1. Prevalence of cardiovascular disease in Gabon: A population study
- Author
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Marc Laskar, Roger Makandja, Victor Aboyans, Philippe Lacroix, Philomène kouna, Carine Ndong Allogho, Edgard Brice Ngoungou, Pierre-Marie Preux, Jean Emmanuel Ecke Nzengue, Département de Parasitologie, Mycologie et Médecine Tropicale, Faculté de Médecine-Université de Libreville, Neuroépidémiologie Tropicale (NET), Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM)-CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM), Service de Chirurgie Thoracique et Vasculaire - Médecine vasculaire [CHU Limoges], CHU Limoges, Service de cardiologie, Centre Hospitalier de Libreville, Equipe de Recherche Médicale Appliquée (ERMA), Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST FR CNRS 3503)-Université de Limoges (UNILIM)-CHU Limoges, Service de l'Information Médicale et de l'Évaluation [CHU Limoges] (SIME), Laboratoire de Biostatistique et d'Informatique Médicale, and Université de Limoges (UNILIM)
- Subjects
Male ,Time Factors ,MESH: Chi-Square Distribution ,Epidemiology ,Systolic hypertension ,MESH: Logistic Models ,030204 cardiovascular system & hematology ,MESH: Risk Assessment ,Hypertension artérielle ,MESH: Hypertension ,Angina ,Afrique ,Subclavian Steal Syndrome ,0302 clinical medicine ,Risk Factors ,MESH: Risk Factors ,Surveys and Questionnaires ,MESH: Peripheral Arterial Disease ,Prevalence ,030212 general & internal medicine ,MESH: Developing Countries ,Stroke ,MESH: Aged ,education.field_of_study ,MESH: Middle Aged ,medicine.diagnostic_test ,MESH: Sex Distribution ,Hazard ratio ,General Medicine ,Middle Aged ,3. Good health ,Épidémiologie ,Cardiovascular Diseases ,Population Surveillance ,Hypertension ,Female ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,Adult ,MESH: Gabon ,medicine.medical_specialty ,MESH: Subclavian Steal Syndrome ,Population ,Physical examination ,Affections cardiovasculaires ,Risk Assessment ,MESH: Stroke ,MESH: Population Surveillance ,Peripheral Arterial Disease ,03 medical and health sciences ,Age Distribution ,[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system ,Internal medicine ,medicine ,Humans ,Gabon ,Sex Distribution ,education ,Developing Countries ,MESH: Age Distribution ,MESH: Prevalence ,Aged ,Chi-Square Distribution ,MESH: Humans ,business.industry ,MESH: Questionnaires ,MESH: Time Factors ,MESH: Cardiovascular Diseases ,MESH: Adult ,medicine.disease ,MESH: Male ,Surgery ,Logistic Models ,Africa ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,Claudication ,business ,MESH: Female - Abstract
ERMA; International audience; BACKGROUND: Data supporting epidemiological transition from a predominant burden of infectious diseases to one of chronic diseases in Africa result mostly from hospital surveys. AIM: To estimate the cardiovascular disease (CVD) burden in Gabon. METHODS: The study was conducted in Ntoum (8765 inhabitants). All subjects aged greater or equal to 40 years were invited to participate. Participants were interviewed about CVD history and risk factors; they responded to questionnaires on claudication and angina and had a clinical examination, including lower limb pulse palpation and bilateral brachial pressure measurement. Subjects were considered to have CVD in case of history of CVD (coronary artery, cerebrovascular and peripheral arterial diseases), a positive questionnaire or an abnormal finding during clinical examination. RESULTS: The study included 736 subjects (313 men; 423 women). Systolic hypertension was highly prevalent (up to 47.7% and 53.7% in men and women aged 50 to 60 years, respectively). Of the 382 patients with hypertension, 74 (19.4%) were treated and only 22 (5.8%) were considered to have controlled hypertension. Overall, CVD was identified in 98 (13.3%) cases. Overall and newly diagnosed CVD prevalence rates were 14.7% and 11.5% for men and 14.9% and 8.9% for women, respectively. The presence of CVD was associated with hypertension (hazard ratio [HR] 3.69, 95% confidence interval [CI] 2.21-6.16; P
- Published
- 2012
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