Acute coronary syndromes: epidemiological, clinical, paraclinical and therapeutic characteristics at the Campus teaching hospital of Lome, Togo
| Autor: | M. Kpélafia, F. Damorou, K. Yayehd, W. D. D. Kaziga, Y.D.M. Atti, S. Baragou, Yaovi Afassinou, S. Pessinaba, Borgatia Atta, M. Pio, M.F. Simwetare |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Acute coronary syndrome medicine.medical_treatment Infarction Teaching hospital Internal medicine Epidemiology medicine Humans Prospective Studies cardiovascular diseases Acute Coronary Syndrome Stage (cooking) Hospitals Teaching Prospective cohort study Aged Aged 80 and over business.industry Unstable angina Public Health Environmental and Occupational Health Thrombolysis Middle Aged medicine.disease Infectious Diseases Togo Female business |
| Zdroj: | Médecine et Santé Tropicales. 28:285-288 |
| ISSN: | 2261-2211 2261-3684 |
| Popis: | INTRODUCTION The aim of this work was to describe the epidemiological, clinical, and therapeutic characteristics of acute coronary syndromes (ACS) in the cardiology department of Lome Campus University Hospital in Togo. METHODOLOGY We conducted a prospective study that consistently included patients hospitalized from 2014 to 2017 for ACS, based on clinical, electrocardiographic, and laboratory findings. RESULTS Of 1914 patients admitted to the department during the study period, 67 were admitted for ACS, for a 3.5% prevalence. The (M/F) sex ratio was 1.91. Patients' mean age was 60 ± 12 years. The clinical presentation was an ST elevation myocardial infarction (STEMI) in 71.6% of cases, and non-STEMI in 28.4% of cases, including 18.1% non-Q-wave infarction and 10.3% unstable angina. The mean time to admission after the onset of symptoms was 81.9 ± 124.6 hours. Patients were transported to the hospital by a private vehicle in 82.1% of cases. Thrombolysis was performed for 14.6% of patients (7/48 patients with ACS STEMI), with a success rate of 85.7% (n=6). In-hospital mortality was 10.5% (7/67). This mortality was significantly associated with the interval from onset of symptoms to admission and with the Killip stage. CONCLUSION Acute coronary syndromes are increasingly common in Togo. They are characterized by a relatively young age and a long delay until admission. Improving the management of these conditions in our countries requires effective primary prevention. |
| Databáze: | OpenAIRE |
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