Pub Date : 2026-07-22DOI: 10.1016/j.ancard.2026.102052
H Yao, A Ekou, A Djoma, E Ehouman, C Touré, Z Ouattara, K J M Boka, E P Sepih, J J N'Djessan, B C Boka, C Konin, R N'Guetta
Objective: Assess trends of hospitalizations in the intensive care unit (ICU) at the Abidjan Heart Institute.
Patients and methods: We conducted a retrospective descriptive and analytical study over a five-year period, from January 1, 2018, to December 31, 2022. Data were collected from the ICU registry for the study period. We analyzed and compared sociodemographic data, diagnoses, length of stay, and mortality, as well as changes over time.
Results: Three thousand six hundred and ninety-seven (3697) patients were included in the study. There has been a gradual decrease in the number of admissions to the CCU for all causes, particularly in 2021. Males accounted for the majority of patients in all years considered (63.89%, sex ratio=1.72). However, there has been an increase in the proportion of female patients over the last two years. Over the study period, the median age of the entire population was 55years [39-66], with no significant variation over the years (P=0.39). Admissions were dominated by ischemic heart disease in 22.42% of cases, followed by cardiomyopathy (14.25%). This predominance of ischemic heart disease remained constant throughout the study period, despite a significant decrease in almost all admissions for cardiovascular disease. The overall mortality rate among all patients admitted to the CCU from 2018 to 2022 was 26.3% and remained unchanged over the study period (P=0.192). Considering specific annual mortality, there was a significant trends in mortality rates for cardiomyopathy (P=0.002) and pulmonary hypertension (P=0.031).
Conclusion: Our study conducted at Abidjan Heart Institute among a population of patients hospitalized in the ICU revealed significant temporal variations. Despite an overall decline in hospitalizations due to COVID-19, it appears that ischemic heart disease was the main reason for admission to the ICU. The conditions found in the ICU, most often cardiovascular, affect relatively young male patients. However, there has been a notable increase in the proportion of women over the last two years, with a particular focus of specific cardiovascular condition, and higher mortality. These observations will need to be verified over longer periods and could help guide health policies and priorities in order to address the outbreak of cardiovascular diseases observed in our practice.
{"title":"[Trends in intensive care unit admissions from 2018 to 2022: Data from Abidjan Heart Institute].","authors":"H Yao, A Ekou, A Djoma, E Ehouman, C Touré, Z Ouattara, K J M Boka, E P Sepih, J J N'Djessan, B C Boka, C Konin, R N'Guetta","doi":"10.1016/j.ancard.2026.102052","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102052","url":null,"abstract":"<p><strong>Objective: </strong>Assess trends of hospitalizations in the intensive care unit (ICU) at the Abidjan Heart Institute.</p><p><strong>Patients and methods: </strong>We conducted a retrospective descriptive and analytical study over a five-year period, from January 1, 2018, to December 31, 2022. Data were collected from the ICU registry for the study period. We analyzed and compared sociodemographic data, diagnoses, length of stay, and mortality, as well as changes over time.</p><p><strong>Results: </strong>Three thousand six hundred and ninety-seven (3697) patients were included in the study. There has been a gradual decrease in the number of admissions to the CCU for all causes, particularly in 2021. Males accounted for the majority of patients in all years considered (63.89%, sex ratio=1.72). However, there has been an increase in the proportion of female patients over the last two years. Over the study period, the median age of the entire population was 55years [39-66], with no significant variation over the years (P=0.39). Admissions were dominated by ischemic heart disease in 22.42% of cases, followed by cardiomyopathy (14.25%). This predominance of ischemic heart disease remained constant throughout the study period, despite a significant decrease in almost all admissions for cardiovascular disease. The overall mortality rate among all patients admitted to the CCU from 2018 to 2022 was 26.3% and remained unchanged over the study period (P=0.192). Considering specific annual mortality, there was a significant trends in mortality rates for cardiomyopathy (P=0.002) and pulmonary hypertension (P=0.031).</p><p><strong>Conclusion: </strong>Our study conducted at Abidjan Heart Institute among a population of patients hospitalized in the ICU revealed significant temporal variations. Despite an overall decline in hospitalizations due to COVID-19, it appears that ischemic heart disease was the main reason for admission to the ICU. The conditions found in the ICU, most often cardiovascular, affect relatively young male patients. However, there has been a notable increase in the proportion of women over the last two years, with a particular focus of specific cardiovascular condition, and higher mortality. These observations will need to be verified over longer periods and could help guide health policies and priorities in order to address the outbreak of cardiovascular diseases observed in our practice.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-07-16DOI: 10.1016/j.ancard.2026.102053
I Angoran Regnier, M P N'Cho-Mottoh, A Ekou, I Garba, A Coulibaly, A R N'Guetta
Introduction: Anomalous origins of coronary arteries (AOCA) represent the second leading cause of sudden cardiac death in young individuals. Diagnosis is challenging because symptoms often mimic classic ischemia or present as MINOCA (Myocardial Infarction with Non-Obstructive Coronary Arteries). This study aimed to evaluate the prevalence and malignancy criteria of AOCA in patients undergoing coronary angiography in Abidjan.
