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Epidemiology of Chest Pain at the University Hospital Center-Référence Nationale (CHU-RN) of N'Djamena

Received: 21 March 2023    Accepted: 10 April 2023    Published: 27 April 2023
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Abstract

Introduction: Chest pain is a frequent reason for consultation in Internal Medicine and especially in cardiology. Few data are available on this condition in Chad. The aim of this work was to describe its epidemiological characteristics. Patients and methods: This was a descriptive and analytical cross-sectional study covering a consecutive series. Included were patients aged at least 18 years, seen in a cardiology consultation for non-traumatic chest pain and having performed an ECG and cardiac ultrasound. Results: A total of 146 patients were included in the study. The mean age was 46.1± 16.3 years. The sex ratio was 0.8 in favor of women. Arterial hypertension was the main cardiovascular risk factor found (41.9%). The pain was epigastric in 41.9% of cases and retrosternal in 23.7% of cases. Dyspnea was the most common associated sign (29.9%). Etiologies were dominated by cardiac (56.4%) and digestive (46.2%) causes. The main cardiovascular etiology was coronary insufficiency (42.4%). Regarding digestive causes, they were dominated by gastropathies and gastroduodenal ulcer disease (40.2%). In 17.1% of cases the chest pain was of pulmonary origin. Conclusion: Chest pain is a frequent reason for consultation. The etiologies are diverse. Apart from the cardiovascular causes likely to compromise the vital prognosis, we must not lose sight of the digestive and pulmonary causes.

Published in Cardiology and Cardiovascular Research (Volume 7, Issue 1)
DOI 10.11648/j.ccr.20230701.13
Page(s) 17-21
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Chest Pain, Etiologies, Patients, N'Djamena /Chad

