PMID- 23842640
OWN - NLM
STAT- MEDLINE
DCOM- 20140501
LR  - 20160524
IS  - 2261-2211 (Electronic)
IS  - 2261-3684 (Linking)
VI  - 23
IP  - 2
DP  - 2013 May 1
TI  - [Heart failure patterns in Djibouti: epidemiologic transition].
PG  - 211-6
LID - 10.1684/mst.2013.0188 [doi]
AB  - BACKGROUND: The features of heart failure (HF) in Djibouti have not been well 
      described. We sought to document the current patterns of HF here. METHODS: We 
      prospectively included Djiboutian adults hospitalized for HF in the French 
      Military Hospital (Djibouti) from August 2008 through December 2010. RESULTS: Of 
      1688 adults hospitalized in the medical department, 45 (2.7%) had symptomatic HF: 
      38 (84%) men, mean age 55.8 years (range 27-75). Twenty-five (56%) patients were 
      initially hospitalized for acute pulmonary edema. The underlying diseases 
      included coronary artery disease (CAD) (62%), hypertensive heart disease (18%), 
      rheumatic valvular disease (13%), and primary dilated cardiomyopathy (7%). Their 
      cardiovascular risk factors included tobacco use (53%), hypertension (69%), 
      diabetes (47%), and hypercholesterolemia (51%). Patients in the CAD group were 
      older, and had diabetes more often (p<0.01). All khat chewers (53%) were males 
      and smokers. Mean left ventricular ejection fraction (LVEF) was 39 +/- 14%. During 
      follow-up (14.4 +/- 9 months), 8 (18%) patients died, 9 (20%) were again 
      hospitalized for HF, and 3 (7%) had ischemic strokes. One month after discharge, 
      the New York Heart Association (NYHA) class was II for 40%, III for 44%, and IV 
      for 16%. Higher NYHA classes and dilated cardiomyopathy were both associated with 
      poorer outcomes (p<0.03). CONCLUSION: In hospitalized Djiboutians, most HF 
      patterns are similar to those in industrialized countries. CAD is more prevalent 
      than previously reported in African patients with HF.
FAU - Massoure, P L
AU  - Massoure PL
AD  - Service de cardiologie, hopital d'instruction des armees Laveran, boulevard A. 
      Laveran, 13384 Marseille cedex 13, France. plmassoure@aol.com
FAU - Roche, N C
AU  - Roche NC
FAU - Lamblin, G
AU  - Lamblin G
FAU - Topin, F
AU  - Topin F
FAU - Dehan, C
AU  - Dehan C
FAU - Kaiser, E
AU  - Kaiser E
FAU - Fourcade, L
AU  - Fourcade L
LA  - fre
PT  - English Abstract
PT  - Journal Article
TT  - Insuffisance cardiaque chez l'adulte a Djibouti : la perspective d'une transition 
      epidemiologique.
PL  - France
TA  - Med Sante Trop
JT  - Medecine et sante tropicales
JID - 101581406
SB  - IM
MH  - Adult
MH  - Aged
MH  - Djibouti
MH  - Female
MH  - Heart Failure/*epidemiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
OTO - NOTNLM
OT  - Djibouti
OT  - coronary disease
OT  - dilated cardiomyopathy
OT  - heart failure
OT  - high blood pressure
OT  - khat
EDAT- 2013/07/12 06:00
MHDA- 2014/05/03 06:00
CRDT- 2013/07/12 06:00
PHST- 2013/07/12 06:00 [entrez]
PHST- 2013/07/12 06:00 [pubmed]
PHST- 2014/05/03 06:00 [medline]
AID - mst.2013.0188 [pii]
AID - 10.1684/mst.2013.0188 [doi]
PST - ppublish
SO  - Med Sante Trop. 2013 May 1;23(2):211-6. doi: 10.1684/mst.2013.0188.