Pub Date : 2025-05-06DOI: 10.1016/j.ancard.2025.101897
S. Aroua , M. Boukheloua
{"title":"Erratum au résumé : « Intérêt du dépistage précoce de la maladie de Fabry » [Ann Cardiol Angeiol (Paris) 2024 ; 73/5 (2024), 101828]","authors":"S. Aroua , M. Boukheloua","doi":"10.1016/j.ancard.2025.101897","DOIUrl":"10.1016/j.ancard.2025.101897","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101897"},"PeriodicalIF":0.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906776","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 : 2025-05-06DOI: 10.1016/j.ancard.2025.101898
F. Ferrandi , F. Collart , A. Cribier , H. Eltchaninoff , P. Luporsi
<div><h3>Introduction</h3><div>La sténose aortique est la valvulopathie la plus fréquente en France. Sa prévalence augmente avec l'âge, touchant plus de 10 % des personnes de plus de 70 ans. Une fois symptomatique, le pronostic est sombre, avec un taux de mortalité proche de 50 % dans les 2 ans. Les recommandations européennes pour la prise en charge des sténoses aortiques sévères recommandent une prise en charge rapide dès l'apparition des symptômes. Cependant, la sténose aortique reste largement sous-diagnostiquée et sous-traitée, notamment avec un accès aux soins limité et de plus en plus complexe en raison de la géographie. L'objectif principal de ce travail est d'analyser la prise en charge de tous les patients atteints de sténose aortique sévère symptomatique adressés au CHU de Bastia de janvier 2019 à décembre 2022. L'objectif secondaire est d'étudier les facteurs qui retardent la prise en charge et d'évaluer les conséquences sur l'évolution de ces patients.</div></div><div><h3>Matériels et méthodes</h3><div>Les données de 151 patients diagnostiqués avec une sténose aortique sévère symptomatique entre le 1er janvier 2019 et le 31 décembre 2022 au CHU de Bastia ont été recueillies rétrospectivement.</div></div><div><h3>Résultats</h3><div>Notre population était composée à 69 % d'hommes, d'âge moyen de 80 ans. Le risque opératoire était faible, avec un Euroscore moyen de 5 (Euroscore 0-45). La grande majorité des patients étaient symptomatiques, avec une dyspnée d'effort NYHA >2 (76 %). La FEVG moyenne était de 55 %, ce qui signifie que la plupart des patients avaient une fraction d'éjection ventriculaire gauche préservée. Une donnée significative que nous avons recueillie était le délai d'attente avant l'intervention. Parmi les patients inclus (102), le délai entre le diagnostic et l'implantation du TAVI était en moyenne de 162 jours (plus de 5 mois). Le délai entre la coronarographie et l'implantation du TAVI était d'environ 109 jours, contre une moyenne nationale de 70 jours. Parmi les patients inclus, 13 % sont décédés en attente et 7 % ont refusé le traitement proposé. L’étude des délais de bilan préopératoire n’a pas identifié de délai d’examen particulier comme cause principale, mais nous pouvons conclure que le processus global contribue à ces résultats.</div></div><div><h3>Conclusion</h3><div>Cette étude révèle qu’un quart des patients atteints de sténose aortique sévère dans cette population ne peuvent actuellement pas bénéficier d’un remplacement valvulaire percutané. Une prise en charge sur place, sans recours à la chirurgie cardiaque, pourrait être envisagée pour réduire les délais d’attente et la mortalité, comme cela se fait ailleurs en Europe.</div></div><div><h3>Introduction</h3><div>Aortic stenosis is the most common valvular disease in France. Its prevalence increases with age, affecting more than 10 % of people over 70 years old. Once symptomatic, the prognosis is grim, with a mortality rate close to 50 % within 2 years
