Author(s)

Coulibaly Alhousseny^1*, Dollo Ibrahim¹, Guindo Hamadoun¹, Sidibé Lamine², Mariko Souleymane³, Traoré Bassirima³, Dao Karim⁴, Guindo Ibrahim¹, Togo Mamadou⁴, Sidibé Samba⁴, Sangaré Ibrahima⁴, Ba Hamidou Oumar⁴, Ichiaka Menta⁴

¹Departement of Medicine, Gao Hospital, Gao, Mali.
²Departement of Medicine, Mopti Regional Hospital, Mopti, Mali.
³Departement of Medicine, Tombouctou Hospital, Tombouctou, Mali.
⁴Departement of Cardiology, CHU Gabriel TOURE, Bamako, Mali.

Introduction: Heart failure is a major public health pandemic, particularly in Africa, where its prevalence continues to increase. In northern Mali, few data exist, hence the interest of this study with the objective of studying the epidemiological, clinical and therapeutic and evolutionary aspects of Heart failure at the regional hospital of Gao. Patients and Methods: This was a cross-sectional, descriptive study that took place from July 2022 to June 2023 in the medical department at Gao Hospital. Results: The hospital prevalence of heart failure was 44.1%. The mean age was 47.30 ± 20 years (range: 16-88). Hypertension was the most common with 46.1%, followed by a sedentary lifestyle, and diabetes with 18.2% and 8.3% respectively; NYHA stage III-IV dyspnea was found in 83.9%. Reduced EF heart failure was present in 110 patients (76.9%), seventeen cases with moderately reduced EF (11.9%) and sixteen patients had preserved EF (11.2%). Global heart failure was the dominant (91.6%). The main etiologies of heart failure were dominated by hypertensive heart disease in 46 patients (32.2%), followed by postpartum cardiomyopathy with 43 cases (30.1%), primary dilated cardiomyopathy in 18 patients (12.6%), ischemic heart disease in 16 patients with 11.2%. Seven cases of valvular heart disease, or 4.9%. The evolution was favorable under treatment in 104 patients or 72.7%. In-hospital mortality was 14.7%. Conclusion: Heart failure is a common condition in sub-Saharan Africa, particularly in our country.

Heart Failure, Epidemioclinical, Progressive, Gao Hospital

Alhousseny, C. , Ibrahim, D. , Hamadoun, G. , Lamine, S. , Souleymane, M. , Bassirima, T. , Karim, D. , Ibrahim, G. , Mamadou, T. , Samba, S. , Ibrahima, S. , Oumar, B. and Menta, I. (2024) Epidemiological, Clinical, Therapeutic, and Evolutionary Aspects of Heart Failure in the Medical Department at Gao Regional Hospital. World Journal of Cardiovascular Diseases, 14, 309-321. doi: 10.4236/wjcd.2024.145025.