Materials and methods: A retrospective study was conducted in Abidjan, Côte d'Ivoire, analyzing 422 coronary CT angiograms performed between May 2023 and December 2025. The protocol included calcium scoring and angiographic acquisition to analyze the arterial course and wall. Post-processing was performed on a dedicated workstation. Investigated malignancy criteria included ectopic origin, inter-arterial course, acute ostial angulation, intramural course, and the presence of a slit-like ostium.
Results: The prevalence of AOCA was 1.65% (7 cases). The mean age was 51.4±12 years. Chest pain was the primary reason for consultation (85.71% of cases). Calcium scores were zero in 85.71% of patients. The most frequent anomaly was the right coronary artery arising from the left sinus (n=3; 42.85%). There were also two (2) cases (28.57%) of ectopic right coronary origin from the aorta and two (2) cases of ectopic origin of the left anterior descending artery. A high-risk inter-arterial course was identified in 85.71% of patients.
Conclusion: Coronary CT angiography is essential for the anatomical characterization and risk stratification of AOCA. In the African context, the increasing accessibility of coronary CT scanning provides a major opportunity for early detection and primary prevention of sudden cardiac death.
{"title":"[Contribution of coronary computed tomography angiography in the screening of anomalous origins of coronary arteries: A retrospective study of 422 examinations in a West African Country].","authors":"I Angoran Regnier, M P N'Cho-Mottoh, A Ekou, I Garba, A Coulibaly, A R N'Guetta","doi":"10.1016/j.ancard.2026.102053","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102053","url":null,"abstract":"<p><strong>Introduction: </strong>Anomalous origins of coronary arteries (AOCA) represent the second leading cause of sudden cardiac death in young individuals. Diagnosis is challenging because symptoms often mimic classic ischemia or present as MINOCA (Myocardial Infarction with Non-Obstructive Coronary Arteries). This study aimed to evaluate the prevalence and malignancy criteria of AOCA in patients undergoing coronary angiography in Abidjan.</p><p><strong>Materials and methods: </strong>A retrospective study was conducted in Abidjan, Côte d'Ivoire, analyzing 422 coronary CT angiograms performed between May 2023 and December 2025. The protocol included calcium scoring and angiographic acquisition to analyze the arterial course and wall. Post-processing was performed on a dedicated workstation. Investigated malignancy criteria included ectopic origin, inter-arterial course, acute ostial angulation, intramural course, and the presence of a slit-like ostium.</p><p><strong>Results: </strong>The prevalence of AOCA was 1.65% (7 cases). The mean age was 51.4±12 years. Chest pain was the primary reason for consultation (85.71% of cases). Calcium scores were zero in 85.71% of patients. The most frequent anomaly was the right coronary artery arising from the left sinus (n=3; 42.85%). There were also two (2) cases (28.57%) of ectopic right coronary origin from the aorta and two (2) cases of ectopic origin of the left anterior descending artery. A high-risk inter-arterial course was identified in 85.71% of patients.</p><p><strong>Conclusion: </strong>Coronary CT angiography is essential for the anatomical characterization and risk stratification of AOCA. In the African context, the increasing accessibility of coronary CT scanning provides a major opportunity for early detection and primary prevention of sudden cardiac death.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148468464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-06-01Epub Date: 2026-05-26DOI: 10.1016/j.ancard.2026.102018
Z. Rahali, B. El Boussaadani, Z. Raissuni
Postural orthostatic tachycardia syndrome (POTS) is a form of dysautonomia characterized by an excessive increase in heart rate upon standing, in the absence of orthostatic hypotension. Post-infectious forms, particularly following SARS-CoV-2 infection, have been increasingly reported. We report the case of a 34-year-old woman presenting with persistent palpitations, marked fatigue, and orthostatic intolerance that developed two weeks after a mild COVID-19 infection. Standard cardiological evaluation revealed no abnormalities. Comprehensive autonomic testing demonstrated an increase in heart rate from 72 to 109 beats per minute at the 11th minute of active standing (Δ +37 bpm), without significant blood pressure drop, confirming the diagnosis of POTS. Additional autonomic assessment identified a hyperadrenergic phenotype. After two months of treatment with ivabradine (5 mg daily), heart rate in the standing position stabilized between 80 and 100 beats per minute, with partial clinical improvement. This case highlights the importance of comprehensive autonomic evaluation in post-COVID forms of POTS and supports the role of targeted therapy.
