| Peer-Reviewed

Risk Factors for Stroke Associated with HIV at Loandjili General Hospital in Pointe-Noire (Congo)

Received: 3 November 2021    Accepted: 19 November 2021    Published: 27 November 2021
Views:       Downloads:
Abstract

Introduction: HIV infection and stroke constitute a major public health problem due to their morbidity and mortality. In people living with HIV the risk of developing a stroke is high. Objective: To establish the causal link between HIV and the onset of stroke in order to determine the risk factors for stroke associated with HIV at loandjili general hospital. Patients and Methods: It was a case-control study, prospective from January to July 2019, carried out in the department of Pointe-Noire, including any patient hospitalized for stroke confirmed by brain scan, any patient hospitalized or coming for an outpatient consultation. pathologies unrelated to stroke. The statistical analysis was carried out using the EPI info 7.2 software. Results: Two hundred patients were included in our study, including 100 cases and 100 controls. The relative frequency of HIV was 17% in cases versus 43% in controls. Young age was the risk factor for stroke associated with HIV. This risk factor was potentiated by immunosuppression of CD4 + T lymphocytes. Seventy-eight (78%) of stroke + / HIV + patients had a CD4 + count <200 / mm3. DALY was the predominant mechanism of injury with a frequency of 56% in people living with HIV. Conclusion: Stroke-HIV co-morbidity is frequent in Pointe-Noire. The risk factors for stroke / HIV + are dominated by young age. However, our study did not show a causal link between HIV and the onset of stroke.

Published in Clinical Neurology and Neuroscience (Volume 5, Issue 4)
DOI 10.11648/j.cnn.20210504.16
Page(s) 111-116
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

