Yayehd K, Damorou F, N'Da N W, Tchérou T, Tété Y, Johnson A, Layibo Y, Doulé N V
Service de cardiologie, centre hospitalier universitaire, campus Lomé, 03 BP, 30284 Lomé, Togo.
Rev Epidemiol Sante Publique. 2012 Jun;60(3):205-11. doi: 10.1016/j.respe.2012.02.002. Epub 2012 May 12.
To determine the frequency of cardiovascular diseases, their risk factors as well as their evolution in two cardiology departments of Lomé.
This cross-sectional study was carried out among patients attending two cardiology departments of Lomé, from June 2004 to May 2009, who had a diagnosis of cardiovascular disease.
A total of 7959 patients were included. Female gender predominated. The mean age was of 49.5 ± 17.2 years. The number of admissions increased from 958 in 2004 to 2399 in 2009. Arterial hypertension (62.7%) and ischemic heart diseases (10.6%) were the most frequent diagnoses. Among patients with a diagnosis of heart failure, the etiology was not recorded for 12.2%. Overweight and dyslipidemia were significantly more frequent in women (P<0.001), while smoking and physical inactivity were significantly more frequent in men (P<0.001). During the period, there was a moderate rise of the prevalence of overweight, dyslipidemia, and physical inactivity, whereas the prevalence of diabetes and smoking remained almost unchanged.
Admissions for cardiovascular diseases increased from 2004 to 2009. This epidemiological transition may be related to poor awareness of cardiovascular disease among the low-income population and the financial burden of health care.
确定洛美两个心脏病科中心血管疾病的发病率、危险因素及其演变情况。
这项横断面研究于2004年6月至2009年5月在洛美两个心脏病科就诊的确诊心血管疾病患者中进行。
共纳入7959例患者。女性占主导。平均年龄为49.5±17.2岁。入院人数从2004年的958例增加到2009年的2399例。动脉高血压（62.7%）和缺血性心脏病（10.6%）是最常见的诊断。在诊断为心力衰竭的患者中，12.2%未记录病因。超重和血脂异常在女性中明显更为常见（P<0.001），而吸烟和缺乏身体活动在男性中明显更为常见（P<0.001）。在此期间，超重、血脂异常和缺乏身体活动的患病率有适度上升，而糖尿病和吸烟的患病率几乎保持不变。
2004年至2009年心血管疾病的入院人数增加。这种流行病学转变可能与低收入人群对心血管疾病的认识不足以及医疗保健的经济负担有关。
