Conference abstract
Prognostic factors in patients with chronic heart failure in Maroua, Cameroon
Pan African Medical Journal - Conference Proceedings. 2023:17(12).04
Jun 2023.
doi: 10.11604/pamj-cp.2023.17.12.1655
Archived on: 04 Jun 2023
Contact the corresponding author
Keywords: Congestive heart failure, prognosis, Maroua
Oral presentation
Prognostic factors in patients with chronic heart failure in Maroua, Cameroon
Alain Menanga1,2, Jérôme Boombhi1,2,&, Rekia Mamat1, Honoré Kemnang1, Samuel Kingué1,2
1Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon, 2Cardiology Unit, General Hospital of Yaoundé, Yaoundé, Cameroon
&Corresponding author
Introduction: heart failure (HF) is a chronic, complex, and serious condition, the symptomatology of which is likely to strongly affect the quality of life of patients with high lethality. It is a major public health problem and is the leading cause of hospitalization. The objective was to analyze the evolution of HF and to identify the predictive factors of mortality and re-hospitalization of patients with chronic heart failure at the Regional Hospital of Maroua.
Methods: our study was prospective and included 196 consecutive cases of hospitalized patients seen externally during the period from February 2022 to May 2022. Clinical, para-clinical, and evolutionary data were collected on admission. The primary study endpoint is the occurrence of a major event: cardiac death and/or rehospitalization for heart failure.
Results: the average age of our patients was 54.5 ± 15.59 years with a male predominance. The heart failure admission rate was 10% and rehospitalization was 4.1% with a heart failure-related mortality rate of 3.7%. Dyspnea was constant in all patients; edema of the lower limbs was the most common sign (49.5%). hypertension remains the predominant etiology with 58.2%. Multivariate analysis revealed four independent mortality factors: Dyspnea, EF <40%, increased LVMI, and anemia. Stage IV dyspnea and LVEF < 40% were independent predictors of rehospitalization.
Conclusion: chronic heart failure is frequent in hospital settings in Maroua. Hypertension was the most frequent etiology. The mortality rate was low and mainly associated with NYHA functional status IV, anemia et low LVEF.
Prognostic factors in patients with chronic heart failure in Maroua, Cameroon
Alain Menanga1,2, Jérôme Boombhi1,2,&, Rekia Mamat1, Honoré Kemnang1, Samuel Kingué1,2
1Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon, 2Cardiology Unit, General Hospital of Yaoundé, Yaoundé, Cameroon
&Corresponding author
Introduction: heart failure (HF) is a chronic, complex, and serious condition, the symptomatology of which is likely to strongly affect the quality of life of patients with high lethality. It is a major public health problem and is the leading cause of hospitalization. The objective was to analyze the evolution of HF and to identify the predictive factors of mortality and re-hospitalization of patients with chronic heart failure at the Regional Hospital of Maroua.
Methods: our study was prospective and included 196 consecutive cases of hospitalized patients seen externally during the period from February 2022 to May 2022. Clinical, para-clinical, and evolutionary data were collected on admission. The primary study endpoint is the occurrence of a major event: cardiac death and/or rehospitalization for heart failure.
Results: the average age of our patients was 54.5 ± 15.59 years with a male predominance. The heart failure admission rate was 10% and rehospitalization was 4.1% with a heart failure-related mortality rate of 3.7%. Dyspnea was constant in all patients; edema of the lower limbs was the most common sign (49.5%). hypertension remains the predominant etiology with 58.2%. Multivariate analysis revealed four independent mortality factors: Dyspnea, EF <40%, increased LVMI, and anemia. Stage IV dyspnea and LVEF < 40% were independent predictors of rehospitalization.
Conclusion: chronic heart failure is frequent in hospital settings in Maroua. Hypertension was the most frequent etiology. The mortality rate was low and mainly associated with NYHA functional status IV, anemia et low LVEF.
