Author(s)

Désiré Alain Affangla^1,2*, Jean-Paul Degue¹, Wally Niang Mboup¹, Stéphanie Claudia Akanni², Sheikh Mouhamadou B. M. Diop¹, Malick Ndiaye¹, Jean-Michel Amath Dione¹, Hugues Elie Elame Ngwa¹, Adamson Phiri², Djibril Marie Ba^1,2, Mohamed M. C. B. O. Leye²

¹Cardiac Unit, Saint Jean de Dieu Hospital, Thies, Senegal.
²Health Sciences Training and Research Unit, University of Thies, Thies, Senegal.

Purpose: To describe the epidemiological, clinical and management characteristics of acute coronary syndromes (ACS) in Thies, Senegal. Methods: This was a prospective study that included consecutively from October 1^st, 2018 to March 03^rd, 2019, patients aged 18 years or older admitted for an ACS at the DIABCARMET department of the Saint Jean de Dieu Hospital in Thies. Results: Of the 516 patients admitted, 29 had ACS, the prevalence was 5.62%. The average age of the patients was 64.2 ± 11.6 years. Nineteen patients (65.5%) were male and 10 (34.5%) were female, the sex ratio was 1.91. The number of direct admissions was 18 (62%) versus 11 patients (38%) referred. The mode of transport was a private vehicle in 19 patients (65.5%), an ambulance in 7 patients (24.1%) and public transport in 3 patients (10.3%). STEMI (ST segment elevation myocardial infarction) was the most common presentation observed in 19 patients (65.5%). Fifteen patients (51.7%) were admitted before the 12^th hour. Of the 19 patients with STEMI, 11 (57.9%) had arrived in hospital before the 12^th hour and 10 patients had streptokinase thrombolysis. No patients received primary PCI. Ten patients (34.5%) had heart failure and five patients (17.2%) died during hospitalization. Conclusion: Delayed consultation and high mortality characterize ACS in Thies. Prevention must be the rule.

ACS, Myocardial Infarction, Thrombolysis, Thies, Senegal

Affangla, D. , Degue, J. , Mboup, W. , Akanni, S. , Diop, S. , Ndiaye, M. , Dione, J. , Ngwa, H. , Phiri, A. , Ba, D. and Leye, M. (2023) Acute Coronary Syndromes: Epidemiological, Clinical and Management Aspects in Thies (Senegal). World Journal of Cardiovascular Diseases, 13, 114-123. doi: 10.4236/wjcd.2023.133009.