收入对尼日利亚卡诺地区心脏病超声心动图模式的影响。

The impact of income on the echocardiographic pattern of heart diseases in Kano, Nigeria.

作者信息

Karaye K M, Sani M U

机构信息

Department of Medicine, Bayero University, Kano, Nigeria.

出版信息

Niger J Med. 2008 Jul-Aug;17(3):350-5. doi: 10.4314/njm.v17i3.37409.

DOI:10.4314/njm.v17i3.37409

PMID:18788267

Abstract

BACKGROUND

The aims of the present study were to assess the echocardiographic pattern of heart diseases, and to compare the pattern seen in a private echocardiography centre patronized by high income earners (group 1), with that in Murtala Mohammed Specialist Hospital patronized by low income earners (group 2), in Kano, Nigeria.

METHODS

the study was retrospective in design. The records of patients aged > or =15 years for a one year period (July 2006-June 2007) were reviewed.

RESULTS

Hypertensive heart disease (in 56.7%) was the most common heart disease, more common among group 1 patients (p=0.027). Dilated cardiomyopathy was the 2nd most common heart disease (in 15.2%), more common among group 2 patients (p=0.037). Ischemic Heart Disease (IHD) was the 3rd most common (in 8.7%) heart disease in the study, more common than rheumatic heart disease (in 8.3%). Peripartum cardiomyopathy was exclusively found among group 2 patients (4.3%).

CONCLUSION

The pattern of heart diseases in Kano differs between low and higher income earners. HHD was the commonest heart disease among both low income and higher income earners. The relatively high frequency of IHD might be a demonstration of the advanced stage of epidemiologic transition in Kano Nigeria.

摘要

背景

本研究的目的是评估心脏病的超声心动图模式，并比较在尼日利亚卡诺市高收入者光顾的一家私立超声心动图中心（第1组）与低收入者光顾的穆尔塔拉·穆罕默德专科医院（第2组）所观察到的模式。

方法

本研究采用回顾性设计。对年龄≥15岁患者一年期间（2006年7月至2007年6月）的记录进行了审查。

结果

高血压性心脏病（占56.7%）是最常见的心脏病，在第1组患者中更为常见（p = 0.027）。扩张型心肌病是第二常见的心脏病（占15.2%），在第2组患者中更为常见（p = 0.037）。缺血性心脏病（IHD）是本研究中第三常见的心脏病（占8.7%），比风湿性心脏病（占8.3%）更常见。围产期心肌病仅在第2组患者中发现（4.3%）。