Nkoke Clovis, Makoge Christelle, Dzudie Anastase, Mfeukeu Liliane Kuate, Luchuo Engelbert Bain, Menanga Alain, Kingue Samuel
Buea Regional Hospital, Buea, South West Region, Cameroon.
Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon.
BMC Res Notes. 2017 Dec 4;10(1):684. doi: 10.1186/s13104-017-3034-6.
The pattern of heart disease is diverse within and among world regions. The little data on the spectrum of heart disease in Cameroon has been so far limited to major cities. We sought to describe the pattern of heart disease in Buea, the South West Region of Cameroon, a semi-urban setting. This was a descriptive cross-sectional study. Between June 2016 and April 2017 the echocardiography register of the Buea Regional Hospital was surveyed. We extracted data on the age, sex and echocardiographic diagnosis.
Out of 529 patients who underwent echocardiography, 239 (45.2%) had a definite heart disease. There were 137 (57.3%) females. The mean age was 58 years (range 3-94 years). The most common echocardiographic diagnoses were hypertensive heart disease (43.2%), dilated cardiomyopathies (17.6%), ischemic heart diseases (9.6%), and cor pulmonale (8.8%). Rheumatic heart disease affected 6.7% of the patients. The most common rheumatic heart disease was mitral stenosis followed by mitral regurgitation. Congenital heart disease represented 2.1% and 5 patients (2.1%) had pulmonary hypertension. Hypertensive heart disease is the most common cardiac disease in this semi-urban region in Cameroon. Rheumatic heart disease still affects a sizable proportion of patients. Prevention of cardiac disease in our setting should focus on mass screening, the treatment and control of hypertension.
心脏病的模式在世界各地区内部和之间存在差异。喀麦隆心脏病谱的少量数据迄今为止仅限于主要城市。我们试图描述喀麦隆西南部半城市地区布埃亚的心脏病模式。这是一项描述性横断面研究。在2016年6月至2017年4月期间，对布埃亚地区医院的超声心动图登记册进行了调查。我们提取了有关年龄、性别和超声心动图诊断的数据。
在接受超声心动图检查的529名患者中，239名（45.2%）患有明确的心脏病。其中女性有137名（57.3%）。平均年龄为58岁（范围3 - 94岁）。最常见的超声心动图诊断为高血压性心脏病（43.2%）、扩张型心肌病（17.6%）、缺血性心脏病（9.6%）和肺心病（8.8%）。风湿性心脏病影响了6.7%的患者。最常见的风湿性心脏病是二尖瓣狭窄，其次是二尖瓣反流。先天性心脏病占2.1%，5名患者（2.1%）患有肺动脉高压。高血压性心脏病是喀麦隆这个半城市地区最常见的心脏病。风湿性心脏病仍然影响着相当比例的患者。在我们的环境中预防心脏病应侧重于大规模筛查、高血压的治疗和控制。
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