[恩贾梅纳/乍得国家参考中心医院的心力衰竭管理]
[Management of heart failure at the CHU the National Reference of Ndjamena/Chad].
作者信息
Zakaria Abdel-Madjid Zakaria, Mahamat-Azaki Oumar, Mahamat Yaya Kichiné, Ali Adam Ahamat, Nelson Nodjimaye Laokole, Aboubakar Abdelkerim Mahamat, Soha Alsser Adam, Lucien Allawaye, Temoua Naibe Dangwe, Ibrahim Toure Ali
机构信息
Service de Cardiologie du CHU de la Référence Nationale. BP : 130 Ndjamena, Tchad.
Service de Médecine du CHU de la Renaissance. BP : 2029 Ndjamena, Tchad.
出版信息
Ann Cardiol Angeiol (Paris). 2023 Oct;72(4):101633. doi: 10.1016/j.ancard.2023.101633. Epub 2023 Aug 28.
INTRODUCTION
Heart failure (HF) is a syndrome of diverse etiologies, and a real public health problem in both developed and developing countries. The aim of this study was to determine the clinical, etiological, therapeutic and evolutionary aspects of heart failure.
MATERIALS AND METHODS
This was a descriptive and analytical study carried out in the cardiology department of the national referral university hospital in N'Djamena (Chad).
RESULTS
Heart failure accounted for 30.84% of cardiovascular pathologies hospitalized in the cardiology department during the study period. The mean age of our patients was 52 ± 34 years, with extremes ranging from 18 to 87 years. Females predominated, accounting for 50.7% of cases, with a M/F sex-ratio of 0.97. Hypertensive heart disease (33.7%), valvular heart disease (16.6%) and ischemic heart disease (15.1%) were the most frequent etiologies. The drugs most frequently used were loop diuretics (97%), ACE inhibitors (96%) and beta-blockers (93.5%). The in-hospital mortality rate was 9% in our series.
引言
心力衰竭（HF）是一种病因多样的综合征，在发达国家和发展中国家都是一个切实存在的公共卫生问题。本研究的目的是确定心力衰竭的临床、病因、治疗及演变方面的情况。
材料与方法
这是一项在恩贾梅纳（乍得）国立转诊大学医院心内科开展的描述性和分析性研究。
结果
在研究期间，心力衰竭占心内科住院心血管疾病的30.84%。我们患者的平均年龄为52±34岁，年龄范围在18至87岁之间。女性占主导，占病例的50.7%，男女比例为0.97。高血压性心脏病（33.7%）、瓣膜性心脏病（16.6%）和缺血性心脏病（15.1%）是最常见的病因。最常用的药物是袢利尿剂（97%）、血管紧张素转换酶抑制剂（96%）和β受体阻滞剂（93.5%）。我们系列研究中的住院死亡率为9%。
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