Stroke, HIV, Case-controls, Pointe Noire, Congo

References
[1] Strong K, Mathers C, Bonita R. Preventing stroke: saving lives around the world. Lancet Neurol. 2007; 6: 182-7.
[2] Ossou-Nguiet PM, Gombet T, Ossil-Ampion M, Ellenga Mbolla FB, Otiabanda GF, Mahoungou-Nguimbi KC et al. Facteurs de mortalité des accidents vasculaires cérébraux au CHU de Brazzaville. Rev Afr Anesth Med Urg. 2013; 18 (1): 15-19.
[3] Gombet T, Ellenga Mbolla, Ikama MS, Etitiele F. Facteurs de risque des accidents vasculaires ischémiques au Centre Hospitalier Universitaire de Brazzaville. Médecine Afrique Noire. 2007; 54 (12): 640-645.
[4] Sen S, Rabinstein AA, Elkind MSV, Powers WJ. Recent Developments regarding Human Immunodeficiency Virus Infection and Stroke. Cerebrovasc Dis. 2012; 33: 209-218.
[5] Qureshi AI, Janssen RS, Karon JM. Human immunodeficiency virus infection and stroke in young patients. Arch Neurol. 1997; 54: 1150-1153.
[6] Tipping B, De Villiers L, Wainwright H, Candy S, Bryer A. Stroke in patients with human immunodeficiency virus infection. J Neurol Neurosurg Psychiatriy. 2007; 78: 1320-1324.
[7] Koumeka [thèse N°999, FSSA, 2015, Congo].
[8] Gnonlonfoun D, Adjien-Kodjo C, Adoukonou TA, Ossou-Nguiet PM, Mapoure Y, Zannout H et al. L’infection à virus de l’immunodéficience humaine (VIH), facteur prédictif de gravité et de mortalité des accidents vasculaires cérébraux au Centre National Hospitalier et Universitaire HUBERT KOUTOUKOU MAGA (CNHU-HKM) de Cotonou, Bénin. AJNS. 2013; 32 (2): 14-23.
[9] Heikinheimo T, Chimbayo D, Kumwenda JJ, Kampondeni S, Allain TJ. Stroke outcomes in Malawi, a country with high prevalence of HIV: A prospective follow-up study. PloS ONE 2012; 7 (3): e33765.
[10] Imam, I. 2002. Stroke: a Review with an African perspective. Annals of tropical Medicine and parasitology, 96: 1603-1608.
[11] Cole, J. W. and Pinto, A. N. AIDS and Risk of stroke2004; 25: 51.
[12] Balarabe SA et Watila MM. Immune dysfunction in HIV infected stroke patients: Role of low CD4 count. Nigerian Joural of Basic and Applied Science (NJBAS) 2015; 23: 1-8.
[13] Kouakou N’goran, Traore F, Tano M, Kramoh KE, Anzouan Kakou JB, Konin C et al. Aspects épidémiologiques des accidents vasculaires cérébraux (AVC) aux urgencies de L’institut de cardiologie d’Abidjan (ICA). Pan Afr Med J. 2015; 21: 160.
[14] Yates A, Stark J, Klein N, Antia R, Callard R. Understanding the Slow depletion of memory CD4+ T cells in IHV infection. PloS Med 2008; 5 (1) e11.
[15] Balogou AAK, Prévalence de l’infection à VIH chez les patients victimes d’AVC au CHU campus, Lomé. Revue neurologique. 2007; 26 (1): 27-32.
[16] Gombet TR, Ossou-Nguiet PM, Ellenga-Mbolla BF, Gankama TN, Otiobanda GF, Obondzo-Aloba K, Longo-Mbenza B. Hypertension and intracerebral hemorrhage in Brazzaville. World J Cardiovascul Diseas 2013; 3: 523-8.
[17] Kimbally-Kaky G, Gombet T, Bolanda JD, Voumbo Y, Okili B, Ellenga-Mbolla B. Prévalence de l’hypertension artérielle à Brazzaville. Cardiol. Trop. 2006; 32: 43-5.
[18] Chow FC, Regan S, Feske S, Meigs JB, Grinspoon SK, Triant VA. Comparison of ischemic stroke incidence in HIV-infected and non-HIV-infected patients in a U.S. health care system. J Acquir Immune Defic Syndr. 2012; 60 (4): 351-358.
[19] Harisson. Principe de médecine interne. 16e édition: Médecine science Flammarion. 2007.
[20] Ortiz G, Koch S, Romano JG, Forteza AM, Rabinstein AA. Mechanisms of ischemic stroke in HIV-infected patients. Neurology. 2007; 68: 1257–1261.
[21] Gutierrez J, Elkind MSV, Marshall RS. Cardiovascular profile and events of US adults 20-49 years with HIV. AIDS Care. 2013; 25 (11): 1385-1391.
[22] Benjamin LA, Bryer A, Emsley HCA, Khoo S, Solomon T, Connor MD. HIV infection and stroke: current perspectives and futures directions. Lancet Neurol. 2012; 11: 878-890.
[23] Friis-Møller N, Weber R, Reiss P, et al; DAD study group. Cardiovascular disease risk factors in HIV patients-association with antiretroviral therapy. Results from the DAD study. AIDS. 2003; 17: 1179-1193.
[24] Longo-Mbenza B, Longokolo Mashi M, Lelo Tshikwela M, Mokondjimobe E, Gombet T, Ellenga-Mbolla B et al. Relationship between younger age, autoimmunity, cardiometabolic risk, oxidative stress, HAART, and ischemic stroke in Africans with HIV/AIDS. Indian J Sex Transm Dis 2012; 33: 138-140.
[25] El-Sadr WM, Lundgren JD, Neaton JD. Strategies for Management of Antiretroviral Therapy (SMART) Study Group; CD4+ countguided interruption of antiretroviral treatment. N Engl J Med. 2006; 355: 2283-2296.
[26] Adjedje AK. Accidents vasculaires cérébraux associés au VIH: A propos de cas colligés à la clinique neurologique du CHU Sylvanus Olympio de Lomé [Thèse: Med]. Togo. 2012.
[27] Wood D. Establised and emerging cardiovascular risk factor. Am Heart J. 2001; 14 (suppl 2): S49-57.
[28] Olefsky JM. Obesity. Harrison 15ème edition, Paris. 2002; 437-443.
[29] Collège national des Enseignants de Cardiologie et de la Société Française de Cardiologie. Chapitre 2. Facteur de risque cardiovasculaire et prévention. Dans: Cardiologie. Paris: Masson 2010: pp 12-17.
[30] Dobbs MR, Berger JR. Review stroke in HIV infection and AIDS. Expert Rev Cardiovasc Ther. 2009; 7 (10): 1263-1271.
Cite This Article
  • APA Style

    Prince Eliot Galieni Sounga Bandzouzi, Ghislain Armel Mpandzou, Raissa Mayanda, Josué Euberma Diatewa, Patience Moudeko M’foutou, et al. (2021). Risk Factors for Stroke Associated with HIV at Loandjili General Hospital in Pointe-Noire (Congo). Clinical Neurology and Neuroscience, 5(4), 111-116. https://doi.org/10.11648/j.cnn.20210504.16

    Copy | Download

    ACS Style

    Prince Eliot Galieni Sounga Bandzouzi; Ghislain Armel Mpandzou; Raissa Mayanda; Josué Euberma Diatewa; Patience Moudeko M’foutou, et al. Risk Factors for Stroke Associated with HIV at Loandjili General Hospital in Pointe-Noire (Congo). Clin. Neurol. Neurosci. 2021, 5(4), 111-116. doi: 10.11648/j.cnn.20210504.16

    Copy | Download

    AMA Style

    Prince Eliot Galieni Sounga Bandzouzi, Ghislain Armel Mpandzou, Raissa Mayanda, Josué Euberma Diatewa, Patience Moudeko M’foutou, et al. Risk Factors for Stroke Associated with HIV at Loandjili General Hospital in Pointe-Noire (Congo). Clin Neurol Neurosci. 2021;5(4):111-116. doi: 10.11648/j.cnn.20210504.16

