Research Article
Prevalence of Left Ventricular Hypertrophy in Chronic Renal Failure Patients Under Going Hemodialysis in Donka
Issue:
Volume 9, Issue 3, September 2025
Pages:
88-94
Received:
17 May 2025
Accepted:
16 June 2025
Published:
9 July 2025
Abstract: Introduction: Left ventricular hypertrophy is predictive of mortality in haemodialysis patients and occupies a very high proportion of cardiovascular complications. The aim of this study was to determine the prevalence of left ventricular hypertrophy in chronic renal failure patients under going hemodialysis at the CNHD. Materials and methods: This is a descriptive cross-sectional study in the Donka National Hemodialysis Center, running from February 01, 2024 to May 31, 2024. Chronic hemodialysis patients with electrical or echographic LVH were included in the study. Results: The number of chronic hemodialysis patients during the period was 405, among whom left ventricular hypertrophy was found in 140 patients or 34.57%. Chronic hemodialysis patients presenting with LVH during the study period had a mean age equal to 42.1±14.3 years, with a sex ratio= 2.3. Of 188 cardiac echograms performed, 112 cases (80%) had concentric hypertrophy and 28 cases (20%) had eccentric hypertrophy. Conclusion: The prevalence of left ventricular hypertrophy in chronic hemodialysis patients was found to be 34.57%. Large-scale studies in this chronic hemodialysis population are needed to investigate factors associated with left ventricular hypertrophy, in order to reduce cardiovascular morbidity and mortality.
Abstract: Introduction: Left ventricular hypertrophy is predictive of mortality in haemodialysis patients and occupies a very high proportion of cardiovascular complications. The aim of this study was to determine the prevalence of left ventricular hypertrophy in chronic renal failure patients under going hemodialysis at the CNHD. Materials and methods: This...
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Research Article
Patterns and Predictors of Abnormal Left Ventricular Global Longitudinal Strain Among Black Africans with Hypertension at the Campus University Hospital of Lome: A Cross-sectional Study
Issue:
Volume 9, Issue 3, September 2025
Pages:
95-105
Received:
13 July 2025
Accepted:
24 July 2025
Published:
11 August 2025
Abstract: Background: Hypertension is responsible for myocardial structural changes. The objective of this study was to evaluate longitudinal left ventricular function via 2D strain in hypertensive patients in Lome. Methods: A descriptive hospital-based cross-sectional study was conducted from March 1 to August 31, 2024. Patients with hypertension for a period exceeding one year and with a left ventricular ejection fraction greater than 50% as determined by the Simpson biplane method were included in the study. The longitudinal systolic function of the left ventricle was evaluated by means of global longitudinal strain (GLS). Results: The study population comprised 215 patients. The mean age of the subjects was 46.4 ± 12.3 years. GLS ranged from -28.75 to -5.14 (mean -17.37 ± -3.97). Low GLS values (>-17) were identified in 41.4% of patients. The factors associated with low GLS were as follows: hypertension that had lasted for more than 10 years (odds ratio (OR) = 14.28, 95% confidence interval (CI) 5.55-50.00; p < 0.001), uncontrolled hypertension (OR= CI, p), dyslipidaemia (OR = 12.15, CI 5.32-27.77; p < 0.001), diabetes (OR = 2.65, CI 1.12-6.27; p = 0.026), obesity (OR = 2.53, CI 1.11-5.77; p = 0.027), concentric remodelling of the left ventricle (OR = 4.93, CI 1.82-13.35; p = 0.002), and concentric LVH (OR = 3.89, CI 1.55-9.80; p = 0.004). Conclusion: The prevalence of longitudinal systolic dysfunction is high. The factors associated with HTN leading to this decrease include dyslipidaemia, diabetes, duration of HTN, remodelling and LV hypertrophy. This study serve to emphasise the importance of early detection and management of hypertension and its associated risk factors.
Abstract: Background: Hypertension is responsible for myocardial structural changes. The objective of this study was to evaluate longitudinal left ventricular function via 2D strain in hypertensive patients in Lome. Methods: A descriptive hospital-based cross-sectional study was conducted from March 1 to August 31, 2024. Patients with hypertension for a peri...
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Research Article
Chronic Constrictive Pericarditis: Epidemiological, Diagnostic and Therapeutic Aspects in a Low-income Country
Soulemane Pessinaba*
,
Claudia Djolla Epé,
Yaovi Mignazonzon Afassinou,
Mario Bakai,
Koboyo Pilazi,
Mohamed Kpélafia,
Claude Kouléké,
Ekpé Togbossi,
Tchaa Tcherou,
Komlavi Yayehd,
Machihude Pio,
Soodougoua Baragou,
Findibé Damorou
Issue:
Volume 9, Issue 3, September 2025
Pages:
106-112
Received:
3 August 2025
Accepted:
1 September 2025
Published:
19 September 2025
DOI:
10.11648/j.ccr.20250903.13
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Abstract: Objective: To describe the epidemiological, diagnostic and therapeutic aspects of chronic constrictive pericarditis (CCP) in a multicentre hospital setting in sub-Saharan Africa. Methods: This was a retrospective descriptive study conducted over a 12-year period that included patients with a confirmed diagnosis of CCP. Data on clinical, paraclinical, aetiological, therapeutic and evolutionary characteristics were collected from medical records. The analysis focused on demographic characteristics, medical history, clinical signs, additional tests, aetiologies, management strategies and hospital outcomes. Results: A total of 20 patients were included in the study. The mean age was 46.5 ± 19.1 years, with a male predominance (sex ratio 1.5). All patients were symptomatic, with dyspnoea present in all cases (NYHA III 66%, NYHA IV 34%). The past medical history included tuberculosis (40%), acute pericarditis (35%), and breast neoplasia (10%). Echocardiography revealed pericardial thickening in all cases, with calcifications present in 90% of patients. These abnormalities were confirmed in 5 patients who underwent chest CT scans. The mean time to diagnosis was 5.3 ± 1 months. The most common aetiology was tuberculosis (55%), followed by idiopathic (35%) and neoplastic (10%) forms. All patients received symptomatic treatment, with only one undergoing pericardectomy. Intrahospital mortality was 5%. Conclusion: CCP is a rare but treatable cause of heart failure, primarily associated with tuberculosis in our setting. Improving management and prognosis requires wider access to specialist investigations and surgery. This study highlights once again that tuberculosis remains a major public health issue with high morbidity and mortality in low-income countries.
Abstract: Objective: To describe the epidemiological, diagnostic and therapeutic aspects of chronic constrictive pericarditis (CCP) in a multicentre hospital setting in sub-Saharan Africa. Methods: This was a retrospective descriptive study conducted over a 12-year period that included patients with a confirmed diagnosis of CCP. Data on clinical, paraclinica...
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