{"title":"Accessibilité au TAVI dans un centre dépourvu de chirurgie cardiaque : Un exemple Corse","authors":"F. Ferrandi , F. Collart , A. Cribier , H. Eltchaninoff , P. Luporsi","doi":"10.1016/j.ancard.2025.101898","DOIUrl":"10.1016/j.ancard.2025.101898","url":null,"abstract":"<div><h3>Introduction</h3><div>La sténose aortique est la valvulopathie la plus fréquente en France. Sa prévalence augmente avec l'âge, touchant plus de 10 % des personnes de plus de 70 ans. Une fois symptomatique, le pronostic est sombre, avec un taux de mortalité proche de 50 % dans les 2 ans. Les recommandations européennes pour la prise en charge des sténoses aortiques sévères recommandent une prise en charge rapide dès l'apparition des symptômes. Cependant, la sténose aortique reste largement sous-diagnostiquée et sous-traitée, notamment avec un accès aux soins limité et de plus en plus complexe en raison de la géographie. L'objectif principal de ce travail est d'analyser la prise en charge de tous les patients atteints de sténose aortique sévère symptomatique adressés au CHU de Bastia de janvier 2019 à décembre 2022. L'objectif secondaire est d'étudier les facteurs qui retardent la prise en charge et d'évaluer les conséquences sur l'évolution de ces patients.</div></div><div><h3>Matériels et méthodes</h3><div>Les données de 151 patients diagnostiqués avec une sténose aortique sévère symptomatique entre le 1er janvier 2019 et le 31 décembre 2022 au CHU de Bastia ont été recueillies rétrospectivement.</div></div><div><h3>Résultats</h3><div>Notre population était composée à 69 % d'hommes, d'âge moyen de 80 ans. Le risque opératoire était faible, avec un Euroscore moyen de 5 (Euroscore 0-45). La grande majorité des patients étaient symptomatiques, avec une dyspnée d'effort NYHA >2 (76 %). La FEVG moyenne était de 55 %, ce qui signifie que la plupart des patients avaient une fraction d'éjection ventriculaire gauche préservée. Une donnée significative que nous avons recueillie était le délai d'attente avant l'intervention. Parmi les patients inclus (102), le délai entre le diagnostic et l'implantation du TAVI était en moyenne de 162 jours (plus de 5 mois). Le délai entre la coronarographie et l'implantation du TAVI était d'environ 109 jours, contre une moyenne nationale de 70 jours. Parmi les patients inclus, 13 % sont décédés en attente et 7 % ont refusé le traitement proposé. L’étude des délais de bilan préopératoire n’a pas identifié de délai d’examen particulier comme cause principale, mais nous pouvons conclure que le processus global contribue à ces résultats.</div></div><div><h3>Conclusion</h3><div>Cette étude révèle qu’un quart des patients atteints de sténose aortique sévère dans cette population ne peuvent actuellement pas bénéficier d’un remplacement valvulaire percutané. Une prise en charge sur place, sans recours à la chirurgie cardiaque, pourrait être envisagée pour réduire les délais d’attente et la mortalité, comme cela se fait ailleurs en Europe.</div></div><div><h3>Introduction</h3><div>Aortic stenosis is the most common valvular disease in France. Its prevalence increases with age, affecting more than 10 % of people over 70 years old. Once symptomatic, the prognosis is grim, with a mortality rate close to 50 % within 2 years","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101898"},"PeriodicalIF":0.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906774","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 : 2025-04-11DOI: 10.1016/j.ancard.2025.101894
Ines Kechaou , Mohamed Salah Hamdi , Asma Tekaya , Amira Taouay , Eya Cherif , Lamia Ben Hassine
Introduction
Anticoagulant therapy, often required in the elderly, is not without risk. This study aims to investigate the particularities of the use of anticoagulants in the elderly during hospital stay, along with the factors associated with bleeding and overdose.
Results
There were 55 women and 45 men (sex ratio: 0.81), with a mean age of 75.7 ± 6.9 years. The indications for anticoagulant treatment were venous thromboembolism (VTE) (92%) and atrial fibrillation (AF) (8%).
