Cardiology and Cardiovascular Research

Research Article | | Peer-Reviewed |

Prognostic Factors in Patients with Chronic Heart Failure at the Maroua Regional Hospital, Cameroon

Received: Sep. 27, 2023    Accepted: Oct. 25, 2023    Published: Nov. 17, 2023
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Abstract

Introduction: Heart failure (HF) is a complex and serious condition that greatly impairs the quality of life of patients with high lethality. It is a major public health problem and is the leading cause of hospitalization for people over 60-65 years old. The therapeutic approach of HF has evolved considerably, allowing its prognosis to be improved. The aim of our study was to analyze the evolution of HF and to identify the predictive factors of mortality and re-hospitalization of patients with chronic heart failure at the Regional Hospital of Maroua. Methods: We carried out a prospective analytical study over a period of 8 months at the Maroua Regional Hospital (MRH). All patients followed in cardiology for chronic heart failure were included. Clinical and paraclinical data were collected on admission. The patients were followed for a period of 6 months and the primary study endpoint was the occurrence of cardiac death and/or re-hospitalization for heart failure. Results: The mean age of our patients was 54.5 ± 15.59 years with a male predominance. Arterial hypertension was the main etiology (58.2%) of heart failure. The re-hospitalization rate was 4.1% and the mortality rate was 3.7%. Multivariate analysis revealed three independent mortality factors: Dyspnea stage IV of the NYHA, LVEF<40%, and hemoglobin level less than 12g/dl. Stage IV dyspnea and left ventricular ejection fraction (LVEF) <40% were independent predictors of rehospitalization; Conclusion: In our context, the factors of poor prognosis in patients followed for chronic heart failure are impaired LVEF, NYHA stage IV dyspnea and anemia. In patients with these different factors, close and targeted care should be instituted to reduce morbidity and mortality.

DOI 10.11648/j.ccr.20230704.14
Published in Cardiology and Cardiovascular Research ( Volume 7, Issue 4, December 2023 )
Page(s) 88-92
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Chronic Heart Failure, Prognosis, Maroua

References
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Cite This Article
  • APA Style

    Boombhi, J., Mfeukeu-Kuaté, L., Kemnang, H., Mahamat, R., Seni, M., et al. (2023). Prognostic Factors in Patients with Chronic Heart Failure at the Maroua Regional Hospital, Cameroon. Cardiology and Cardiovascular Research, 7(4), 88-92. https://doi.org/10.11648/j.ccr.20230704.14

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    ACS Style

    Boombhi, J.; Mfeukeu-Kuaté, L.; Kemnang, H.; Mahamat, R.; Seni, M., et al. Prognostic Factors in Patients with Chronic Heart Failure at the Maroua Regional Hospital, Cameroon. Cardiol. Cardiovasc. Res. 2023, 7(4), 88-92. doi: 10.11648/j.ccr.20230704.14

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    AMA Style

    Boombhi J, Mfeukeu-Kuaté L, Kemnang H, Mahamat R, Seni M, et al. Prognostic Factors in Patients with Chronic Heart Failure at the Maroua Regional Hospital, Cameroon. Cardiol Cardiovasc Res. 2023;7(4):88-92. doi: 10.11648/j.ccr.20230704.14

