[Prevention of the risk thromboembolic risk of atrial fibrillation in the cardiology department of Abidjan].

Introduction: Atrial fibrillation is the most common cardiac rhythm disorder whose incidence with age and which is responsible for high morbidity and mortality.

Objective: Evaluate the thromboembolic risk of patients with atrial fibrillation and analyze the quality of the oral anticoagulation therapy at the Abidjan cardiology institute.

Methods: This was a multicenter, retrospective and prospective cross-sectional study, with descriptive and analytical aims in 332 patients followed for atrial fibrillation diagnosed on the electrocardiogram.

Peripartum Spontaneous Coronary Artery Dissection.

Spontaneous coronary artery dissection is a rare but potentially life-threatening condition that predominantly affects women, particularly during pregnancy or postpartum period. We present a case of peripartum spontaneous coronary artery dissection in a 41-year-old African woman, highlighting the clinical presentation, diagnostic challenges, and management strategies.

[Vascular age and cardiovascular risk in hypertensive patients followed at the heart institute].

Objective: To calculate the vascular age of hypertensive patients and assess the risk at 10 years of occurrence of an absolute cardiovascular event in outpatient consultation of the Abidjan Heart Institute.

Patients And Methodology: Cross-sectional study with descriptive and analytical purposes from June 2021 to September 2021, i.e.

[Acute heart failure with altered ejection fraction : Electrocardiographic signs with mortality at the Abidjan cardiology institute].

Introduction: Heart failure with impaired ejection fraction (HFIEF) represents the end-stage of most cardiac diseases, and is responsible for a high mortality rate. In order to identify patients at risk, numerous clinical and paraclinical prognostic factors have been proposed. The electrocardiogram (ECG), easy to perform and inexpensive, retains a powerful role in the prognostic evaluation of heart failure patients.

[Practice of home blood pressure monitoring in a population of hypertensive patients in subsaharan Africa].

Aim: To investigate home blood pressure monitoring (HBPM) practice among treated hypertensive patients in a subsaharan Africa setting.

Patients And Methods: Cross-sectional observational study over a five-month period from April 30 to September 30, 2019. The survey was carried out among treated hypertensive patients aged at least 18-years-old, received in outpatient consultations department at the Abidjan Heart Institute during the study period.

Medium and long-term follow-up after ST-segment elevation myocardial infarction in a sub-Saharan Africa population: a prospective cohort study.

Background: Major in-hospital mortality rate in patients with ST-segment Elevation Myocardial Infarction (STEMI) in Sub-Saharan Africa has been reported. Data on follow-up in these patients with STEMI are scarce. We aimed to assess medium and long-term prognosis in patients with STEMI admitted to Abidjan Heart Institute.

[Pulmonary embolism and complete atrioventricular block].

Complete atrioventricular block is a rare complication of pulmonary embolism. We describe the case of a black African patient, aged 42 years, who presented to the emergency department of Abidjan Heart Institute for sudden onset dyspnea and hemoptysis. ECG revealed a third degree atrioventricular block.

[Spontaneous coronary artery dissection: An exceptional cause of acute coronary syndrome].

Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome (ACS) or sudden death, which typically affects young women. We reported two cases of black Africans patients, aged 56 and 52 years old, who presented to Abidjan Heart Institute for ACS. Coronary angiography showed spontaneous dissection of the right coronary artery in the first case, and dissection of the distal left anterior descending artery in the second.

[Factors of compliance with the wearing of elastic compression stockings in a Sub-Saharan population].

Introduction: Elastic venous compression is the basic treatment of chronic venous insufficiency (CVI) and deep vein thrombosis (DVT). Very little data exist in sub-Saharan Africa concerning the wearing of compression stockings.

Aim: To determine the factors of compliance with wearing elastic compression stockings.

[Self-medication among black African hypertensive patients: Factors and consequences].

Introduction: Self-medication practice is under-evaluated among black African hypertensive patients.

Aim: To assess the level of self-medication among black African hypertensive patients and to determine the factors favoring this practice and their consequences.

Methods: Prospective study during a 3-month period including 612 hypertensive patients followed in Abidjan cardiology institute.

[Presumption of sleep apnea in a black African hypertensive population: Importance of the Epworth sleepiness scale in the diagnostic approach].

Introduction: Sleep apnea syndrome (SAS) is very little described in the hypertensive black African.

Purpose: To screen sleep apnea syndrome using the rating scale of Epworth daytime sleepiness, and to investigate the determinant factors and to infer therapeutic consequences.

Method: This is a retrospective and prospective study with descriptive and analytical purpose that focused on 200 hypertensive outpatients of the Cardiology Institute of Abidjan.

[Peripheral arterial disease of the lower limbs in African diabetic patients: ultrasonography and determining factors].

Introduction: Diabetic peripheral arterial disease (PAD) of the lower limbs is underdiagnosed.

Methodology: This was a prospective study conducted over a six-month period from November 2012 to April 2013. A total of 308 diabetic patients were included from three diabetes centers in Abidjan (Ivory Coast).

[Pulse pressure monitoring in hypertensive black Africans].

Aim: A pulse pressure above 60 mmHg in hypertensive subjects is an independent cardiovascular risk factor. There are few data on pulse pressure in sub-Saharan Africa. The aim of this study was to describe the pulse pressure in black Africans with arterial hypertension.

[Diagnostic approach and treatment of hypertension in healthcare workers in Abidjan's district (Ivory Coast)].

Background: Epidemiological data concerning hypertension among health care workers are scarce.

Purpose: The aim of this study was to assess the diagnostic process and treatment of hypertension among a healthcare worker population in order to improve treatment.

Methods: This was a prospective study including 821 healthcare workers from Abidjan's publics hospitals.

[Unusual association of endomyocardial fibrosis and aberrant migration of Dracunculus medinensis in the pericardium].

We report one case of endomyocardial fibrosis with a relapsing pericarditis, associated with an aberrant migration of Dracunculus medinensis in the pericardium, in a 22-year-old patient from an endemic zone of bilharziasis and dracunculosis in Côte d'Ivoire. The evolution has been marked by the appearance of thrombus in the right atrium. The patient died on the 49th day of hospitalization following an refractory cardiac insufficiency.

[Black Africans' compliance to antihypertensive treatment].

Unlabelled: Hypertension is increasing in sub-Saharan Africa. It is difficult to follow a correct treatment in this environment.

Purpose: Assessing the compliance of the drug therapy and identifying the characteristics of poor observant patients.

[Assessment of the cost of the curative treatment of myocardial infarction in the Abidjan Cardiology Institute].

We carried out an economical study on a period of four years from august 2001 to june 2005 in 100 patients with acute myocardial infarction admitted in the intensive care unit and in the medicine department of the Abidjan Cardiology institute. The aim of this study was to evaluate the total cost of an hospitalisation for myocardial infarction in a sub-saharan country. The average estimated cost was 944 481 F CFA (1439.