PMID- 30270832
OWN - NLM
STAT- MEDLINE
DCOM- 20190328
LR  - 20190328
IS  - 2261-2211 (Electronic)
IS  - 2261-3684 (Linking)
VI  - 28
IP  - 3
DP  - 2018 Aug 1
TI  - Acute coronary syndromes: epidemiological, clinical, paraclinical and therapeutic 
      characteristics at the Campus teaching hospital of Lome, Togo.
PG  - 285-288
LID - 10.1684/mst.2018.0825 [doi]
AB  - INTRODUCTION: The aim of this work was to describe the epidemiological, clinical, 
      and therapeutic characteristics of acute coronary syndromes (ACS) in the 
      cardiology department of Lome Campus University Hospital in Togo. METHODOLOGY: We 
      conducted a prospective study that consistently included patients hospitalized 
      from 2014 to 2017 for ACS, based on clinical, electrocardiographic, and 
      laboratory findings. RESULTS: Of 1914 patients admitted to the department during 
      the study period, 67 were admitted for ACS, for a 3.5% prevalence. The (M/F) sex 
      ratio was 1.91. Patients' mean age was 60 +/- 12 years. The clinical presentation 
      was an ST elevation myocardial infarction (STEMI) in 71.6% of cases, and 
      non-STEMI in 28.4% of cases, including 18.1% non-Q-wave infarction and 10.3% 
      unstable angina. The mean time to admission after the onset of symptoms was 81.9 
      +/- 124.6 hours. Patients were transported to the hospital by a private vehicle in 
      82.1% of cases. Thrombolysis was performed for 14.6% of patients (7/48 patients 
      with ACS STEMI), with a success rate of 85.7% (n=6). In-hospital mortality was 
      10.5% (7/67). This mortality was significantly associated with the interval from 
      onset of symptoms to admission and with the Killip stage. CONCLUSION: Acute 
      coronary syndromes are increasingly common in Togo. They are characterized by a 
      relatively young age and a long delay until admission. Improving the management 
      of these conditions in our countries requires effective primary prevention.
FAU - Pessinaba, S
AU  - Pessinaba S
AD  - Service de cardiologie, CHU Campus, BP 30284 Lome, Togo.
FAU - Atti, Y D M
AU  - Atti YDM
AD  - Service de cardiologie, CHU Campus, BP 30284 Lome, Togo.
FAU - Yayehd, K
AU  - Yayehd K
AD  - Service de cardiologie, CHU Campus, BP 30284 Lome, Togo.
FAU - Simwetare, M B F
AU  - Simwetare MBF
AD  - Service de cardiologie, CHU Campus, BP 30284 Lome, Togo.
FAU - Kaziga, W
AU  - Kaziga W
AD  - Service de cardiologie, CHU Campus, BP 30284 Lome, Togo.
FAU - Afassinou, Y M
AU  - Afassinou YM
AD  - Service de cardiologie, CHU Campus, BP 30284 Lome, Togo.
FAU - Atta, B
AU  - Atta B
AD  - CHU Sylvanus Olympio, Lome, Togo.
FAU - Pio, M
AU  - Pio M
AD  - CHU Sylvanus Olympio, Lome, Togo.
FAU - Kpelafia, M
AU  - Kpelafia M
AD  - Service de cardiologie, CHU Campus, BP 30284 Lome, Togo.
FAU - Baragou, S
AU  - Baragou S
AD  - CHU Sylvanus Olympio, Lome, Togo.
FAU - Damorou, F
AU  - Damorou F
AD  - Service de cardiologie, CHU Campus, BP 30284 Lome, Togo.
LA  - eng
PT  - Journal Article
TT  - Les syndromes coronaires aigus : aspects epidemiologiques, cliniques, 
      paracliniques et therapeutiques au CHU Campus de Lome, Togo.
PL  - France
TA  - Med Sante Trop
JT  - Medecine et sante tropicales
JID - 101581406
SB  - IM
MH  - *Acute Coronary Syndrome/diagnosis/epidemiology/therapy
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Hospitals, Teaching
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Togo
OTO - NOTNLM
OT  - Togo
OT  - acute coronary syndrome
OT  - epidemiology
OT  - treatment
EDAT- 2018/10/03 06:00
MHDA- 2019/03/29 06:00
CRDT- 2018/10/02 06:00
PHST- 2018/10/02 06:00 [entrez]
PHST- 2018/10/03 06:00 [pubmed]
PHST- 2019/03/29 06:00 [medline]
AID - mst.2018.0825 [pii]
AID - 10.1684/mst.2018.0825 [doi]
PST - ppublish
SO  - Med Sante Trop. 2018 Aug 1;28(3):285-288. doi: 10.1684/mst.2018.0825.