Acute Coronary Syndromes in Semi-Urban African Areas: Clinical Aspects and Management in Ziguinchor (Senegal) ()
ABSTRACT
Context and Objectives: Acute coronary syndromes (ACS) constitute
a major medical emergency. In Senegal, outside the capital Dakar, there is a
lack of appropriate care structures. The objective of this work was to study
the ACS treatment in the city of Ziguinchor. Methodology: This was a
retrospective study of acute coronary syndromes’ cases admitted to the two-level
two hospitals in the city of Ziguinchor from January 1, 2016 to December 31,
2019. We included all patients with acute angina pain at rest and/or
electrocardiographic changes in at least two contiguous leads. The data were
analysed using sphinx V5 software. Results: 57 cases were collected. The
average age was 60.1 ± 14.1 years. There was a male predominance with a sex
ratio of 3.7. The majority of patients arrived at the hospital by unsafe
delivery (70.5%). Symptomatology was dominated by typical angina pain (50.8%).
On the electrocardiogram, a majority of acute coronary syndromes with ST
segment shift were observed (70.2%). Doppler echocardiography found
abnormalities in segmental kinetics in 69.8% of cases. The troponin dosage was
performed in 7 patients, i.e. 12.3%.
The average time of treatment was 3.4 ± 4.5 days. Medical treatment remained
standard and no patient was thrombosed. The average hospitalization period was
5 ± 3.2 days. The hospital lethality was 7.2%. Conclusion: Acute
coronary syndromes constitute a medical emergency. Diagnostic and therapeutic
means are lacking in a city like Ziguinchor, hence the importance of good
prevention.
Share and Cite:
Manga, S. , Mbaye, M. , Sy, S. and Indafa, Q. (2021) Acute Coronary Syndromes in Semi-Urban African Areas: Clinical Aspects and Management in Ziguinchor (Senegal).
Open Journal of Emergency Medicine,
9, 179-187. doi:
10.4236/ojem.2021.94018.
Cited by
No relevant information.