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Pulmonary Arterial Hypertension: Epidemiological, Clinical Aspects and Prognoses in the Cardiology Department and Internal Medicine of CHU Brazzaville

Received: 15 December 2023     Accepted: 27 December 2023     Published: 18 January 2024
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Abstract

Pulmonary Arterial Hypertension PAH is a medical condition serious and severe. In Congo, its epidemiology and its etiologies are poorly understood. This study, aimed at improving the care of patients with PAH, was interested to epidemio-clinical aspects, and prognosis of this entity. This was a retrospective, cross-sectional study carried out from the 1st January 2021 to December 31, 2022 (2 years) in Brazzaville University Hospital. Were included 148 patients, the diagnostic criteria having permit to retain a PAH were compliant to that of the PAPUCO study (PAH if PAPS ≥ 35 mmHg, severe PAH if PAPS ≥ 60 mmHg). The heart failure syndrome was present in 140 cases (94.6%), it was right exclusively in 36 cases (24.3%). The etiologies of the group, they were present in 97 cases (66%) followed group III in 24 cases (16.2%). PAH was said to be severe in 39 cases (26.3%). The evolution has been towards complications in 29 cases (19.6%), lethality in 17 cases (11.5%). Poor prognosis factors were the existence of underlying heart disease underlying (AOR =5.6; p =0.02), male sex (AOR=4.8; p=0.02); hyperkalemia (AOR= 9.4; p=0.00). High blood pressure pulmonary is an increasingly common condition encountered in clinical practice in our context.

Published in Cardiology and Cardiovascular Research (Volume 8, Issue 1)
DOI 10.11648/j.ccr.20240801.11
Page(s) 1-6
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

PAH, Left Heart Disease, Brazzaville, Congo

References
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Cite This Article
  • APA Style

    Ngamami, S. F. M., Taty, R. J., Letomo, K. M. N., Landa, C. M. K., Naibe, G. T., et al. (2024). Pulmonary Arterial Hypertension: Epidemiological, Clinical Aspects and Prognoses in the Cardiology Department and Internal Medicine of CHU Brazzaville. Cardiology and Cardiovascular Research, 8(1), 1-6. https://doi.org/10.11648/j.ccr.20240801.11

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    ACS Style

    Ngamami, S. F. M.; Taty, R. J.; Letomo, K. M. N.; Landa, C. M. K.; Naibe, G. T., et al. Pulmonary Arterial Hypertension: Epidemiological, Clinical Aspects and Prognoses in the Cardiology Department and Internal Medicine of CHU Brazzaville. Cardiol. Cardiovasc. Res. 2024, 8(1), 1-6. doi: 10.11648/j.ccr.20240801.11

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    AMA Style

    Ngamami SFM, Taty RJ, Letomo KMN, Landa CMK, Naibe GT, et al. Pulmonary Arterial Hypertension: Epidemiological, Clinical Aspects and Prognoses in the Cardiology Department and Internal Medicine of CHU Brazzaville. Cardiol Cardiovasc Res. 2024;8(1):1-6. doi: 10.11648/j.ccr.20240801.11

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  • @article{10.11648/j.ccr.20240801.11,
      author = {Solange Flore Mongo Ngamami and Ruddy Junior Taty and Kivie Mou-moue Ngolo Letomo and Christian Michel Kouala Landa and Gankama Thibault Naibe and Jospin Karel Makani Bassoukouahou and Rog Paterne Bakekolo and Meo Stephane Ikama and Fikahem Ellenga Mbolla},
      title = {Pulmonary Arterial Hypertension: Epidemiological, Clinical Aspects and Prognoses in the Cardiology Department and Internal Medicine of CHU Brazzaville},
      journal = {Cardiology and Cardiovascular Research},
      volume = {8},
      number = {1},
      pages = {1-6},
      doi = {10.11648/j.ccr.20240801.11},
      url = {https://doi.org/10.11648/j.ccr.20240801.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20240801.11},
      abstract = {Pulmonary Arterial Hypertension PAH is a medical condition serious and severe. In Congo, its epidemiology and its etiologies are poorly understood. This study, aimed at improving the care of patients with PAH, was interested to epidemio-clinical aspects, and prognosis of this entity. This was a retrospective, cross-sectional study carried out from the 1st January 2021 to December 31, 2022 (2 years) in Brazzaville University Hospital. Were included 148 patients, the diagnostic criteria having permit to retain a PAH were compliant to that of the PAPUCO study (PAH if PAPS ≥ 35 mmHg, severe PAH if PAPS ≥ 60 mmHg). The heart failure syndrome was present in 140 cases (94.6%), it was right exclusively in 36 cases (24.3%). The etiologies of the group, they were present in 97 cases (66%) followed group III in 24 cases (16.2%). PAH was said to be severe in 39 cases (26.3%). The evolution has been towards complications in 29 cases (19.6%), lethality in 17 cases (11.5%). Poor prognosis factors were the existence of underlying heart disease underlying (AOR =5.6; p =0.02), male sex (AOR=4.8; p=0.02); hyperkalemia (AOR= 9.4; p=0.00). High blood pressure pulmonary is an increasingly common condition encountered in clinical practice in our context.
    },
     year = {2024}
    }
    

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Author Information
  • Health Sciences Faculty, Marien Ngouabi University, Brazzaville, Republic of Congo

  • Hospital Teaching of Brazzaville, Brazzaville, Republic of Congo

  • Hospital Teaching of Brazzaville, Brazzaville, Republic of Congo

  • Health Sciences Faculty, Marien Ngouabi University, Brazzaville, Republic of Congo

  • Hospital Teaching of Brazzaville, Brazzaville, Republic of Congo

  • Hospital Teaching of Brazzaville, Brazzaville, Republic of Congo

  • Hospital Teaching of Brazzaville, Brazzaville, Republic of Congo

  • Health Sciences Faculty, Marien Ngouabi University, Brazzaville, Republic of Congo

  • Health Sciences Faculty, Marien Ngouabi University, Brazzaville, Republic of Congo

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