[Management of heart failure at the CHU the National Reference of Ndjamena/Chad]

Abstract

Introduction: Heart failure (HF) is a syndrome of diverse etiologies, and a real public health problem in both developed and developing countries. The aim of this study was to determine the clinical, etiological, therapeutic and evolutionary aspects of heart failure.

Materials and methods: This was a descriptive and analytical study carried out in the cardiology department of the national referral university hospital in N'Djamena (Chad).

Results: Heart failure accounted for 30.84% of cardiovascular pathologies hospitalized in the cardiology department during the study period. The mean age of our patients was 52 ± 34 years, with extremes ranging from 18 to 87 years. Females predominated, accounting for 50.7% of cases, with a M/F sex-ratio of 0.97. Hypertensive heart disease (33.7%), valvular heart disease (16.6%) and ischemic heart disease (15.1%) were the most frequent etiologies. The drugs most frequently used were loop diuretics (97%), ACE inhibitors (96%) and beta-blockers (93.5%). The in-hospital mortality rate was 9% in our series.

Keywords: Amélioration; Heart failure; Improvement; Insuffisance cardiaque; Management; Ndjamena/Chad; Ndjamena/Tchad; Plateau technique; Prise en charge; Technical platform.