Heart Failure in Children: Epidemiological, Etiological and Diagnostic Aspects in Diamniadio Children’s Hospital (Senegal)

• 作者: A. B. Sibabi Sibabi A. Phiri B. M. Diop D. A. Affangla D. M. Ba F. Diaby I. Basse K. Gueye M. Dioum M. Leye N. N. Diawara N. R. Diagne R. Godonou S. Akani
• 来源期刊: 心血管病(英文)
• 学科: 医学
• 关键词: HEART Failure CHILDREN CONGENITAL HEART Disease Senegal
• 年，卷（期）: 2020,（1）
• 页码范围: 12-18
• 页数: 7页
• 分类号: R54

摘要

Introduction: Heart failure is a major cause of morbidity and mortality in children. The authors aimed to report the epidemiological and etiological characteristics of heart failure (HF) in children in Senegal. Patients and Methods: This was a retrospective study conducted at the Children’s Hospital of Diamniadio (CHD) from 01-01-2016 to 31-12-2017. Children aged 0 to 15 years with heart failure confirmed by echocardiography were included. Results: Sixty-six children were admitted for heart failure. The prevalence of HF was 5.3‰. The mean age of the children was 41.59 months ± 53.35 months (range: 0 to 168 months). The 0 - 5 age group was the most represented (n = 48;72.72%). The HF concerned 38 boys and 28 girls, a sex ratio (M/F) of 1.36. The majority of our patients came from the semi-urban area (42.4%). The etiology of HF was represented in order of frequency by congenital heart disease, rheumatic heart disease and cardiomyopathy with 59.09% of cases, 22.73% of cases and 7.58% of cases respectively. It was unknown in 4.54% of the cases. At echocardiography, the left ventricular ejection fraction (LVEF) was impaired (less than 50%) in 19 patients, in 29.2% of cases with an average of 64% +/- 15.16% (extremes: 24% and 86%). Anemia was the comorbidity most commonly associated with their condition (n = 33%;50%). Conclusion: Heart failure in children is uncommon. The main etiology is represented by congenital heart disease.