Screenning of Arrhythmias in Patients Treated for Heart Failure in Parakou in 2017
Cardiology and Angiology: An International Journal, Volume 12, Issue 3,
Page 26-35
DOI:
10.9734/ca/2023/v12i3320
Abstract
Introduction: Rhythm disorders (RDs) or arrhythmias are poor prognostic factors during heart failure (HF). Our objective was to study the frequency of rhythm disorders presented by patients treated for HF in Parakou, Benin in 2017.
Methods: This was a cross-sectional, descriptive and analytical study. It consisted of a systematic recruitment of all patients admitted for heart failure in the cardiology units of the city of Parakou from March to August 2017. The diagnosis of RDs was made by cardiac auscultation completed by electrocardiographic recording (standard and Holter over 24 hours). The Lown classification was used to describe the severity of ventricular TRs. The threshold for significance was p < 5%.
Results: A total of 83 heart failure patients aged 61.47 ± 15.97 years with a sex ratio of 1.08 were selected. Arrhythmia was detected by auscultation in 20.48%; by standard electrocardiogram (ECG) in 25.83% and by Holter ECG in 97.59% of patients. Among the arrhythmias detected by Holter ECG, 81.48% were atrial, including 28.79% of atrial fibrillation. RDs was ventricular in 90.12% of which 47.95% were severe. Left ventricular systolic dysfunction was significantly associated with ventricular arrhythmias. On the other hand, the frequency of ventricular arrhythmias was not associated with the severity of the HF according to the NYHA classification.
Conclusion: In Parakou, RDs are frequent in patients with HF. Holter ECG should be included in the follow-up of heart failure patients in order to improve their management.
- Heart failure
- rhythm disorders
- holter ECG
How to Cite
References
Echemann M. Therapeutic management of severe heart failure: description, determinants and interaction with prognosis [PhD thesis in medicine]. Nancy: University Henry Poincare Nancy I, Faculty of Medicine; 2002:143.
Kibikiabo L. Epidemiological and clinical study of heart failure, case of the SNCC hospital in Lubumbashi [Doctoral thesis in medicine]. Lubumbashi: University of Lubumbashi; 2013.
Goldman L, Braunwald E. Practitioner Cardiology. Padua (Italy): Piccin Nuova. 2001 :680.
Sossou I. Evolutionary and prognostic aspects of heart failure in a cardiological environment in Parakou. Doctoral thesis in medicine. Parakou: Faculty of Medicine of the University of Parakou; 2016 :163
Léopold CH, Mahougnon DSH, Alphonse BCO, Mawuton STG, Melic BC, Nicolas AH, Dèdonougbo HM. Outcomes of patients with heart failure followed in a cardiological setting to parakou from 2016 to 2020. World Journal of Cardiovascular Diseases. 2022 12:490-506.
N’guissan N. Heart failure and supraventricular arrhythmia in the elderly [Doctoral thesis in medicine]. Bamako: University of Bamako; 2010: 46-59.
Bourdarias JP, Cacoub P, Bierling P. Cardiac and vascular pathology. Hemostasis and thrombosis. Medicine-science. Flammarion (Paris). 2017:291-305.
Benyass A, Bouzelmat H, Asfalou I et al. A look at the management of heart failure in a Moroccan hospital center. RMC No. 18. 2010:4-8.
Dr. Kahn J. Supraventricular arrhythmias. In The Supremacy of Radio: 1-5. Available:https://node-2.president.ub.io/chapitre1lasuprématiede la radio44.pdf&sa.
De Roy L, El Allaf D, Renard M.: Heart rhythm disorders in medical practice. 4th ed. Paris: Masson Elsevier; 2006 :224
Thomas Cardiology. Francophone Universities Collection. Edition Ellipse AUPELF/UREF. 2002: 123.
Marie B. Arrhythmia chart. 2015. [Consulted on February 09, 2015 at 6:58 p.m.]. Online: http://inhalotherapie.com/wp-content:upload.
B. Lown and M. Wolf, Approaches to sudden death from coronary artery disease, in circulation. 1971 ;44(1):130-42. DOI: 10.1161/01.CIR.44.1.130
PMID 4104697
Thiam M. Heart failure in African cardiology settings. Bull Soc Pathol Exot. 2003: 217-218.
Diallo B, Sanogo K, Diakite S, Diarra M.B, Toure MK. Heart failure at the G-spot hospital. Mali Medical. 2004;2:15-7.
Kingue S, Dzudie A, Menanga A, Akono M, Ouankou M, Muna W. A new look at adult chronic heart failure in Africa in the era of Doppler echocardiography: experience of the medical department of Yaoundé General Hospital; Ann Cardiol Angéiol. 2005; 54: 276-283.
Feldman DE, Ducharme A, Gianett N, Frenette M, Michel C, Grondin F, et al. Outcomes for women and men who attend heart failure clinic: results of 12-month longitudinal study. J cardiac Fail. July 2011; 17 (5): 540-6.
Sharif-Askari NS, Sulaiman SA, Sharif-Askari FS, Hussain AA, Tabatabai S, Al-Mulla AA. Hospitalized heart failure patients with preserved vs reduced ejection fraction in Dubai, United Arab Emirates: a prospective study. Eur J Heart Fail. 2014; 16: 454-60.