The average duration of treatment with acenocoumarol was 17.22 days ± 7.9. The dose of acenocoumarol initiation was 1 mg in 85% of patients and 2 mg in 15%.
INR < 2 was observed in 15% of patients. INR in the target area was obtained in 47% of patients with a mean dose of 2.33 mg of acenocoumarol. An overdose of acenocoumarol was noted in 38% of patients: average INR at 4.7. Seven patients had bleeding events. An overdose was reported in 4 of them.
Fever, infection, inflammatory syndrome, hypoalbuminemia, hypoprotidemia, and malnutrition were associated with a greater risk of overdose in our patients. Gastroduodenal ulcer disease, past medical history of gastrointestinal bleeding and renal failure were risk factors for bleeding in our patients.
Conclusion
The use of anticoagulants in the elderly requires a comprehensive assessment, including comorbidities, geriatric settings, and social environment.
{"title":"Management of Acenocoumarol in Tunisian elderly population : Risk factors of overdose and bleeding","authors":"Ines Kechaou , Mohamed Salah Hamdi , Asma Tekaya , Amira Taouay , Eya Cherif , Lamia Ben Hassine","doi":"10.1016/j.ancard.2025.101894","DOIUrl":"10.1016/j.ancard.2025.101894","url":null,"abstract":"<div><h3>Introduction</h3><div>Anticoagulant therapy, often required in the elderly, is not without risk. This study aims to investigate the particularities of the use of anticoagulants in the elderly during hospital stay, along with the factors associated with bleeding and overdose.</div></div><div><h3>Results</h3><div>There were 55 women and 45 men (sex ratio: 0.81), with a mean age of 75.7 ± 6.9 years. The indications for anticoagulant treatment were venous thromboembolism (VTE) (92%) and atrial fibrillation (AF) (8%).</div><div>The average duration of treatment with acenocoumarol was 17.22 days ± 7.9. The dose of acenocoumarol initiation was 1 mg in 85% of patients and 2 mg in 15%.</div><div>INR < 2 was observed in 15% of patients. INR in the target area was obtained in 47% of patients with a mean dose of 2.33 mg of acenocoumarol. An overdose of acenocoumarol was noted in 38% of patients: average INR at 4.7. Seven patients had bleeding events. An overdose was reported in 4 of them.</div><div>Fever, infection, inflammatory syndrome, hypoalbuminemia, hypoprotidemia, and malnutrition were associated with a greater risk of overdose in our patients. Gastroduodenal ulcer disease, past medical history of gastrointestinal bleeding and renal failure were risk factors for bleeding in our patients.</div></div><div><h3>Conclusion</h3><div>The use of anticoagulants in the elderly requires a comprehensive assessment, including comorbidities, geriatric settings, and social environment.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101894"},"PeriodicalIF":0.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821408","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}
Unilateral agenesis of the pulmonary artery is a rare congenital malformation. Diagnosis is based on imaging due to the nonspecificity of clinical symptoms. Hemoptysis is among the rare manifestations of this malformation. Standard radiography provides relevant orientation elements; however, CT pulmonary angiography remains the reference examination for positive diagnosis. We report the case of a 47-year-old patient presenting with recurrent episodes of minimal hemoptysis occurring quietly. A CT pulmonary angiography was performed, revealing agenesis of the left pulmonary artery.