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  • @article{10.11648/j.ccr.20230704.14,
      author = {Jérôme Boombhi and Liliane Mfeukeu-Kuaté and Honoré Kemnang and Rékia Mahamat and Moustapha Seni and Amalia Owona and Pierre Mintom and Guillaume Ebene Manon and Alain Menanga},
      title = {Prognostic Factors in Patients with Chronic Heart Failure at the Maroua Regional Hospital, Cameroon},
      journal = {Cardiology and Cardiovascular Research},
      volume = {7},
      number = {4},
      pages = {88-92},
      doi = {10.11648/j.ccr.20230704.14},
      url = {https://doi.org/10.11648/j.ccr.20230704.14},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ccr.20230704.14},
      abstract = {Introduction: Heart failure (HF) is a complex and serious condition that greatly impairs the quality of life of patients with high lethality. It is a major public health problem and is the leading cause of hospitalization for people over 60-65 years old. The therapeutic approach of HF has evolved considerably, allowing its prognosis to be improved. The aim of our study was to analyze the evolution of HF and to identify the predictive factors of mortality and re-hospitalization of patients with chronic heart failure at the Regional Hospital of Maroua. Methods: We carried out a prospective analytical study over a period of 8 months at the Maroua Regional Hospital (MRH). All patients followed in cardiology for chronic heart failure were included. Clinical and paraclinical data were collected on admission. The patients were followed for a period of 6 months and the primary study endpoint was the occurrence of cardiac death and/or re-hospitalization for heart failure. Results: The mean age of our patients was 54.5 ± 15.59 years with a male predominance. Arterial hypertension was the main etiology (58.2%) of heart failure. The re-hospitalization rate was 4.1% and the mortality rate was 3.7%. Multivariate analysis revealed three independent mortality factors: Dyspnea stage IV of the NYHA, LVEF<40%, and hemoglobin level less than 12g/dl. Stage IV dyspnea and left ventricular ejection fraction (LVEF) <40% were independent predictors of rehospitalization; Conclusion: In our context, the factors of poor prognosis in patients followed for chronic heart failure are impaired LVEF, NYHA stage IV dyspnea and anemia. In patients with these different factors, close and targeted care should be instituted to reduce morbidity and mortality.
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Prognostic Factors in Patients with Chronic Heart Failure at the Maroua Regional Hospital, Cameroon
    AU  - Jérôme Boombhi
    AU  - Liliane Mfeukeu-Kuaté
    AU  - Honoré Kemnang
    AU  - Rékia Mahamat
    AU  - Moustapha Seni
    AU  - Amalia Owona
    AU  - Pierre Mintom
    AU  - Guillaume Ebene Manon
    AU  - Alain Menanga
    Y1  - 2023/11/17
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ccr.20230704.14
    DO  - 10.11648/j.ccr.20230704.14
    T2  - Cardiology and Cardiovascular Research
    JF  - Cardiology and Cardiovascular Research
    JO  - Cardiology and Cardiovascular Research
    SP  - 88
    EP  - 92
    PB  - Science Publishing Group
    SN  - 2578-8914
    UR  - https://doi.org/10.11648/j.ccr.20230704.14
    AB  - Introduction: Heart failure (HF) is a complex and serious condition that greatly impairs the quality of life of patients with high lethality. It is a major public health problem and is the leading cause of hospitalization for people over 60-65 years old. The therapeutic approach of HF has evolved considerably, allowing its prognosis to be improved. The aim of our study was to analyze the evolution of HF and to identify the predictive factors of mortality and re-hospitalization of patients with chronic heart failure at the Regional Hospital of Maroua. Methods: We carried out a prospective analytical study over a period of 8 months at the Maroua Regional Hospital (MRH). All patients followed in cardiology for chronic heart failure were included. Clinical and paraclinical data were collected on admission. The patients were followed for a period of 6 months and the primary study endpoint was the occurrence of cardiac death and/or re-hospitalization for heart failure. Results: The mean age of our patients was 54.5 ± 15.59 years with a male predominance. Arterial hypertension was the main etiology (58.2%) of heart failure. The re-hospitalization rate was 4.1% and the mortality rate was 3.7%. Multivariate analysis revealed three independent mortality factors: Dyspnea stage IV of the NYHA, LVEF<40%, and hemoglobin level less than 12g/dl. Stage IV dyspnea and left ventricular ejection fraction (LVEF) <40% were independent predictors of rehospitalization; Conclusion: In our context, the factors of poor prognosis in patients followed for chronic heart failure are impaired LVEF, NYHA stage IV dyspnea and anemia. In patients with these different factors, close and targeted care should be instituted to reduce morbidity and mortality.
    
    VL  - 7
    IS  - 4
    ER  - 

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Author Information
  • Departement of Internal Medicine and Spécialities, Faculty of Medicine and Biomedicals Sciences, University of Yaoundé I, Yaoundé, Cameroon; Cardiology Service, Yaoundé General Hospital, Yaoundé, Cameroon

  • Departement of Internal Medicine and Spécialities, Faculty of Medicine and Biomedicals Sciences, University of Yaoundé I, Yaoundé, Cameroon

  • Departement of Internal Medicine and Spécialities, Faculty of Medicine and Biomedicals Sciences, University of Yaoundé I, Yaoundé, Cameroon

  • Departement of Internal Medicine and Spécialities, Faculty of Medicine and Biomedicals Sciences, University of Yaoundé I, Yaoundé, Cameroon

  • Internal Medicine Service, Maroua Regional Hospital, Maroua, Cameroon

  • Departement of Internal Medicine and Spécialities, Faculty of Medicine and Biomedicals Sciences, University of Yaoundé I, Yaoundé, Cameroon; Cardiology Service, Yaoundé General Hospital, Yaoundé, Cameroon

  • Departement of Internal Medicine and Spécialities, Faculty of Medicine and Biomedicals Sciences, University of Yaoundé I, Yaoundé, Cameroon

  • Departement of Internal Medicine and Spécialities, Faculty of Medicine and Biomedicals Sciences, University of Yaoundé I, Yaoundé, Cameroon

  • Departement of Internal Medicine and Spécialities, Faculty of Medicine and Biomedicals Sciences, University of Yaoundé I, Yaoundé, Cameroon; Cardiology Service, Yaoundé General Hospital, Yaoundé, Cameroon

  • Section