Profile of Cardiovascular Diseases of Diabetics Admitted in Fann and Dantec Cardiology Departments
- 1 Cardiolgy Department, Fann National University Hospital Center, University Cheikh Anta Diop, Dakar, Sénégal
- 2 Cardiolgy Department, Fann National University Hospital Center, University Cheikh Anta Diop, Dakar, Sénégal
- 3 Cardiolgy Department, Fann National University Hospital Center, University Cheikh Anta Diop, Dakar, Sénégal
- 4 Cardiolgy Department, Fann National University Hospital Center, University Cheikh Anta Diop, Dakar, Sénégal
- 5 Cardiolgy Department, Hospital Aristide Le Dantec, University Cheikh Anta Diop, Dakar, Sénégal
- 6 Cardiolgy Department, Hospital Aristide Le Dantec, University Cheikh Anta Diop, Dakar, Sénégal
- 7 Cardiolgy Department, Fann National University Hospital Center, University Cheikh Anta Diop, Dakar, Sénégal
- 8 Cardiolgy Department, Hospital Aristide Le Dantec, University Cheikh Anta Diop, Dakar, Sénégal
Abstract
Introduction: Cardiovascular diseases (CVD) are the most important cause of morbidity and mortality in type 2 diabetes (T2D). The objective of this study was to describe the profile of cardiovascular diseases of diabetics admitted at the cardiology departments of Aristide Le Dantec and Fann hospitals. Patients and Methods: This was a retrospective, descriptive and analytical study conducted on January 1st and December 31st, 2020 at the Dantec and Fann cardiology departments in Dakar. We studied epidemiological, diagnostic, therapeutic and evolutionary data. The data 7 was analyzed with STATA 14 software. Results: Of the 1483 patients hospitalized in both cardiology departments, one hundred and thirty-three (133) were diabetic, the hospital frequency was 9.01%. The average age was 62.3 ± 11.2 years. The sex ratio (M/F) was 0.8. Almost half (47.4%) of patients had a duration of diabetes greater than 10 years. Cardiovascular risk factors were dominated by physical inactivity (84.2%), menopause (81.9%) and hypertension (64.7%). Heart failure was the most common clinical manifestation with 45.1%. The prevalence of acute coronary artery disease in our study was 37.59%, followed by lower limbs peripheral arterial disease (9.7%) and stroke (3%). Concerning the treatment, 119 patients were on anti-diabetic treatment. Most patients were on aspirin (79%), cholesterol-lowering drugs (78.95%) and ACE inhibitor (77.44%). Percutaneous coronary intervention was performed in 19 patients. 12.03% of patients diabetics died during hospitalization. Conclusion: Cardiovascular events are common during type 2 diabetes. Their management is important to avoid complications that can be fatal.
- WHO’s STEPwise Approach to Chronic Disease Risk Factor Surveillance. https://cdn.who.int/media/docs/default-source/ncds/ncd-surveillance/data-reporting/senegal/steps/senegal_2015_steps_fs.pdf?sfvrsn=10edbc32_3&download=true https://www.scirp.org/journal/paperinformation
- Diop, S.N. and Diédhiou, D. (2015) Diabetes Mellitus in Sub-Saharan Africa: Epidemiological and Socio-Economic Aspects. Medicine of Metabolic Diseases, 9, 123-129. https://doi.org/10.1016/S1957-2557(15)30030-4
- Sun, H., Saeedi, P., Karuranga, S., Pinkepank, M., Ogurtsova, K., Duncan, B.B., et al. (2022) IDF Diabetes Atlas: Global, Regional and Country-Level Diabetes Prevalence Estimates for 2021 and Projections for 2045. Diabetes Research and Clinical Practice, 183, Article ID: 109119. https://doi.org/10.1016/j.diabres.2021.109119
- Saeedi, P., Petersohn, I., Salpea, P., Malanda, B., Karuranga, S., Unwin, N., et al. (2019) Global and Regional Diabetes Prevalence Estimates for 2019 and Projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice, 157, Article ID: 107843. https://doi.org/10.1016/j.diabres.2019.107843
- Abduelkarem, A.R., El-Shareif, H.J. and Sharif, S.I. (2010) Prognostic Indices for Hospital Mortality among Libyan Diabetic Patients. Practical Diabetes International, 27, 392-395. https://doi.org/10.1002/pdi.1528
- Dionadji, M., Oumar, A., Nodjito, M. and Ibrahim, A. (2015) Prevalence of Medical complications among Diabetics Hospitalized at the National Reference General Hospital of Ndjamena. Health Sciences and Disease, 16. https://www.hsd-fmsb.org/index.php/hsd/article/view/553
- Djiby, S.O.W., Diedhiou, D., Diallo, I.M., Ndour, M.A., Ndiaye, A., Cisse, M.K., et al. (2018) Study of Cardiovascular Risk Factors in Type 2 Diabetic Patients at the Marc Sankalé Centre in Dakar. African Journal of Internal Medicine, 5, 43-49.
- Mbaye, A., Babaka, K., Ngaïde, A.A., Gazal, M., Faye, M., Niang, K., et al. (2018) Prevalence of Cardiovascular Risk Factors in Semi-Rural Area in Senegal. Annales de Cardiologie et d’Angéiologie (Paris), 67, 264-269. https://doi.org/10.1016/j.ancard.2018.04.005
- Detournay, B., Raccah, D., Cadilhac, M. and Eschwege, E. (2005) Epidemiology and Costs of Diabetes Treated with Insulin in France. Diabetes & Metabolism, 31, 3-18.
- Khadija, D., El Ansari, N., El Mghari, G., Anzid, K. and Cherkaoui, M. (2013) Characteristics of the Association Type 2 Diabetes and High Blood Pressure in the Subject Aged 65 and over. Pan African Medical Journal, 14, 100.