References
[1] Définition CIF. Classification Internationale du Fonctionnement, du handicap et de la santé. [1- CIF definition. International Classification of Functioning, Disability and Health] http://www.chu-rouen.fr/page/douleur-thoracique
[2] Rullière R. Cardiologie. 4eme Edition Massons (paris), [Cardiology. 4th Edition Massons (paris)] 1987: 1p.
[3] Verdon F, Herzig L, Burnand B et al. Douleurs thoraciques en médecine de premier recours. [Chest pain in primary care medicine.] Swiss Medical Forum. 2003; 3 (S12): 45. PubMed | Google Scholar.
[4] Ténaillon A; Labayle D Livre de l’interne, les urgences. Edit Flammarion (paris), médecine sciences, 1992: 67p. [Internal book, emergencies. Edit Flammarion (paris), medicine sciences].
[5] Yameogo NV, Kagambega LJ, Yamrogo AA et al. Aspects épidémiologiques, cliniques et étiologiques des douleurs thoraciques en consultation externe de cardiologie à Ouagadougou. Pan African Medical Journal. 2014; 19: 260 doi: 10.11604/pamj.2014.19.260.5184 [En ligne]. Consulté le 24 /7/2020. [Epidemiological, clinical and etiological aspects of chest pain in outpatient cardiology consultation in Ouagadougou].
[6] Ellenga Mbolla BF, Gombet TR, Atipo Ibara et al. Douleurs thoraciques non traumatiques de l'adulte: étiologies et prise en charge au CHU de Brazzaville (Congo). Mali Médical. 2009; 24 (2): 35-38. PubMed | Google Scholar. [Non-traumatic chest pain in adults: etiologies and management at the University Hospital of Brazzaville (Congo). Mali Medical.]
[7] Ernestho-ghoud I. M, Razafimahefa S. H, Raveloson H. F. R et al. Profil épidémio-clinique des précordialgies à l’Unité de Cardiologie de l’hôpital Joseph Raseta Befelatanana, Antananarivo, Rev.méd. Madag. 2013; 3 (2): 257-63 [Epidemiological and clinical profile of precordialgia in the Cardiology Unit of Joseph Raseta Befelatanana Hospital, Antananarivo, Rev.med. Madag.]
[8] Warnant A, Moumneh T, Roy PM et al. Douleur thoracique aux urgences: utilisation adéquate des scores diagnostiques. Ann. Fr. Med. Urgence. Volume 10, Numéro 2, Mars 2020; 89 – 93. [Chest pain in the emergency department: proper use of diagnostic scores.]
[9] Seck M, Diouf I, Acouetey L, Wade KA et al. Profil des patients admis pour infarctus du myocarde au service d’accueil des urgences de l’hôpital principal de Dakar. Med Trop 2007; 67: 569-572. [Profile of patients admitted for myocardial infarction to the emergency department of the main hospital in Dakar.]
[10] Bordier P, Comiant I, Robert F et al. Prise en charge de l’infarctus aigu du myocarde dans un centre hospitalier équipé de services SMUR et réanimation médicale, sans salle de cathétérisme cardiaque. Annales de Cardiologie et d’Angéiologie 2002; 51: 181–187. [Management of acute myocardial infarction in a hospital center equipped with SMUR and medical resuscitation services, without a cardiac catheterization room. Annals of Cardiology and Angiology].
[11] Fruergaard P, Launbjerg J, Hesse B, et al. The diagnosis of patients admitted with acute chest pain but without myocardial infarction. Eur Heart J 1996; 17: 1028-34.
[12] Michael A, Kohn MP Prevalence of acute myocardial infraction and other serious diagnoses on patients presenting to an urban emergency department with chest pain. Journal of Emergency Medicine 2005; 29 (4): 383-390.
[13] Larifla L. Association entre facteurs de risque cardiovasculaire et sévérité des lésions coronaires chez les sujets afro-caribéens. Arch Cardiovasc Dis, 2014; 107: 212218. [Association between cardiovascular risk factors and severity of coronary lesions in Afro-Caribbean subjects.].
[14] Marcaggi. X. Results of percutaneous coronary intervention in a hospital with à case load. Ann Cardiol Angéiol, 2005; 54: 317–332.
[15] Heit JA, Silverstein MD, Mohr DN, et al. Risk factors for deep vein thrombosis and pulmonary embolism. A population-based case-control study. Arch Intern Med 2000; 160: 809-1015.
[16] Anderson FA, Wheeler H, Goldberg RJ, et al. A population-based perspective of the hospital incidence and case-fatality rates of deep vein thrombosis and pulmonary embolism. The Worcester Study. Arch Intern Med 1991; 151: 933-8.
[17] INSEED. Enquête Démographique et de Santé et à Indicateurs Multiples au Tchad (EDS-MICS) 2014-2015. N’Djamena: INSEED; 2016. [Demographic and Health Survey and Multiple Indicators in Chad (EDS-MICS) 2014-2015. N'Djamena: INSEED].
[18] Sall Youma, Douleur thoracique au Service de Cardiologie de l’hôpital du Point G. Th: Med Bamako: 1992, N°001 [Chest pain in the Cardiology Department of Point G. Th Hospital: Med Bamako: 1992].
[19] Lee TH, Cook EF, Weisberg M, et al. Acute chest pain in the emergency room: identification and examination of low-risk patients. Arch Intern Med 1985; 145: 65-9.
[20] Fruergaard P, Launbjer J, Hesse B, J!rgensen F, Petri A, Eiken P, al. The diagnoses of patients admitted with acute chest pain but without myocardial infarction. Eur Heart J 1996, 17: 1028-34.
[21] Brou K. Aspects épidémiologiques des ulcères gastro-duodénaux. A propos de 155 cas colligés dans le service de médecine du CHU de Cocody. Th. Méd. Abidjan: 1992, 1309 [Epidemiological aspects of peptic ulcers. Apropos of 155 cases collected in the medical department of the University Hospital of Cocody.]
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    Dangwé Naibé Temoua, Mayanna Habkréo, Ali Mahamat Moussa, Doune Narcissus, Ata Joel. (2023). Epidemiology of Chest Pain at the University Hospital Center-Référence Nationale (CHU-RN) of N'Djamena. Cardiology and Cardiovascular Research, 7(1), 17-21. https://doi.org/10.11648/j.ccr.20230701.13

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    ACS Style

    Dangwé Naibé Temoua; Mayanna Habkréo; Ali Mahamat Moussa; Doune Narcissus; Ata Joel. Epidemiology of Chest Pain at the University Hospital Center-Référence Nationale (CHU-RN) of N'Djamena. Cardiol. Cardiovasc. Res. 2023, 7(1), 17-21. doi: 10.11648/j.ccr.20230701.13

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    AMA Style

    Dangwé Naibé Temoua, Mayanna Habkréo, Ali Mahamat Moussa, Doune Narcissus, Ata Joel. Epidemiology of Chest Pain at the University Hospital Center-Référence Nationale (CHU-RN) of N'Djamena. Cardiol Cardiovasc Res. 2023;7(1):17-21. doi: 10.11648/j.ccr.20230701.13

