%0 Journal Article
%T Clinical Pattern and Outcome of Acute Heart Failure at the Yaounde Central Hospital
%A J¨Śrome Boombhi
%A Murielle Moampea
%A Liliane Kuate
%A Alain Menanga
%A Ba Hamadou
%A Samuel Kingue
%J Open Access Library Journal
%V 4
%N 3
%P 1-8
%@ 2333-9721
%D 2017
%I Open Access Library
%R 10.4236/oalib.1103478
%X <div style="text-align:justify;">
	<span style="line-height:1.5;">Background: Acute heart
failure (AHF) is a major public health issue. Our objective was to study its
clinical pattern and outcome in a reference hospital in Cameroon. Methods: This
was a retrospective observational study, including any patient hospitalized for
AHF, diagnosed based on clinical and/or ultrasound evidence, in the Cardiology
Department of the Yaounde Central Hospital during a period of 3 years from
J</span><span style="line-height:1.5;">anuary 1</span><sup>st</sup><span style="line-height:1.5;"> 2013 to March 30</span><sup>th</sup><span style="line-height:1.5;"> 2016. Data were entered
and analyzed using the statistical software Epi info version 7.1.1.14. Results:
A total of 148 patients with AHF were included over a total of 445 admissions.
It accounted for 33.3% of admissions. The average age was 61.46 years. The female-male
sex ratio was 1.34. The main cardiovascular risk factors were hypertension
(54.79%). Dyspnea on exertion was the most prevalent symptom (86%).
Hypertensive AHF was the most represented etiopathogenic entity in the series.
The main electrocardiographic abnormality found (27.61%) was atrial fibrillation.
Cardiomegaly was found in 44.76% of the cases. Hyponatraemia and anemia were
found in about a quarter of the cases. On echocardiography, 49.61% of patients
had heart failure with a preserved ejection fraction. The main findings were
hypertensive heart disease (30.16%) and dilated cardiomyopathy (28.57%).
Concerning the management, the most commonly used drugs on admission were loop
diuretics; and on discharge, were ACE inhibitors/angiotensin II receptor
blockers. Intrahospital mortality was 18.45%. Conclusion: AHF at the Yaounde
Central Hospital occurs with severe clinical presentation, complicated by high
intra-hospital mortality. Hypertension plays a predominant role both in its
onset and in the underlying chronic cardiac involvement.</span>
</div>
%K Acute Heart Failure
%K Clinical Presentation
%K Outcome
%K Yaounde Central Hospital
%U http://www.oalib.com/paper/5283734