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Deloche, A., Babatasi, G., Baron, O., Roux, D., Chauvaud, S., Sidi, D. and Vouhé, P. (2011) La chirurgie cardiaque pédiatrique dans les pays en voie de développement. Vingt ans d’expérience de la Chaîne de l’Espoir. Bulletin de l’Académie Nationale de Médecine, 195, 305-308.

has been cited by the following article:

  • TITLE: Epidemiology of Cardiovascular Diseases in Children at the Teaching Hospital of Brazzaville, Congo

    AUTHORS: Anne Berthe M’pemba Loufoua-Lemay, Alphonse Massamba

    KEYWORDS: Congenital Heart Diseases, Acquired Heart Diseases, Children, Brazzaville, Sub-Saharan Africa

    JOURNAL NAME: World Journal of Cardiovascular Diseases, Vol.6 No.11, November 24, 2016

    ABSTRACT: Context: Several studies were conducted throughout the world on heart diseases in children; no data is available in Congolese child. Objective: To evaluate epidemiological profile of Congolese children and teenager carrying cardiovascular diseases. Methods: A descriptive and prospective study was carried out during 4 years in the pediatric department of teaching hospital of Brazzaville, near the children received in consultation of pediatric cardiology. Results: On 41,472 patients admitted in pediatric service, 526 patients were received in consultation for suspicion of heart diseases. Among them, 444 had cardiopathy (incidence of 10.7‰). It was about a congenital heart disease to 316 (60%) incidence of 7.6‰; Acquired heart disease to 128 (24.4%) incidence of 3.1‰. Among congenital heart defects observed frequency of patients with ASD was 20.3%, isolated in 10.1% of cases, and associated with ECD (11.8%). The VSD was observed in 30.1% of cases, and the Tetralogy of Fallot in 10.1% of cases. Among the acquired heart diseases, severe hypo kinetic dilated cardiomyopathy (DCM) was noted in 24.4% of cases. The rheumatic heart diseases accounted for 41.4% of cases. It was mitral regurgitation (33.6%), a mitral stenosis (1.6%). Pericarditis was objectified at 10.1% of the patients. The evolution was favorable for 43.3% of patients. An aggravation of symptoms was observed to 2.7% of patients. Mortality was 11.9% and 71.9% of deaths were observed to not operate carriers of congenital heart disease. 69.9% of dead patients were carrying a cyanogen heart disease. Left to right shunt represented 21.7% of the deaths. Conclusion: Heart diseases are real problem of public health for Congolese children.