Spectrum of heart diseases in a new cardiac service in Nigeria: An echocardiographic study of 1441 subjects in AbeokutaReportar como inadecuado




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BMC Research Notes

, 1:98

First Online: 28 October 2008Received: 22 June 2008Accepted: 28 October 2008DOI: 10.1186-1756-0500-1-98

Cite this article as: Ogah, O.S., Adegbite, G.D., Akinyemi, R.O. et al. BMC Res Notes 2008 1: 98. doi:10.1186-1756-0500-1-98

Abstract

BackgroundEchocardiography is a non-invasive, relatively cheap and useful imaging technique for the evaluation of cardiac diseases. The procedure has reliable levels of accuracy.

Echocardiography commenced at the Federal medical centre Abeokuta on September 9, 2005.

The aim of this study is to report our experience with the procedure, and to define the clinical cases seen in our setting.

MethodsThis is a retrospective analysis of a prospectively collected data. Echocardiography was performed using Aloka SSD 1,100 echocardiograph equipped with 2.5–5.0 MHz transducer

ResultsDuring the period of 18 months under review September 2005–February 2007, 1629 procedures were performed. The reports of 188 echocardiograms were excluded due to poor echo-window, repeated procedure or incomplete report. 1441 reports were reviewed for demographic parameter, indications for the procedure and the main echocardiographic diagnoses.

The mean age of the 1441 individuals studied was 54 +- 14.3 years 15–90. There were 744 men and 697 women. Eight hundred and seventeen subjects 56.7% had hypertensive heart disease, 53 subjects 3.7% had rheumatic heart disease while 443.0% had dilated cardiomyopathy. Pericardial diseases, cor-pulmonale, ischaemic heart disease, congenital heart diseases, diabetic heart disease, thyroid heart disease, sickle cell cardiopathy were present in 261.8%, 231.6%, 90.6%, 60.4%, 60.4%, 60.4%, 10.1%, and 10.1% respectively. Four hundred and forty nine 31.2% subjects had normal study.

ConclusionHypertensive heart disease was found to be the most prevalent cardiac condition in this study. The relatively frequent diagnoses of rheumatic heart disease, cardiomyopathies and pericardial diseases reflect the impact of infections and infestations on the cardiovascular health of adult Nigerians.

We suggest that prevention and treatment of cardiac diseases in our setting should among other things focus on blood pressure control and early treatment of infections causing heart diseases.

Electronic supplementary materialThe online version of this article doi:10.1186-1756-0500-1-98 contains supplementary material, which is available to authorized users.

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