including all patients admitted for definite infective endocarditis, diagnosed according to the modified Duke criteria published in 2015 by the European Society of Cardiology.</p></div><div><h3>Results</h3><p>Thirty-four patients were included. Drug addiction was the main risk factor for infective endocarditis (56%). Tricuspid valve involvement was predominant (50%). <em>Staphylococcus aureus</em> was the most commonly isolated pathogen (65%). In-hospital mortality rate was 47%. In multivariate analysis, predictive factors for mortality were acute heart failure (OR=7.4; <em>p</em>=0.026; 95% CI [1.2–44]) and cerebral embolic localization (OR=11.1; <em>p</em>=0.024; 95% CI [13–90]).</p></div><div><h3>Conclusions</h3><p>Cardiac and cerebral complications influence the prognosis of IE. Thus, close collaboration among multidisciplinary teams is necessary for improved diagnostic and therapeutic management.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139985475","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 : 2024-02-21DOI: 10.1016/j.ancard.2024.101735
Y. Kambiré , G.R.C. Millogo , K.J. Kologo , A. Tall-Thiam , V. Agossou , L. Konaté , H. Somé , I. Diallo , N.V. Yameogo , K.A. Samadoulougou , P. Zabsonré
Objective
the study's objective was to determine impact of COVID-19 on the prognosis of pulmonary embolism.
Patients and methods
An analytical multicenter cross-sectional study with retrospective data collection was carried out in three university hospitals and a private clinic in Ouagadougou from March, 2020 to July 2021. It included consecutive patients hospitalized for PE confirmed on chest CT angiography or by the association an acute cor pulmonale on echocardiography-Doppler with deep vein thrombosis on venous ultrasound-Doppler of the lower limbs and having carried out a COVID-19 test (RT-PCR or rapid diagnostic test). Control cases consisted of all COVID-19 negative PE cases. Data comparison was carried out using the Epi info 7 software. A univariate then multivariate analysis allowed the comparison of the prognosis of the two subpopulations. The significance level retained was p < 0.05.
Results
96 patients with COVID-19+ and 70 COVID-19- PE were included. The prevalence of PE in patients hospitalized for COVID-19 was 7.05%. The average patient age was 61.5±17 years for COVID-19+ patients and 49.6±15.9 years for COVID-19- patients. Pulmonary condensation syndrome (p=0.007), desaturation (p=0.0003) and respiratory distress syndrome (p=0.006) were more common in COVID-19+ patients. The hospital death rate was 27.1% in COVID-19+ patients and 10% in COVID-19- patients (p=0.0024). Age > 65 years and COVID-19 pneumonia were the independent factors of death.
Conclusion
COVID-19 is associated with clinical severity and excess mortality in patients with pulmonary embolism.
患者和方法2020年3月至2021年7月,在瓦加杜古的三所大学医院和一家私人诊所开展了一项回顾性数据收集的多中心横断面分析研究。研究对象包括经胸部CT血管造影证实患有肺栓塞,或经超声心动图多普勒检查证实患有急性肺动脉栓塞,并经下肢静脉超声多普勒检查证实患有深静脉血栓,且进行过COVID-19检测(RT-PCR或快速诊断检测)的连续住院患者。对照病例包括所有 COVID-19 阴性的 PE 病例。数据比较使用 Epi info 7 软件进行。通过单变量和多变量分析,对两个亚群的预后进行了比较。结果纳入了 96 例 COVID-19+ PE 患者和 70 例 COVID-19- PE 患者。因 COVID-19 住院的 PE 患者发病率为 7.05%。COVID-19+患者的平均年龄为(61.5±17)岁,COVID-19-患者的平均年龄为(49.6±15.9)岁。在 COVID-19+ 患者中,肺凝结综合征(P=0.007)、饱和度降低(P=0.0003)和呼吸窘迫综合征(P=0.006)更为常见。COVID-19+ 患者的住院死亡率为 27.1%,而 COVID-19- 患者的住院死亡率为 10%(P=0.0024)。结论COVID-19与肺栓塞患者的临床严重程度和超额死亡率有关。
{"title":"Pronostic comparé de l'embolie pulmonaire chez les patients infectés au COVID-19 et les patients non infectés au COVID-19 à Ouagadougou","authors":"Y. Kambiré , G.R.C. Millogo , K.J. Kologo , A. Tall-Thiam , V. Agossou , L. Konaté , H. Somé , I. Diallo , N.V. Yameogo , K.A. Samadoulougou , P. Zabsonré","doi":"10.1016/j.ancard.2024.101735","DOIUrl":"https://doi.org/10.1016/j.ancard.2024.101735","url":null,"abstract":"<div><h3>Objective</h3><p>the study's objective was to determine impact of COVID-19 on the prognosis of pulmonary embolism.</p></div><div><h3>Patients and methods</h3><p>An analytical multicenter cross-sectional study with retrospective data collection was carried out in three university hospitals and a private clinic in Ouagadougou from March, 2020 to July 2021. It included consecutive patients hospitalized for PE confirmed on chest CT angiography or by the association an acute cor pulmonale on echocardiography-Doppler with deep vein thrombosis on venous ultrasound-Doppler of the lower limbs and having carried out a COVID-19 test (RT-PCR or rapid diagnostic test). Control cases consisted of all COVID-19 negative PE cases. Data comparison was carried out using the Epi info 7 software. A univariate then multivariate analysis allowed the comparison of the prognosis of the two subpopulations. The significance level retained was <em>p</em> < 0.05.</p></div><div><h3>Results</h3><p>96 patients with COVID-19+ and 70 COVID-19- PE were included. The prevalence of PE in patients hospitalized for COVID-19 was 7.05%. The average patient age was 61.5±17 years for COVID-19+ patients and 49.6±15.9 years for COVID-19- patients. Pulmonary condensation syndrome (<em>p</em>=0.007), desaturation (<em>p</em>=0.0003) and respiratory distress syndrome (<em>p</em>=0.006) were more common in COVID-19+ patients. The hospital death rate was 27.1% in COVID-19+ patients and 10% in COVID-19- patients (<em>p</em>=0.0024). Age > 65 years and COVID-19 pneumonia were the independent factors of death.</p></div><div><h3>Conclusion</h3><p>COVID-19 is associated with clinical severity and excess mortality in patients with pulmonary embolism.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914898","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}