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  • @article{10.11648/j.ccr.20230701.13,
      author = {Dangwé Naibé Temoua and Mayanna Habkréo and Ali Mahamat Moussa and Doune Narcissus and Ata Joel},
      title = {Epidemiology of Chest Pain at the University Hospital Center-Référence Nationale (CHU-RN) of N'Djamena},
      journal = {Cardiology and Cardiovascular Research},
      volume = {7},
      number = {1},
      pages = {17-21},
      doi = {10.11648/j.ccr.20230701.13},
      url = {https://doi.org/10.11648/j.ccr.20230701.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20230701.13},
      abstract = {Introduction: Chest pain is a frequent reason for consultation in Internal Medicine and especially in cardiology. Few data are available on this condition in Chad. The aim of this work was to describe its epidemiological characteristics. Patients and methods: This was a descriptive and analytical cross-sectional study covering a consecutive series. Included were patients aged at least 18 years, seen in a cardiology consultation for non-traumatic chest pain and having performed an ECG and cardiac ultrasound. Results: A total of 146 patients were included in the study. The mean age was 46.1± 16.3 years. The sex ratio was 0.8 in favor of women. Arterial hypertension was the main cardiovascular risk factor found (41.9%). The pain was epigastric in 41.9% of cases and retrosternal in 23.7% of cases. Dyspnea was the most common associated sign (29.9%). Etiologies were dominated by cardiac (56.4%) and digestive (46.2%) causes. The main cardiovascular etiology was coronary insufficiency (42.4%). Regarding digestive causes, they were dominated by gastropathies and gastroduodenal ulcer disease (40.2%). In 17.1% of cases the chest pain was of pulmonary origin. Conclusion: Chest pain is a frequent reason for consultation. The etiologies are diverse. Apart from the cardiovascular causes likely to compromise the vital prognosis, we must not lose sight of the digestive and pulmonary causes.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Epidemiology of Chest Pain at the University Hospital Center-Référence Nationale (CHU-RN) of N'Djamena
    AU  - Dangwé Naibé Temoua
    AU  - Mayanna Habkréo
    AU  - Ali Mahamat Moussa
    AU  - Doune Narcissus
    AU  - Ata Joel
    Y1  - 2023/04/27
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ccr.20230701.13
    DO  - 10.11648/j.ccr.20230701.13
    T2  - Cardiology and Cardiovascular Research
    JF  - Cardiology and Cardiovascular Research
    JO  - Cardiology and Cardiovascular Research
    SP  - 17
    EP  - 21
    PB  - Science Publishing Group
    SN  - 2578-8914
    UR  - https://doi.org/10.11648/j.ccr.20230701.13
    AB  - Introduction: Chest pain is a frequent reason for consultation in Internal Medicine and especially in cardiology. Few data are available on this condition in Chad. The aim of this work was to describe its epidemiological characteristics. Patients and methods: This was a descriptive and analytical cross-sectional study covering a consecutive series. Included were patients aged at least 18 years, seen in a cardiology consultation for non-traumatic chest pain and having performed an ECG and cardiac ultrasound. Results: A total of 146 patients were included in the study. The mean age was 46.1± 16.3 years. The sex ratio was 0.8 in favor of women. Arterial hypertension was the main cardiovascular risk factor found (41.9%). The pain was epigastric in 41.9% of cases and retrosternal in 23.7% of cases. Dyspnea was the most common associated sign (29.9%). Etiologies were dominated by cardiac (56.4%) and digestive (46.2%) causes. The main cardiovascular etiology was coronary insufficiency (42.4%). Regarding digestive causes, they were dominated by gastropathies and gastroduodenal ulcer disease (40.2%). In 17.1% of cases the chest pain was of pulmonary origin. Conclusion: Chest pain is a frequent reason for consultation. The etiologies are diverse. Apart from the cardiovascular causes likely to compromise the vital prognosis, we must not lose sight of the digestive and pulmonary causes.
    VL  - 7
    IS  - 1
    ER  - 

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Author Information
  • Cardiology Department of the University Hospital - the National Reference of N’Djamena, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad

  • Department of Gastroenterology, Internal Medicine of the University Hospital - the National Reference of N’Djamena, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad

  • Cardiology Department of the University Hospital - the National Reference of N’Djamena, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad

  • Cardiology Department, the University Hospital Center-la Renaissance, N’Djamena, Chad

  • Cardiology Department of the University Hospital - the National Reference of N’Djamena, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad

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