Search

Copyright of Mali Médical is the property of Mali Medical, Faculte de Medecine, de Pharmacie et d'Odonto-stomatologie and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Mali Médical is the property of Mali Medical, Faculte de Medecine, de Pharmacie et d'Odonto-stomatologie and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective. This work aimed to study the quality of diagnosis and support of hypertension by the practitioners of the CHU Gabriel TOURE and point G of Bamako. Materials and methods. It is a descriptive and analytic, cross-sectional study during the study period from 1 March 2009 to 28 February 2010. It concerned all physicians and paramedics of the centre hospitalo - scholars of the Point G and Gabriel TOURE in Bamako. Results. Total 283 practitioners (physicians and the paramedics) two centre hospitalo - scholars have accepted our questionnaire, including 133 doctors and 185 paramedics. CHU Gabriel TOURE was 55.1%, the majority came from the service of cardiology with 18.4%. Doctors constituted the largest square with 47.0%. The majority of our practitioners (59%) say it takes at least a united session during three medical consultations to diagnose the HBP. Only 29,60% define the HTA from 140/90 mm Hg. United goal 58, 30% and 57.20% of practitioners claimed to retain 140/90 mm Hg, respectively for the diabetic and the insufficient renal. A considerable number of our practitioners (27.9%) still used in pregnant women the triplet diuretic/lEG/diet without salt. The information for patients on some important aspects of pathology before any therapeutic strategy had been conducted in 63.6%. Conclusion. The high blood pressure must be a major concern for personal medical and paramedical today. Keywords : Personal care, HBP, Definition, Information and monitoring. [ABSTRACT FROM AUTHOR]

Copyright of Mali Médical is the property of Mali Medical, Faculte de Medecine, de Pharmacie et d'Odonto-stomatologie and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aims: The authors report the results of a study whose aim was to study ischemic stroke on atrial fibrillation associated with valvular rheumatic disease. Method: the study was retrospective and descriptive for a period of 5 years in the cardiology department of the Hospital of Point G, on the basis of inpatient records. Results: twelve cases meeting the criteria were recruited among a total of 1229 stroke hospital is a prevalence of stroke on rheumatic valvular atrial fibrillation of 0.97%. The sex ratio was equal to 1 with an average age 36 years ans±2 and extreme 24 and 48 years old. The main medical history was the rheumatic valvular heart disease and angina throat. Cardiac clinical aspect was dominated by the irregular beat and in neurological terms aphasia and right hemiplegia dominated the 1/3 of cases. The atrial fibrillation was the constant electric sign with a dominant mitral valve impairment to Doppler echocardiography. The cerebral scanner ischemia was constant. Conclusion: Ischemic stroke on the atrial fibrillation rheumatic valve is a combination of a significant frequency. Its management is complex, prevention remains the only effective measure. [ABSTRACT FROM AUTHOR]

This work was aimed to describe the epidemiological, clinical, biological and electrical aspects of orthostatic low blood pressure (LBP) within patients with high blood pressure (HBP) in the cardiology department of the Kati University Hospital. This was a prospective cross-sectional study conducted between June 1 st , 2012 and May 31 st , 2013. It included all the patients with HBP regularly assessed for at least a month, following their treatment and having no other treatments which can induce a orthostatic LBP., Results: With a total of 300 subjects with high blood pressure, 42 subjects presented an orthostatic LBP with or without suggestive clinical demonstrations, among which 16 men and 26 women, with an average age of 55 year. In the HBP population, the orthostatic LBP had a 14% frequency (42/300), the sex ratio was 0.61. Most of the patients were 55 years old or more. The HBP was not controlled in 66.7% of cases. Twelve percent of the patients with orthostatic LBP were diabetics. The number of antihypertensive drug used did not appear to influence the appearance of an orthostatic LBP. Monotherapy was associated with an orthostatic LBP in 47.6% of cases and this monotherapy used the calcic inhibitors in 62% of the cases. Orthostatic low blood pressure is frequent within patient with HBP undergoing treatment. It must be systematically looked for, especially in the uncontrolled HBP, among older subjects, the diabetics, and those with a personal history of neurological disease., (Le comitée de rédaction se réserve le droit de revoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de sonserver un examplaire du manuscrit, des figures et des tableaux.)