{"title":"Hémoptysie révélatrice d'une agénésie de l'artère pulmonaire gauche : à propos d'un cas","authors":"Labied Mohamed, Bouzid Ismail, El Oualladi Feryal, Mountassir Chorouk, Lembarki Ghizlane, Sabiri Mouna, Lezar Samira","doi":"10.1016/j.ancard.2025.101895","DOIUrl":"10.1016/j.ancard.2025.101895","url":null,"abstract":"<div><div>Unilateral agenesis of the pulmonary artery is a rare congenital malformation. Diagnosis is based on imaging due to the nonspecificity of clinical symptoms. Hemoptysis is among the rare manifestations of this malformation. Standard radiography provides relevant orientation elements; however, CT pulmonary angiography remains the reference examination for positive diagnosis. We report the case of a 47-year-old patient presenting with recurrent episodes of minimal hemoptysis occurring quietly. A CT pulmonary angiography was performed, revealing agenesis of the left pulmonary artery.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101895"},"PeriodicalIF":0.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815792","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 : 2025-04-11DOI: 10.1016/j.ancard.2025.101891
Carole Mette , Karine Petit , Laurent Fauchier
The mental health of allied professionals in interventional electrophysiology is an increasingly concerning topic given the emotional and physical demands inherent in their role, which deserves particular attention. This article examines the impact of stress, anxiety, and burnout on these healthcare professionals. To this end, an anonymous survey of allied professionals in interventional electrophysiology was conducted using a questionnaire via a dedicated survey platform over a period from October 17 to December 10, 2024. The data extracted and analyzed with the help of the platform revealed the following difficulties: lack of recognition, unsatisfactory working conditions, high workload, relational difficulties, and a lack of organization. This has resulted in an impact on the feelings of the allied professionals and especially on their work. In conclusion, this study reveals a generalized feeling of malaise among all allied professionals in interventional electrophysiology on a psychological, emotional, and physical level, as well as the importance of investing in the mental health of allied professionals for the improvement of the entire healthcare system.
{"title":"La santé mentale des auxiliaires médicaux en rythmologie interventionnelle","authors":"Carole Mette , Karine Petit , Laurent Fauchier","doi":"10.1016/j.ancard.2025.101891","DOIUrl":"10.1016/j.ancard.2025.101891","url":null,"abstract":"<div><div>The mental health of allied professionals in interventional electrophysiology is an increasingly concerning topic given the emotional and physical demands inherent in their role, which deserves particular attention. This article examines the impact of stress, anxiety, and burnout on these healthcare professionals. To this end, an anonymous survey of allied professionals in interventional electrophysiology was conducted using a questionnaire via a dedicated survey platform over a period from October 17 to December 10, 2024. The data extracted and analyzed with the help of the platform revealed the following difficulties: lack of recognition, unsatisfactory working conditions, high workload, relational difficulties, and a lack of organization. This has resulted in an impact on the feelings of the allied professionals and especially on their work. In conclusion, this study reveals a generalized feeling of malaise among all allied professionals in interventional electrophysiology on a psychological, emotional, and physical level, as well as the importance of investing in the mental health of allied professionals for the improvement of the entire healthcare system.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101891"},"PeriodicalIF":0.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815958","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 : 2025-04-11DOI: 10.1016/j.ancard.2025.101893
Loïc Alban Mbosso Tasong , Junette Arlette Metogo Mbengono-Njoki , Chris Nadège Nganou-Gnindjio
Background
Identification of cardiopulmonary arrest and its immediate and effective management are decisive factors in survival.
Objective
To evaluate the knowledge, attitudes, and practices of Cameroonian physicians concerning cardiopulmonary resuscitation
Methods
We conducted a cross-sectional study among doctors in Douala, Bafoussam, Garoua, and Yaoundé in Cameroon over three months from March 2024 to May 2024. We included specialists, residents/interns, and general practitioners practising in these cities who agreed to participate in the study. Were not included physicians who had been in practice for less than six months in Cameroon. Answers were validated by referring to the European Resuscitation Council 2015 recommendations and the American Heart Association 2020. Means were compared using the ANOVA and Kruskal-Wallis test. The association between different variables was assessed using a χ2 test or an exact Fisher test. A p-value < 0.05 was considered significant.
