Abstract

Introduction/Objective: This study aims at studying the epidemiological, clinical, paraclinical, therapeutic and evolutionary profiles of acute heart failure. Patients and Method: This was a prospective and observational study conducted on 62 cases from February to April 2016. All the patients diagnosed with acute heart failure detected through clinical and echocardiographic findings were included in the study. Out-of-hospital follow-up of patients consisted in collecting clinical and paraclinical parameters at one week and one month after discharge from hospital. Multivariate regression was used to analyze the effect of the variables on the occurrence of death, with p < 0.05 as the threshold of significance. Outcomes: The prevalence of acute heart failure (AHF) in cardiology was estimated at 45.25%. The average age was 58.24 ± 19.04, with a sex ratio of 1.58. The clinical picture was that of congestive heart failure (87.10%) and right heart failure (08.06%) on admission. The ECG showed atrial fibrillation in 19.35% of cases. Thirty-five patients (54.10%) had impaired LVEF (< 40%). Furosemide injection was the dominant treatment. The average duration of the hospital stay was 9 days. In-hospital mortality was estimated at 11.30% and mortality at one month reached 3.64%. Conclusion: AHF is a frequent and serious syndrome in cardiology. Patients with cardiovascular collapse upon admission or with pre-existing HF have a bad prognosis.

Keywords

Heart Failure, Emergencies, Ouagadougou, Burkina Faso

Heart Failure, Emergencies, Ouagadougou, Burkina Faso