Objective: This study aimed to describe epidemiological, clinical, and biological aspects of proteinuria in hypertensive patients in the cardiology department of the Gabriel Touré University Hospital in Bamako., Patients and Methods: A cross-sectional descriptive study conducted from January to December 2007 in the cardiology department of the Gabriel Touré University Hospital., Results: A total of 114 subjects were included (60 men and 54 women) with a mean age of 57 years, the sex ratio was 1.11. In the hypertensive population, stage 1 to 2 chronic renal failure was found in 12.9% (114/880). Patients under 60 years of age were more frequently affected with 61.5%. Proteinuria was found in 37 among 114 patients in chronic renal failure (32.5%). Proteinuria frequency in the general hypertensive population was 4.2% (37/880). Microalbuminuria was predominant compared to macro-albuminuria: 25.5% versus 7%. Dyspnea (38.6%) and headache (36.8%) were the main symptoms of hypertension. Renal ultrasound was abnormal in 14.1% with a predominance of stage 0 (76%), stages 1 and 2 each accounted for 7%., Conclusion: Proteinuria is a biological anomaly frequently associated with hypertension. His research is required when renal impairment is associated with hypertension. Its discovery in hypertension significantly changes the management strategy of this affection., (Le comitée de rédaction se réserve le droit de revoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de sonserver un examplaire du manuscrit, des figures et des tableaux.)

Aim: To specify indications and main anomalies of the 24 hours electrocardiogram in Bamako., Methodology: The study was retrospective and conducted from 1st January 2008 to 31st July 2013, on patients whose file comprised a readable recording holter. The Holter recordings were analyzed by the software synetec (syneview 2) of ELA medical. Patients data were analyzed by SPSS 18 and redaction made using Word 2010., Results: 90.2% of the recordings were retained. Mean Age of the sample was of 44,02 ± 16,95 years, the sex-ratio H: F 1,18 with 79.3% of patients coming from the services of cardiology. The indications were: palpitations (32.6%), suspicions of disorder of the rate/rhythm (27.2%), loss of consciousness, cerebral vascular accidents ischemic each one 15.2% and seeks of cause of faintness in (9.8%). An anomaly was found for the indications of disorder of the cardiac rhythm, palpitations, the cerebral vascular accidents ischemic, fainting and the losses of consciousness in resp. 80%, 66.6%, 28.5%, 22.2% and 14.2%., Conclusion: The 24 hours electrocardiographic recording is an examination of a great value in looking for cardiac rhythm disorders field of the disorders of the cardiac rhythm. Its provision will have to be effective in the university structures and the evolution towards the forms at longer duration quickly undertaken in Mali., (Le comitée de rédaction se réserve le droit de revoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de sonserver un examplaire du manuscrit, des figures et des tableaux.)

Objective: This work aimed to study the quality of diagnosis and management of high blood pressure (HBP) by the practitioners of the Gabriel TOURÉ and point G teaching hospitals of Bamako., Materials and Methods: It was a descriptive and analytical, cross-sectional study during the study period from 1st March 2009 to 28 February 2010. It included all physicians and paramedics of the teaching hospital of the Point G and Gabriel TOURÉ in Bamako., Results: A total of 283 practitioners (physicians and the paramedics) from both teaching hospitals have accepted our questionnaire, including 133 doctors and 185 paramedics. CHU Gabriel TOURÉ accounted for 55.1%, the majority came from the department of cardiology with 18.4%. Doctors accounted for the largest square with 47.0%. The majority of our practitioners (59%) say it takes at least one session during three medical consultations to diagnose the HBP. Only 29,60% define the HBP from 140/90 mm Hg. With a blood pressure goal of 58, 30% and 57.20% of practitioners claimed to retain 140/90 mm Hg, respectively for the diabetic and the renal-insufficient patients. A considerable number of our practitioners (27.9%) still used in pregnant women the triplet diuretic/IEC/diet without salt. The information of patients on some important aspects of the pathology prior to any therapeutic strategy had been conducted in 63.6., Conclusion: The high blood pressure must be a major concern for medical and paramedical staff today., (Le comitée de rédaction se réserve le droit de revoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de sonserver un examplaire du manuscrit, des figures et des tableaux.)

Aims: The authors report the results of a study whose aim was to study ischemic stroke on atrial fibrillation associated with valvular rheumatic disease., Method: The study was retrospective and descriptive covering a period of 5 years in the cardiology department of the Point G hospital, based off of in-patient records., Results: Twelve cases meeting the criteria were selected among a total of 1229 stroke admissions, or a prevalence of stroke and rheumatic valvular atrial fibrillation of 0.97%., The sex ratio was equal to 1 with an average age 36 years ±2 where the youngest and oldest patients were 24 and 48 years old. The most common medical antecedents were rheumatic valvular heart disease and throat angina. The cardiological clinical aspect was dominated by an irregular beat and in neurological terms aphasia and right hemiplegia dominated 1/3 of cases. The atrial fibrillation was the constant electric signal with a dominant mitral valve impairment as observed via Doppler echocardiography. The cerebral scanner showed that the ischemia was constant., Conclusion: The occurrence of Ischemic strokes on the atrial fibrillation rheumatic valve is a combination of a significant frequency. Its management is complex, prevention remains the only effective measure., (Le comitée de rédaction se réserve le droit de revoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de sonserver un examplaire du manuscrit, des figures et des tableaux.)

