Author(s)

Afassinou Yaovi Mignazonzon^1*, Dola Kossi Edem¹, Pessinaba Soulemane², Atta Borgatia³, Pio Machihude⁴, Baragou Soodougoua¹, Damorou Findibe²

¹Cardiology Department, Sylvanus Olympio Teaching Hospital of Lome, Lome, Togo.
²Cardiology Department, Teaching Hospital Campus of Lome, Lome, Togo.
³Medical Department, Sokode Regional Hospital Center, Sokode, Togo.
⁴Cardiology Department, Kara Teaching Hospital, Kara, Togo.

Background: Cardiovascular disease is the leading cause of death worldwide. The specificities of cardiology mortality in Togo are not well known. The objective of this study was to determine the profile of deaths in the cardiology department of the Sylvanus Olympio Teaching Hospital (CHU SO) in Lome. Materials and Methods: This was a cross-sectional study conducted over a period of 06 years, from January 1, 2015 to December 31, 2021, in the cardiology department of the Sylvanus Olympio Teaching Hospital in Lome. In this study, we included all medical records of patients who died in hospital in the cardiology department during the study period. Results: During the study period, 2762 patients were hospitalized in the cardiology unit at CHU SO. We recorded 112 deaths meeting our criteria, for an intrahospital mortality rate of 4.19%. The average age of patients was 53.79 ± 18.27 years. Hypertension was present in 47.3%. Sickness insurance coverage was not available for 94.64% of those who died. The major cardiovascular diseases observed were myocardium in 43.75% whose dilated cardiomyopathy accounted for 71.42%; and rhythmic lesions in 34.82%. Biological infectious syndrome (56.25%), renal failure (48.21%), anemia (47.27%), lung infection (32.14%), hyponatremia (33.04%) were the main comorbidities observed. Among the circumstances of death, sudden death was found in 32.14%, cardiogenic shock in 20.54% and septic shock in 13.39%. Conclusion: The profile of deaths in the cardiology department of the CHU SO reveals that myocardial injuries are more present with circumstances of death dominated by sudden death.

Mortality Rate, Cardiology, CHU Sylvanus Olympio

Mignazonzon, A. , Edem, D. , Soulemane, P. , Borgatia, A. , Machihude, P. , Soodougoua, B. and Findibe, D. (2023) Mortality in Cardiology in Sub-Saharan Africa: Case of the Cardiology Department of the Teaching Hospital Sylvanus Olympio of Lome. World Journal of Cardiovascular Diseases, 13, 477-492. doi: 10.4236/wjcd.2023.138042.