Results
Of the 95 participants recruited, the median age was 31 (IQR 28- 33), with extremes between 25 and 56. Residents/interns represented the largest group in our population, with 66 (69.5%) participants. We had 56 (58.9%) participants who had already attended a cardiopulmonary resuscitation training course. Participants who had never attended a previous cardiopulmonary resuscitation training course had a significantly lower mean than those who had (9.90 ± 1.93 vs. 11.61 ± 2.80, P = 0.002). Participants whose last training was more than a year ago had a significantly lower mean score than participants whose previous training was less than a year ago (11.05 ± 2.97 vs. 12.78 ± 2.02, P = 0.016). There was a significant difference between participants' means according to the city of exercise (P=0.037). The doctors practising in Yaoundé had more inadequate practices than those practising outside of Yaoundé (OR: 7.607; 95% CI 1.897–30.509; p = 0.005).
Conclusion
Most of our participants' knowledge and practices regarding cardiopulmonary resuscitation were incomplete and inadequate. However, our study noted a positive attitude toward physicians. Therefore, it is essential to emphasise the training of health care providers on cardiopulmonary resuscitation.
{"title":"Knowledge, attitudes, and practices of a group of Cameroonian physicians regarding cardiopulmonary resuscitation : a cross-sectional study","authors":"Loïc Alban Mbosso Tasong , Junette Arlette Metogo Mbengono-Njoki , Chris Nadège Nganou-Gnindjio","doi":"10.1016/j.ancard.2025.101893","DOIUrl":"10.1016/j.ancard.2025.101893","url":null,"abstract":"<div><h3>Background</h3><div>Identification of cardiopulmonary arrest and its immediate and effective management are decisive factors in survival.</div></div><div><h3>Objective</h3><div>To evaluate the knowledge, attitudes, and practices of Cameroonian physicians concerning cardiopulmonary resuscitation</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study among doctors in Douala, Bafoussam, Garoua, and Yaoundé in Cameroon over three months from March 2024 to May 2024. We included specialists, residents/interns, and general practitioners practising in these cities who agreed to participate in the study. Were not included physicians who had been in practice for less than six months in Cameroon. Answers were validated by referring to the European Resuscitation Council 2015 recommendations and the American Heart Association 2020. Means were compared using the ANOVA and Kruskal-Wallis test. The association between different variables was assessed using a χ2 test or an exact Fisher test. A p-value < 0.05 was considered significant.</div></div><div><h3>Results</h3><div>Of the 95 participants recruited, the median age was 31 (IQR 28- 33), with extremes between 25 and 56. Residents/interns represented the largest group in our population, with 66 (69.5%) participants. We had 56 (58.9%) participants who had already attended a cardiopulmonary resuscitation training course. Participants who had never attended a previous cardiopulmonary resuscitation training course had a significantly lower mean than those who had (9.90 ± 1.93 vs. 11.61 ± 2.80, <em>P</em> = 0.002). Participants whose last training was more than a year ago had a significantly lower mean score than participants whose previous training was less than a year ago (11.05 ± 2.97 <em>vs.</em> 12.78 ± 2.02, <em>P</em> = 0.016). There was a significant difference between participants' means according to the city of exercise (P=0.037). The doctors practising in Yaoundé had more inadequate practices than those practising outside of Yaoundé (OR: 7.607; 95% CI 1.897–30.509; <em>p</em> = 0.005).</div></div><div><h3>Conclusion</h3><div>Most of our participants' knowledge and practices regarding cardiopulmonary resuscitation were incomplete and inadequate. However, our study noted a positive attitude toward physicians. Therefore, it is essential to emphasise the training of health care providers on cardiopulmonary resuscitation.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101893"},"PeriodicalIF":0.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815790","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 : 2025-04-11DOI: 10.1016/j.ancard.2025.101896
Minh Tam Bailly, Marie Arnal, O Labidi, X Cerchez, E Berthelot
Background
Spontaneous coronary artery dissection (SCAD) is a rare and under-diagnosed disease that accounts for 1 to 4% of acute coronary syndromes and nearly one-third of heart attacks in women under the age of 50. We present a unique case of a pheochromocytoma that contributed to SCAD.
