Cardiology & Vascular Research

Abstract

Valvulopathy: Epidemiological and Clinical Aspects in the Cardiology Department of the Ignace Deen National Hospital CHU of Conakry

Camara Abdoulaye, Samoura Aly, Samoura Sana, Koivogui Diarra, Bah Abdoulaye, Doumbouya Mohamed, Sylla Djibril, Barry Ibrahima Sory, Balde Elhadj Yaya, Beavogui Mariama, Sow Elhadj Thierno, Balde Mamadou Dadhi, Conde Mamady. 

Summary: Valvulopathies are defined as the involvement of heart valves: aortic, pulmonary, mitral and tricuspid leading, depending on the type of lesion, to insufficiency or narrowing.

Material and Methods: Descriptive prospective study from October 1st, 2015 to March 31st, 2016, concerning valvulopathic patients confirmed by cardiac Doppler echo hospitalized in the cardiology department of the national hospital IGNACE DEEN CHU of Conakry. Sociodemographic, diagnostic and evolutionary variables were studied.

Results: 210 patients were hospitalized in the cardiac department IGNACE DEEN CHU Conakry. Of these, 75 or 36% were valvulopathic. There was a male predominance with an H / F sex ratio of 1.02. The average age was 37.5 years with extremes ranging from 8 to 87 years old. The predominant urban population was 41.33%. Housewives and students are the most concerned, 33.33% and 25.33% respectively. The most frequent reason for consultation was dyspnea with 92% and the majority of hospitalized patients were in stage III NYHA, ie 62.66%. Mitral insufficiency was the most observed valvulopathy with 30.66%. The main etiologies were rheumatic and dystrophic respectively 52% and 30.66%. The most common complications were 90.66% heart failure and 68% of heart rhythm disorders. The hospital mortality related to valvulopathies was 7%.

Conclusion: Valvulopathies are frequent in the cardiology department of the national hospital IGNACE DEEN CHU Conakry. Mitral insufficiency is the most commonly observed and heart failure is the main mode of disclosure.

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