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Etiological diagnostics of cardiomyopathies in the cardiology unit of the HUEH internal medicine department during the period from 8 January 2014 to 14 June 2014
EP30965
Poster Title: Etiological diagnostics of cardiomyopathies in the cardiology unit of the HUEH internal medicine department during the period from 8 January 2014 to 14 June 2014
Submitted on 11 Nov 2019
Author(s): *Axler JEAN PAUL; **Lesly Ed. ARCHER; *Raema Mimrod JEAN; *Gerald VERNELUS; *Rodolph MALEBRANCHE
Affiliations: State University Hospital of Haiti; **CLINICA; *State University of Haiti
This poster was presented at Scientific Congress of the Haitian Medical Association (AMH); April 05 2019 at Montana Hotel, Haiti
Poster Views: 661
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Poster Information
Abstract: Introduction
Dilated cardiomyopathy is one of the most frequent causes of heart failure in the world, which is now considered a major public health problem both in developed countries where it is predominant, especially in the elderly, over 65 years of age and in patients on long-term treatment for heart disease, and in underdeveloped countries.
The diagnosis of cardiomyopathies is essentially based on para-clinical examinations, more precisely on echocardiography. In Haiti, cardiovascular diseases are the leading causes of hospitalization and mortality. These diseases are the main causes of hospitalization at the Hospital of the State University of Haiti (HUEH), the largest hospital in the country, and represent 30% of all cases received in the internal medicine department.
The objective of this study is to present the etiological diagnosis of cardiomyopathies in the cardiology unit of the internal medicine department of the state University Hospital of Haiti (HUEH)
Methodology
This is a retrospective quantitative study conducted on a sample of patients in the Cardiology Unit of the Internal Medicine Department of the Hospital of the State University of Haiti (HUEH).
The study was conducted on 54 patients registered in the Cardiology Unit, during the period from January 8, 2014 to June 11, 2014 for heart failure.
The inclusion criteria were:
-the patient must be diagnosed with heart failure according to the clinical and para-clinical criteria of the unit with or without signs of atrial fibrillation. Patients on dialysis were excluded as well as those with missing para-clinical data, namely echocardiography and chest radiography, since the study is based on para-clinical diagnoses, 50 patients were selected for the study.
Result and discussion
The 50 patients showed a predominance for women, 31 (62%) versus 19 (38%) for men, P=0.04. The results of our study showed that the majority of patients are female (62%), which is similar to the last study conducted on the unit by Dr. Malebranche, who found 62.4%
The data showed that the reference examination for the confirmatory diagnosis of cardiomyopathy is echocardiography, with 92% of diagnoses. It should be noted that the other diagnoses were made on an echocardiographic basis but were not complete. These findings are similar to data from a recently published Swedish study in which cardiomyopathy was diagnosed by echocardiography in 99.6% of cases. For chest radiography, 100% of cases have cardiomegaly.65.96% of all heart failure cases are dilated cardiomyopathies compared to undiluted cardiomyopathies 14.89%, p<0.0001. These findings are similar to those in the literature, where cardiomyopathy is considered the first etiology among heart failure.
Conclusion
Dilated cardiomyopathy is the most important etiology among heart failure at HUEH and possibly in Haiti, considering previous studies conducted in the country. It is a predominant disease among people under 60 years of age and particularly among black women (80%) of childbearing age. Given the prevalence of this disease among heart failure patients and its high prevalence among hospitalization cases at HUEH, it is important to provide this institution with a quality imaging service, in order to be able to meet the demand for echocardiography and thus make diagnoses in time to avoid complications.
Summary: Dilated cardiomyopathy is one of the most frequent causes of heart failure in the world.
The objective of this study is to present the etiological diagnosis of cardiomyopathies in the cardiology unit of the internal medicine department of the state University Hospital of Haiti (HUEH).
References: 1) Ana O., Estefanía T., Carolina G., María G.M., Luis M.D., Francisca L., et al. Intercalated disc in failing hearts from patients with dilated cardiomyopathy: Its role in the depressed left ventricular function; PLoS One. 2017; 12(9)
2) DANIEL L., SATISH K., MARTIN G. and al ; Long-term trends in the incidence of and survival with heart failure, N Eng. J Med 2002;347:1397-402.
3) Mozaffarian D, Benjamin E,Go A. et al. Heart disease and stroke statistics – 2015 update. Circulation. 2014; 131(4):e29–e322
4) Rodolph Malebranche, Christian Tabou Moyo, Paul-Henry Morisset, Nernst-Atwood Raphael, MPH, and James Robert Wilentz, Clinical and echocardiographic characteristics and outcomes in congestive heart failure at the Hospital of The State University of Haiti; Am Heart J 2016;178:151-160
5) Kwan G.F., Jean Baptiste W. C. et al. ;Descriptive epidemiology and short-term outcomes of heart failure hospitalization in rural Haiti, heart 2016, 102 :140-6
6) Amoah A.G.B. · K
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