Case summary
A 49-year-old patient presented to the emergency department with chest pain that had been evolving for several days. The diagnosis was a late ST ST-segment elevation Myocardial Infarction (STEMI) in the anterior leads. Echocardiography has shown a severe left ventricular dysfunction related to a large akinesis of anterior and lateral segments. Coronary angiography revealed a recent occlusion due to spontaneous dissection of the mid left anterior descending artery and of the first and second obtuse marginal arteries. During the same hospitalization, incidental findings from a CT pulmonary angiography led to the discovery of a left adrenal mass. Subsequent abdominal scanning and blood/urine assays confirmed a diagnosis of pheochromocytoma. The patient underwent follow-up coronary angiography and cardiac MRI to evaluate cardiac involvement before undergoing surgical removal of the pheochromocytoma.
The patient has undergone successful surgical ablation two months after STEMI in a referral center for endocrinology surgery with an optimal cardiological technical platform.
Discussion
Spontaneous coronary artery dissection is a rare and potentially fatal disease and has never been described in the literature in association with a pheochromocytoma. Similar cases require a multidisciplinary approach, as well as surgery carried out in a facility equipped with advanced cardiac techniques. Given the curative potential of pheochromocytoma, early detection of SCAD is essential to reduce the risk of recurrence.
{"title":"Phéochromocytome révélé par une dissection coronaire spontanée : à propos d'un cas inhabituel","authors":"Minh Tam Bailly, Marie Arnal, O Labidi, X Cerchez, E Berthelot","doi":"10.1016/j.ancard.2025.101896","DOIUrl":"10.1016/j.ancard.2025.101896","url":null,"abstract":"<div><h3>Background</h3><div>Spontaneous coronary artery dissection (SCAD) is a rare and under-diagnosed disease that accounts for 1 to 4% of acute coronary syndromes and nearly one-third of heart attacks in women under the age of 50. We present a unique case of a pheochromocytoma that contributed to SCAD.</div></div><div><h3>Case summary</h3><div>A 49-year-old patient presented to the emergency department with chest pain that had been evolving for several days. The diagnosis was a late ST ST-segment elevation Myocardial Infarction (STEMI) in the anterior leads. Echocardiography has shown a severe left ventricular dysfunction related to a large akinesis of anterior and lateral segments. Coronary angiography revealed a recent occlusion due to spontaneous dissection of the mid left anterior descending artery and of the first and second obtuse marginal arteries. During the same hospitalization, incidental findings from a CT pulmonary angiography led to the discovery of a left adrenal mass. Subsequent abdominal scanning and blood/urine assays confirmed a diagnosis of pheochromocytoma. The patient underwent follow-up coronary angiography and cardiac MRI to evaluate cardiac involvement before undergoing surgical removal of the pheochromocytoma.</div><div>The patient has undergone successful surgical ablation two months after STEMI in a referral center for endocrinology surgery with an optimal cardiological technical platform.</div></div><div><h3>Discussion</h3><div>Spontaneous coronary artery dissection is a rare and potentially fatal disease and has never been described in the literature in association with a pheochromocytoma. Similar cases require a multidisciplinary approach, as well as surgery carried out in a facility equipped with advanced cardiac techniques. Given the curative potential of pheochromocytoma, early detection of SCAD is essential to reduce the risk of recurrence.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101896"},"PeriodicalIF":0.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815791","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 : 2025-03-26DOI: 10.1016/S0003-3928(25)00022-8
{"title":"Sommaire","authors":"","doi":"10.1016/S0003-3928(25)00022-8","DOIUrl":"10.1016/S0003-3928(25)00022-8","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 2","pages":"Article 101883"},"PeriodicalIF":0.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697703","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 : 2025-03-15DOI: 10.1016/j.ancard.2025.101878
Koudougou Jonas Kologo , A. Tall-Thiam , G.R.C. Millogo , K.J. Nabi , S. Traore , Y. Kambire , Z.M. Some , M.R. Kationo , N.V. Yameogo , A.K. Samadoulogou , P. Zabsonre
Objective
To study the correlation between glycaemic control and blood pressure control, in order to determine the factors associated with blood pressure control in diabetic patients.
