Author(s)

M. Leye¹, I. Basse¹, R. Godonou¹, D. A. Affangla¹, D. M. Ba^1*, N. N. Diawara¹, A. B. Sibabi Sibabi¹, A. Phiri¹, M. Dioum², F. Diaby¹, S. Akani¹, K. Gueye¹, N. R. Diagne¹, B. M. Diop¹

¹Unité de Formation et de Recherche en sciences de la santé, Université de Thiès, Thiès, Sénégal.
²Faculté de Médecine de Pharmacie et d’odontologie, Université Cheikh Anta Diop de Dakar, Dakar, Sénégal.

Introduction: Heart failure is a major cause of morbidity and mortality in children. The authors aimed to report the epidemiological and etiological characteristics of heart failure (HF) in children in Senegal. Patients and Methods: This was a retrospective study conducted at the Children’s Hospital of Diamniadio (CHD) from 01-01-2016 to 31-12-2017. Children aged 0 to 15 years with heart failure confirmed by echocardiography were included. Results: Sixty-six children were admitted for heart failure. The prevalence of HF was 5.3‰. The mean age of the children was 41.59 months ± 53.35 months (range: 0 to 168 months). The 0 - 5 age group was the most represented (n = 48; 72.72%). The HF concerned 38 boys and 28 girls, a sex ratio (M/F) of 1.36. The majority of our patients came from the semi-urban area (42.4%). The etiology of HF was represented in order of frequency by congenital heart disease, rheumatic heart disease and cardiomyopathy with 59.09% of cases, 22.73% of cases and 7.58% of cases respectively. It was unknown in 4.54% of the cases. At echocardiography, the left ventricular ejection fraction (LVEF) was impaired (less than 50%) in 19 patients, in 29.2% of cases with an average of 64% +/- 15.16% (extremes: 24% and 86%). Anemia was the comorbidity most commonly associated with their condition (n = 33%; 50%). Conclusion: Heart failure in children is uncommon. The main etiology is represented by congenital heart disease.

Heart Failure, Children, Congenital Heart Disease, Senegal

Leye, M. , Basse, I. , Godonou, R. , Affangla, D. , Ba, D. , Diawara, N. , Sibabi, A. , Phiri, A. , Dioum, M. , Diaby, F. , Akani, S. , Gueye, K. , Diagne, N. and Diop, B. (2020) Heart Failure in Children: Epidemiological, Etiological and Diagnostic Aspects in Diamniadio Children’s Hospital (Senegal). World Journal of Cardiovascular Diseases, 10, 12-18. doi: 10.4236/wjcd.2020.101002.