Background: There is paucity of data on congestive heart failure (CHF) in the intensive care unit in our setting. This study aimed to provide a better knowledge of pattern and outcome of CHF in the intensive care unit of the Yaounde University Teaching Hospital. Methods: We carried out a descriptive and retrospective study over a period of 21 months. We collected sociodemographic, clinical, paraclinical outcome and medication data from patients’ files. Statistical analysis was done using SPSS Version 20.0 Software. Results: We included 24 patients in this study. CHF represented 6.7% of admissions in the ICU. The sex ratio was 1. The mean age was 62 ± 16 years. The most frequent comorbidity was hypertension (50%). Most of the patients (84.6%) were classified Stage IV according to the NYHA. Dyspnea on exertion was the most frequent symptom (87%), while bilateral fine crackles were the main findings on physical exam (75%). Atrial fibrillation was the most frequent abnormality on ECG (53.3%), and most of the patients had a severe decrease in LVEF (87.5%). The mean duration of hospital stay was 10 days. In hospital, mortality was 25%, and this was significantly associated with mean blood pressure < 80 mmHg (p = 0.045). Conclusion: Clinical patterns of CHF in the ICU differed from those found in standard hospital care. Mean blood pressure was significantly associated with outcome. These characteristics should be taken in account while planning the treatment of these patients.
Cite this paper
Amougou, S. N. , Danwe, D. , Hamadou, B. , Jemea, B. and Jingi, A. M. (2018). Pattern and Outcome of Congestive Heart Failure in the Intensive Care Unit of the Yaoundé University Teaching Hospital: A Cross-Sectional Study. Open Access Library Journal, 5, e4247. doi: http://dx.doi.org/10.4236/oalib.1104247.
Kingue, S., Dzudie, A., Menanga, A., Akono, M., Ouankou, M. and Muna, W. (2005) New Look on Chronic Heart Failure of the Adult in Africa at the Era of Doppler Echocardiography: Experience of the Internal Medicine Department of the Yaounde General Hospital. Annales de Cardiologie et d’Angéiologie, 54, 276-283. https://doi.org/10.1016/j.ancard.2005.04.014
Boombhi, J., Moampea, M., Kuate, L., Menanga, A., Hamadou, B. and Kingue, S. (2017) Clinical Pattern and Outcome of Acute Heart Failure at the Yaounde Central Hospital. Oalib, 4, 1-8. https://doi.org/10.4236/oalib.1103478
Tantchou, T., Ambassa, J., Kingue, S., Giamberti, A., Cirri, S., Frigiola, A., et al. (2011) Occurrence, Aetiology and Challenges in the Management of Congestive Heart Failure in Sub-Saharan Africa: Experience of the Cardiac Centre in Shisong, Cameroon. Pan African Medical Journal, 8. https://doi.org/10.4314/pamj.v8i1.71059
Kwan, G.F., Jean-Baptiste, W., Cleophat, P., Leandre, F., Louine, M., Luma, M., et al. (2016) Descriptive Epidemiology and Short-Term Outcomes of Heart Failure Hospitalisation in Rural Haiti. Heart, 102, 140-146. https://doi.org/10.1136/heartjnl-2015-308451