Oyan Boma, Jumbo Marcel F, Abere Sarah
Internal Medicine, Rivers State University Teaching Hospital, Port-Harcourt, NGA.
Cureus. 2025 Aug 24;17(8):e90886. doi: 10.7759/cureus.90886. eCollection 2025 Aug.
The rising prevalence of cardiovascular diseases in Nigeria makes it imperative to develop specialised cardiac intensive care units (CICU) with uniquely trained staff for the management of critically ill cardiac cases that are currently being managed in the general ICU. This study aimed to describe the clinical characteristics and outcomes of patients with cardiac disease admitted into the ICU of the University of Port Harcourt Teaching Hospital.
This was a retrospective cross-sectional hospital-based study. The records of medical patients admitted into the ICU from January 2019 to December 2023 were studied. Patients' biodata, clinical information, and outcomes were extracted. Data was analysed using SPSS version 25 (IBM Corp., Armonk, NY).
Cardiac diseases accounted for 91 (28.0%) of the 325 medical patients admitted into the ICU with a mean age of 55.9±17.4years, and 46 (50.5%) were men. Hypertensive emergencies were the commonest cardiac indication for admission in 29 (31.9%) persons, followed by acute decompensated heart failure (ADHF) and pulmonary embolism in 24(26.4%) and 22 (24.2%) persons, respectively. Others included cardiogenic shock in nine (9.9%), unstable arrhythmias in five (5.5%), and acute myocardial infarction in two (2.2%) patients. A total of 50 (54.9%) persons admitted for cardiovascular disease died, with a significant relationship between increasing age (p=0.046), use of ionotropic/vasoactive medication (p=0.002), and use of mechanical ventilation (p=0.048) with mortality.
Hypertensive emergencies and ADHF emerged as significant contributors to cardiac morbidity and mortality in the ICU. This data may be useful to guide cardiac critical care redesign to improve patient outcomes.
尼日利亚心血管疾病患病率不断上升，因此必须设立专门的心脏重症监护病房（CICU），配备经过特殊培训的工作人员，以管理目前在普通重症监护病房治疗的重症心脏病患者。本研究旨在描述哈科特港大学教学医院重症监护病房收治的心脏病患者的临床特征和治疗结果。
这是一项基于医院的回顾性横断面研究。研究了2019年1月至2023年12月期间入住重症监护病房的内科患者的记录。提取了患者的生物数据、临床信息和治疗结果。使用SPSS 25版（IBM公司，纽约州阿蒙克）进行数据分析。
在325名入住重症监护病房的内科患者中，心脏病患者有91例（28.0%），平均年龄为55.9±17.4岁，男性46例（50.5%）。高血压急症是最常见的入院心脏指征，有29例（31.9%），其次是急性失代偿性心力衰竭（ADHF）和肺栓塞，分别为24例（26.4%）和22例（24.2%）。其他包括心源性休克9例（9.9%）、不稳定心律失常5例（5.5%）和急性心肌梗死2例（2.2%）。共有50例（54.9%）因心血管疾病入院的患者死亡，年龄增加（p=0.046）、使用血管活性药物（p=0.002）和使用机械通气（p=0.048）与死亡率之间存在显著关系。
高血压急症和急性失代偿性心力衰竭是重症监护病房心脏发病率和死亡率的重要因素。这些数据可能有助于指导心脏重症监护的重新设计，以改善患者治疗结果。
