Clinic Evaluation of Heart Failure of Old People in the Department of Internal Medicine of Point G University Hospital from 2008 to 2012
- 1 Department of Internal Medicine, Point G University Hospital, Bamako, Mali
- 2 Department of Internal Medicine, Point G University Hospital, Bamako, Mali
- 3 Department of Internal Medicine, Point G University Hospital, Bamako, Mali
- 4 Department of Internal Medicine, Point G University Hospital, Bamako, Mali
- 5 Department of Cardiac Disease, Point G University Hospital, Bamako, Mali
- 6 Department of Internal Medicine of Children and Mothers, Le Luxembourg University Hospital, Bamako, Mali
- 7 Department of Internal Medicine, Point G University Hospital, Bamako, Mali
- 8 Internal Medicine Service, Nianankoro Fomba Hospital, Ségou, Mali
- 9 Department of Internal Medicine, Point G University Hospital, Bamako, Mali
- 10 Department of Internal Medicine, Point G University Hospital, Bamako, Mali
- 11 Department of Internal Medicine, Point G University Hospital, Bamako, Mali
- 12 Department of Internal Medicine, Point G University Hospital, Bamako, Mali
- 13 Department of Internal Medicine, Point G University Hospital, Bamako, Mali
- 14 Department of Internal Medicine, Point G University Hospital, Bamako, Mali
- 15 Department of Internal Medicine, Point G University Hospital, Bamako, Mali
- 16 Department of Internal Medicine, Point G University Hospital, Bamako, Mali
- 17 Department of Internal Medicine, Point G University Hospital, Bamako, Mali
- 18 Department of Internal Medicine, Point G University Hospital, Bamako, Mali
Abstract
Justification: Heart failure (HF) is the evolutionary end of all cardiac diseases. Given the aging population, the rate of incidence is increasing among the elderly. Objectives: The study aims to determine the prevalence of heart failure in the elderly; to describe the clinical aspects; describe etiologies; describe the therapeutic aspects; and describe the evolution of heart failure among the elderly. Method: This was a retrospective study over five years on the operating records of patients hospitalized in the internal medicine department of Hospital Point G. Result: The study included records of 22 elderly patients who were with heart failure of a total of 595 patients hospitalized from 1st January 2008 to 31st December 2012. The prevalence rate was 3.7%, and the average age was 67 ± 7.79 years. The sex ratio was equal to 1. HTA accounted for the cardiovascular risk factors in 77.3%. 72.7% of patients had the symptom of dyspnea and 95.5% of patients had the symptom of IMO. According to the cardiac ultrasound, dilation of the OG represented 68.2% of cases, followed by impaired LVEF (63.6%). The etiologies of IC were represented by dilated cardiomyopathy (95.5%), followed by 13.6% in cardiothyreosis. Drug treatment was dominated by the use of diuretics, ACE inhibitors and sodium diet respectively 95.5%; 81.8% and 45.5% of cases. The clinical outcome was favorable in 73%. We recorded four (4) cases of death, which accounted for 18% of patients.
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