Conde-Martel A, Formiga F, Pérez-Bocanegra C, Armengou-Arxé A, Muela-Sanchez C, Diez-Manglano J, et al. Clinical characteristics and one-year survival in heart failure patients more than 85 years of age compared younger. Eur J Intern Med. 2013;24:339-45.
Testa G, Cacciatore F, Galizia G, Della-Morte D, Mazzella F, Russo S et al. Charlson Comorbidity Index does not predict long-term mortality in elderly subjects with chronic heart failure. Age and Aging. 2009; 38:734–40.
World Health Organization (WHO). World Health Statistics 2012 [webpage]. Geneva: WHO; 2012. Available:http://www.who.int/gho.
Access on September 20, 2017 at 9 p.m.
Traoré A. Heart rhythm disorders during heart failure at Gabriel Touré Hospital and at Point G Hospital. Doctoral thesis in medicine. Mali: University of Bamako. 2008:148
Idbenyahia S, Khatouri A. The etiological diagnosis of heart failure. Doctoral thesis in medicine. Marrakech: Faculty of Medicine and Pharmacy. 2011:118
Ikama MS, Kimbally-Kaky G, Gombet T et al. Heart failure in the elderly in Brazzaville: clinical, etiological and evolutionary aspects. Department of Cardiology and Internal Medicine, Hospital and University Center of Brazzaville, Congo. Med Too. 2008;68:257-260.
Hamadou B, Menanga A, Makuetche E et al. Value of holter ECG in the evaluation of poor prognostic indicators in dilated cardiomyopathies. Tropical Cardiology n°137. 2013:3-6.
Opie LH, Secdat YK. Hypertension in sub-Saharan African populations. Traffic 2005; 112:3562-8.
Ntusi NB, Mayosi BM. Epidemiology of heart failure in sub-saharan africa. Ex pert Rev Cardiovascular Ther. 2009;7:169-80.
Ellenga Mbolla BF, Gombet TR, Atipo-Ibara BI, Etitiele F, Kimbally-Kaky G. Impact of severe hypertension in acute heart failure in Brazzaville, Congo. Tropical Medicine and Health 2012; 22:8.
Kheyi J, Benelmakki A, Bouzelmat H, Chaib A. Epidemiology and management of heart failure in a Moroccan center. Pan African Medical Journal 2016; 24:85.
Pio M, Afassinou Y, Pessinaba S. Epidemiology and etiologies of heart failure in Lomé. Pan African Medical Journal 2014; 18:183.
Mupinsie L. Clinical and epidemiological characteristics of congestive heart failure in Lomo. Doctoral thesis in medicine, Congo: Simon Kimbangu University; 2005. Page 105
Parada ED, Garcia FM, Gaona VL, Vara SG, Jaurrieta JJ. Mortality and functional evolution at one year after hospital admission due to heart failure (HF) in elderly patients. Arch Gerontol Geriat. 2012; 52:261-5.
McMurray JJ, Stewart S. Epidemiology, etiology and prognosis of heart failure. Heart 2000;83:596-602.
Abderrhamane MO. Heart failure in the elderly in the cardiology department of the hospital at point : Epidemiology, Physiopathology, Clinic, Therapeutics and Evolution. Doctoral thesis in medicine, Bamako; 2004:148.
ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal; 2016:85p.
Bah SS. Cardiothyreosis at Point Hospital: Socio-demography, Clinic and Treatment. Doctoral thesis in medicine, Bamako. 2001:112
Haissaguerre M, Bonnet J, Le Golf G et al. Prevalence, significance and prognosis of ventricular arrythmia in 236 cases of dilated myocardiopathy. Arch Evil Heart Vaiss. 1986;79:32-8.
Camara S. 24-hour long-term electrocardiographic (holter) recording in peripartum idiopathic cardiomyopathy. Doctoral thesis in medicine. Dakar: Cheik Anta Diop University. 2002:77
Fauchier JP, Cosnay P, Babuty D, Placente M, Rouesnel P, Estepo J. Study of the arrhythmogenic potential of dilated cardiomyopathies. Arch Evil Heart. 1991;84:95-103.
Kron J, Hart M, Schualberke S, Niles NR, Hosenpud JD, Mcanulty JH. Idiopathic dilated cardiomyopathy: Role of programmed electrical stimulation and holter monitoring in predicting those at risk of sudden death. Chest. 1988;93:85-90.
Grimm W, Hoffman J, Muller H, Maisch B. Implantable defibrillator events rates in patients with idiopathic cardiomyopathy, nonsustained ventricular tachycardia on holter and left ventricular ejection fraction below 30%. J Am Coll Cardiol. 2002; 39:780-7.
Meinertz T, Hoffman T, Kasper W. Significance of ventricular arrythmias in idiopathic dilated cardiomyopathy. Am J Cardiol. 1984; 53:902-7.
Huang SK, Messer JV, Denes P. Significance of ventricular tachycardia in idiopathic dilated cardiomyopathy: observations in 35 patients. Am J Cardiol. 1983; 51:507-11.
Maia IG, Drummond NC, Montera M, et al. Evaluation of ventricular arrythmogenic profile of patients with dilated cardiomyopathy and reduced ejection fraction. Arq Bras Cardiol. 1998;70:237-41.
Hagege A, Desnos M, Fernandez F, et al. Prognostic factors of dilated cardiomyopathies. Arch Evil Heart Vaiss. 1998; 81:1473-79.
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