Objective: This work aimed to describe the epidemiological, clinical, biological and ultrasound aspects of the subclinical renal failure in hypertensive patients in the department of cardiology of the Gabriel TOURÉ University Hospital of Bamako., Patients and Methods: The study was cross-sectional and prospective from 1 January 2007 to 31 December 2007 in the cardiology department of the Gabriel Touré University Hospital. These were all patients who achieved at least the basic test for renal impairment such as serum creatinine, 24h proteinuria, renal ultrasound., Results: Total of 114 patients with kidney failure without evocative clinical symptoms have been included, among them 60 men and 54 women, average age of 57 years. In the hypertensive population, the beginner to moderate chronic renal failure had a frequency of 12.9% (114/880), the sex ratio was 1.11 in favor of men. Patients aged less than 60 years were more numerous with a frequency of 61.5%. Dyspnea (38.6%), and headache (36.8%) were the main manifestations of the high blood pressure (HBP). Renal disease characterized by microalbuminuria was predominant compared to the macro-albuminuria: 25.5% versus 7%. Renal ultrasound was abnormal in 14.1% with a predominance of stage 0 (86%), stages 1 and 2 were each 7%, we have not found any stage 3., Conclusion: Chronic renal failure is a frequent complication of the hypertension. Some biological tests are necessary for the diagnosis. Renal ultrasound remains a useful test for its assessment. The optimal treatment of high blood pressure is essential, as it not only reduces the overall cardiovascular risk of patients, but also slows or even stabilizes the worsening of renal function., (Le comitée de rédaction se réserve le droit de revoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de sonserver un examplaire du manuscrit, des figures et des tableaux.)

Our study of series, futurology, descriptive and analytical proceeded in the service of Cardiology B of the CHU of the Point G of the 1(er) July at 31 Décember 2007 and related to 57 in-patients. It aimed to release the factors of risks, to evaluate under treatment the evolution and to determine the prognostic elements of the cerebral vascular accidents. All the patients hospitalized in the service of Cardiology G for the period of study for cerebral vascular accident documented by a cerebral TDM was included in the series. The cerebral vascular accidents represented more of the quarter (25,22 %) of the admissions. The sample counted 29 women (50,9 %) and 28 men (49,1 %) with a sex ratio of 1,03 in favour of the women. The average age was 61,17 years ± 13,71 there. Arterial hypertension (59,6 %) was the first factor of risk and in the series the ischaemic AVC constituted approximately three quarters (70,2 %) of the organic types. It was especially male and the rather female hemorrhagic lesion. The hemorrhagic AVC was noted before 30 years and the ischaemic AVC beyond. The complications were with female prevalence and identical lethality in the two sexes. The hospital death rate in the study was considerable (10,5 %). The found prognostic elements did not have statistical significance.

Aim: The study aims to describe cardiovascular risk factor according to gender in hospital., Material and Methods: Il was a prospective study from april 2007 to march 2008 including 146 highblood pressure patients from 2 medical centre in Bamako. Gathering and analysis were performed with SPSS 11., Results: 67% were female, the mean age reached 48,82. the BMI was significantly higher in female (P <0,001). Female were mainly registered between 30 and 44 years, and male between 45-59 years. Overweight and obesity were more represented in female and obesity in 30-44 years old patients. Isolated highblood pressure was found in 58,90%, 7,53% of patients had the 3 major cardiovascular risk factor, Conclusion: Isolated highblood pressure was by far the most frequent. Although the cardiovascular risk rises with the others associations, they were rare and don't significantly differ in each gender. The tendency to overweight and obesity in female should be confirmed by others studies.

The determination of risk factors a low to prevent or to delay the apparition of certain diseases. Our study put out in Cardiology A of Hôpital du Point G. gold to determine the main risk factors of ischemic heart diseases between 162 patients. It appears that all classical risk factors (HBP, Diabetes, obesity, tobacco use, sedentary, menopause, contraceptives, dyslipidemia) were found among patients. It appears particularly that avoidable risk factors such tobacco use among young men, sedentary and obesity play important role in the beginning. So it is possible to deploy an efficient prevention politic.