    Copy | Download

  • @article{10.11648/j.cnn.20210504.16,
      author = {Prince Eliot Galieni Sounga Bandzouzi and Ghislain Armel Mpandzou and Raissa Mayanda and Josué Euberma Diatewa and Patience Moudeko M’foutou and Dina Happia Motoula-latou and Charles Godefroy Koubemba and Paul Macaire Ossou-nguiet and Donatien Moukassa},
      title = {Risk Factors for Stroke Associated with HIV at Loandjili General Hospital in Pointe-Noire (Congo)},
      journal = {Clinical Neurology and Neuroscience},
      volume = {5},
      number = {4},
      pages = {111-116},
      doi = {10.11648/j.cnn.20210504.16},
      url = {https://doi.org/10.11648/j.cnn.20210504.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20210504.16},
      abstract = {Introduction: HIV infection and stroke constitute a major public health problem due to their morbidity and mortality. In people living with HIV the risk of developing a stroke is high. Objective: To establish the causal link between HIV and the onset of stroke in order to determine the risk factors for stroke associated with HIV at loandjili general hospital. Patients and Methods: It was a case-control study, prospective from January to July 2019, carried out in the department of Pointe-Noire, including any patient hospitalized for stroke confirmed by brain scan, any patient hospitalized or coming for an outpatient consultation. pathologies unrelated to stroke. The statistical analysis was carried out using the EPI info 7.2 software. Results: Two hundred patients were included in our study, including 100 cases and 100 controls. The relative frequency of HIV was 17% in cases versus 43% in controls. Young age was the risk factor for stroke associated with HIV. This risk factor was potentiated by immunosuppression of CD4 + T lymphocytes. Seventy-eight (78%) of stroke + / HIV + patients had a CD4 + count <200 / mm3. DALY was the predominant mechanism of injury with a frequency of 56% in people living with HIV. Conclusion: Stroke-HIV co-morbidity is frequent in Pointe-Noire. The risk factors for stroke / HIV + are dominated by young age. However, our study did not show a causal link between HIV and the onset of stroke.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Risk Factors for Stroke Associated with HIV at Loandjili General Hospital in Pointe-Noire (Congo)
    AU  - Prince Eliot Galieni Sounga Bandzouzi
    AU  - Ghislain Armel Mpandzou
    AU  - Raissa Mayanda
    AU  - Josué Euberma Diatewa
    AU  - Patience Moudeko M’foutou
    AU  - Dina Happia Motoula-latou
    AU  - Charles Godefroy Koubemba
    AU  - Paul Macaire Ossou-nguiet
    AU  - Donatien Moukassa
    Y1  - 2021/11/27
    PY  - 2021
    N1  - https://doi.org/10.11648/j.cnn.20210504.16
    DO  - 10.11648/j.cnn.20210504.16
    T2  - Clinical Neurology and Neuroscience
    JF  - Clinical Neurology and Neuroscience
    JO  - Clinical Neurology and Neuroscience
    SP  - 111
    EP  - 116
    PB  - Science Publishing Group
    SN  - 2578-8930
    UR  - https://doi.org/10.11648/j.cnn.20210504.16
    AB  - Introduction: HIV infection and stroke constitute a major public health problem due to their morbidity and mortality. In people living with HIV the risk of developing a stroke is high. Objective: To establish the causal link between HIV and the onset of stroke in order to determine the risk factors for stroke associated with HIV at loandjili general hospital. Patients and Methods: It was a case-control study, prospective from January to July 2019, carried out in the department of Pointe-Noire, including any patient hospitalized for stroke confirmed by brain scan, any patient hospitalized or coming for an outpatient consultation. pathologies unrelated to stroke. The statistical analysis was carried out using the EPI info 7.2 software. Results: Two hundred patients were included in our study, including 100 cases and 100 controls. The relative frequency of HIV was 17% in cases versus 43% in controls. Young age was the risk factor for stroke associated with HIV. This risk factor was potentiated by immunosuppression of CD4 + T lymphocytes. Seventy-eight (78%) of stroke + / HIV + patients had a CD4 + count <200 / mm3. DALY was the predominant mechanism of injury with a frequency of 56% in people living with HIV. Conclusion: Stroke-HIV co-morbidity is frequent in Pointe-Noire. The risk factors for stroke / HIV + are dominated by young age. However, our study did not show a causal link between HIV and the onset of stroke.
    VL  - 5
    IS  - 4
    ER  - 

    Copy | Download

Author Information
  • Faculty of Health Sciences, Marien N’GOUABI University, Brazzaville, Republic of Congo

  • Faculty of Health Sciences, Marien N’GOUABI University, Brazzaville, Republic of Congo

  • Faculty of Health Sciences, Marien N’GOUABI University, Brazzaville, Republic of Congo

  • Faculty of Health Sciences, Marien N’GOUABI University, Brazzaville, Republic of Congo

  • Department of Neurology, Loandjili General Hospital, Pointe-Noire, Republic of the Congo

  • Faculty of Health Sciences, Marien N’GOUABI University, Brazzaville, Republic of Congo

  • Department of Neurology, Loandjili General Hospital, Pointe-Noire, Republic of the Congo

  • Faculty of Health Sciences, Marien N’GOUABI University, Brazzaville, Republic of Congo

  • Faculty of Health Sciences, Marien N’GOUABI University, Brazzaville, Republic of Congo

  • Sections