Methodology
This was a descriptive cross-sectional study with an analytical aim over a period of 7 months. Patients were recruited on an outpatient basis, and all underwent ABPM, measurement of glycated haemoglobin and creatinine levels, and assessment of compliance with treatment.
Results
Our criteria enabled us to select 116 patients. Women predominated (69%). The mean age of the patients was 62 ± 7 years, with a peak between 60 and 70 years. The mean duration of hypertension was 12 years and that of diabetes 6 years. The most frequently associated cardiovascular risk factor was physical inactivity (71.5%), followed by age. 57.8% of patients had uncontrolled blood pressure at the practice, with systolic hypertension predominating (58.2%). MAPA found that 61.6% of patients were controlled, giving a white-coat hypertension rate of 47.8%. Glycaemic control was observed in 42.2% of cases, and 87% of patients had good renal function. Compliance with treatment was good in 53.4% of cases, and dual therapy was the most commonly used treatment modality (44.8%), followed by triple therapy. The factors associated with poor blood pressure control were glycaemic imbalance, lack of compliance and monotherapy. Combination therapy was associated with good blood pressure control.
Conclusion
The association of hypertension and type 2 diabetes is frequent. The risk of occurrence increases with age. ABPM is the best method of assessing blood pressure control. Optimising blood pressure control in hypertensive diabetics requires optimising glycaemic control.
{"title":"Profil tensionnel et équilibre glycémique du sujet diabétique type 2 et hypertendu au Centre Hospitalier Universitaire Yalgado Ouédraogo : à propos de 116 Cas","authors":"Koudougou Jonas Kologo , A. Tall-Thiam , G.R.C. Millogo , K.J. Nabi , S. Traore , Y. Kambire , Z.M. Some , M.R. Kationo , N.V. Yameogo , A.K. Samadoulogou , P. Zabsonre","doi":"10.1016/j.ancard.2025.101878","DOIUrl":"10.1016/j.ancard.2025.101878","url":null,"abstract":"<div><h3>Objective</h3><div>To study the correlation between glycaemic control and blood pressure control, in order to determine the factors associated with blood pressure control in diabetic patients.</div></div><div><h3>Methodology</h3><div>This was a descriptive cross-sectional study with an analytical aim over a period of 7 months. Patients were recruited on an outpatient basis, and all underwent ABPM, measurement of glycated haemoglobin and creatinine levels, and assessment of compliance with treatment.</div></div><div><h3>Results</h3><div>Our criteria enabled us to select 116 patients. Women predominated (69%). The mean age of the patients was 62 ± 7 years, with a peak between 60 and 70 years. The mean duration of hypertension was 12 years and that of diabetes 6 years. The most frequently associated cardiovascular risk factor was physical inactivity (71.5%), followed by age. 57.8% of patients had uncontrolled blood pressure at the practice, with systolic hypertension predominating (58.2%). MAPA found that 61.6% of patients were controlled, giving a white-coat hypertension rate of 47.8%. Glycaemic control was observed in 42.2% of cases, and 87% of patients had good renal function. Compliance with treatment was good in 53.4% of cases, and dual therapy was the most commonly used treatment modality (44.8%), followed by triple therapy. The factors associated with poor blood pressure control were glycaemic imbalance, lack of compliance and monotherapy. Combination therapy was associated with good blood pressure control.</div></div><div><h3>Conclusion</h3><div>The association of hypertension and type 2 diabetes is frequent. The risk of occurrence increases with age. ABPM is the best method of assessing blood pressure control. Optimising blood pressure control in hypertensive diabetics requires optimising glycaemic control.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 2","pages":"Article 101878"},"PeriodicalIF":0.3,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628512","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}
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