Background: The spectrum of heart diseases varies between and within countries, depending on the stage of epidemiological transition and risk factor profiles, understanding this spectrum requires regional and national data for each region and country. Objective: To assess the spectrum of heart diseases in Sanaa, the Capital of Yemen republic. Methods: This retrospective, descriptive registry reviewed abnormal echocardiographic findings of 6044 patients aged 0 - 100 years, (3264 male patients (54%), and 2780 female patients (46%) from January 2019 to May 2022. Results: Hypertensive heart disease (HHD) (n: 1597, 26.42%), valvular heart disease (VHD) (n: 1356, 22.44%), heart failure with reduced ejection fraction (HFrEF) (n: 1189, 19.67%) and Ischemic heart disease (I.H.D) (n: 1027, 16.99%) were the most frequent comorbidities. Congenital heart diseases (CHDs) were detected in 123 (2%) of the patients, with the most common ones including atrial septal defect (ASD) (n: 38, (30.89%)) and ventricular septal defect (VSD) (n: 28, (22.76%)). Rheumatic heart disease (RHD) was observed in 693 (51.10%) patients, senile valvular degenerative lesions (SVDL) in 366 (26.99%), mitral valve prolapse (MVP) were detected in 297 (21.9%). Mitral insufficiency (n: 965, (71.2%)) was detected as the most frequent VHD, followed by aortic insufficiency (n: 259, (19.1%)), and tricuspid insufficiency (n: 62, (4.6%)), mitral valve stenosis (n: 46, (3.4%)) and aortic stenosis (n: 24, (1.8%)) was the least common VHD. Conclusion: In the present study, we found that HHD was the most common comorbidity, followed by VHD, HFrEF and IHD. Moreover, the most common VHD was mitral insufficiency and the most common CHD was ASD.
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Jayed, D. , Al-Huthi, M. A. , Al-Zandani, A. , Al-Shuki, S. , Al-Dholae, M. and Al-Moqri, M. (2023). Spectrum of Heart Diseases in Sanaa, Capital of Yemen Republic. Open Access Library Journal, 10, e9707. doi: http://dx.doi.org/10.4236/oalib.1109707.
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