{"title":"Syndrome de tachycardie orthostatique posturale post-COVID : documentation d’un phénotype hyperadrénergique par exploration autonome complète","authors":"Z. Rahali, B. El Boussaadani, Z. Raissuni","doi":"10.1016/j.ancard.2026.102018","DOIUrl":"10.1016/j.ancard.2026.102018","url":null,"abstract":"<div><div>Postural orthostatic tachycardia syndrome (POTS) is a form of dysautonomia characterized by an excessive increase in heart rate upon standing, in the absence of orthostatic hypotension. Post-infectious forms, particularly following SARS-CoV-2 infection, have been increasingly reported. We report the case of a 34-year-old woman presenting with persistent palpitations, marked fatigue, and orthostatic intolerance that developed two weeks after a mild COVID-19 infection. Standard cardiological evaluation revealed no abnormalities. Comprehensive autonomic testing demonstrated an increase in heart rate from 72 to 109 beats per minute at the 11th minute of active standing (Δ +37 bpm), without significant blood pressure drop, confirming the diagnosis of POTS. Additional autonomic assessment identified a hyperadrenergic phenotype. After two months of treatment with ivabradine (5<!--> <!-->mg daily), heart rate in the standing position stabilized between 80 and 100 beats per minute, with partial clinical improvement. This case highlights the importance of comprehensive autonomic evaluation in post-COVID forms of POTS and supports the role of targeted therapy.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102018"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-06-01Epub Date: 2026-05-26DOI: 10.1016/j.ancard.2026.102022
B. Boka, A.H. Djoma, N. Ateba, M. Tano, J. Oné, A. Yéo, B. Agbikossi, J. Boka, H. Yao, J.B. Anzouan-Kacou
Introduction
Hypertension in young adults has become a health problem due to its increasing prevalence.
Objective
To describe the epidemiological, clinical, and therapeutic aspects of hypertension in young adults in Côte d’Ivoire.
Patients and methods
This was a retrospective and analytical study over a 3-year period from 2016 to 2018 conducted at the Abidjan Heart Institute (ICA). We used data from the medical records of hypertension patients aged 18 to 39 years with a minimum of six months of outpatient follow-up. Data were analyzed using Stata 12.0 software.
Results
We included 95 patients aged 18 to 39 years. The mean age was 34.6 ± 4.2 years. The M/F sex ratio was 0.98. Hypertension was predominantly systolic-diastolic (83.1%) and grade III (42.1%). Its severity at the first consultation was significantly reduced by prior treatment (P = 0.015). The mean duration of hypertension was 1.7 ± 2.4 years. Cardiac involvement was present at the start of follow-up: left ventricular hypertension (44.2%) and CV risk was high (53.7%). Hypotensive treatment was initiated with dual therapy (61.1%) combining RAAS blockers (87.4%) and calcium channel blockers (57.9%). We found that self-measurement at home significantly improved blood pressure control (P = 0.0087).
Conclusion
This study calls for strengthening screening and management policies for hypertension in young adults in our context.
{"title":"Aspects épidémiologique, clinique et thérapeutique de l’hypertension artérielle de l’adulte jeune à l’institut de cardiologie d’Abidjan","authors":"B. Boka, A.H. Djoma, N. Ateba, M. Tano, J. Oné, A. Yéo, B. Agbikossi, J. Boka, H. Yao, J.B. Anzouan-Kacou","doi":"10.1016/j.ancard.2026.102022","DOIUrl":"10.1016/j.ancard.2026.102022","url":null,"abstract":"<div><h3>Introduction</h3><div>Hypertension in young adults has become a health problem due to its increasing prevalence.</div></div><div><h3>Objective</h3><div>To describe the epidemiological, clinical, and therapeutic aspects of hypertension in young adults in Côte d’Ivoire.</div></div><div><h3>Patients and methods</h3><div>This was a retrospective and analytical study over a 3-year period from 2016 to 2018 conducted at the Abidjan Heart Institute (ICA). We used data from the medical records of hypertension patients aged 18 to 39<!--> <!-->years with a minimum of six months of outpatient follow-up. Data were analyzed using Stata 12.0 software.</div></div><div><h3>Results</h3><div>We included 95 patients aged 18 to 39<!--> <!-->years. The mean age was 34.6<!--> <!-->±<!--> <!-->4.2<!--> <!-->years. The M/F sex ratio was 0.98. Hypertension was predominantly systolic-diastolic (83.1%) and grade III (42.1%). Its severity at the first consultation was significantly reduced by prior treatment (<em>P</em> <!-->=<!--> <!-->0.015). The mean duration of hypertension was 1.7<!--> <!-->±<!--> <!-->2.4<!--> <!-->years. Cardiac involvement was present at the start of follow-up: left ventricular hypertension (44.2%) and CV risk was high (53.7%). Hypotensive treatment was initiated with dual therapy (61.1%) combining RAAS blockers (87.4%) and calcium channel blockers (57.9%). We found that self-measurement at home significantly improved blood pressure control (<em>P</em> <!-->=<!--> <!-->0.0087).</div></div><div><h3>Conclusion</h3><div>This study calls for strengthening screening and management policies for hypertension in young adults in our context.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102022"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-06-01Epub Date: 2026-05-19DOI: 10.1016/j.ancard.2026.102033
G.H.K. Ouedraogo , Z.C. Meda , L.J. Kagambega , B. Ilboudo , H. Zamane , Y.E. Dabire , N.V. Yameogo
Introduction
Arterial hypertension (AH) is common during pregnancy and in the post-partum period. It is often complicated by pre-eclampsia or eclampsia, with a risk of progression to chronicity. The aim of this study was to determine the prevalence of this persistence beyond 3 months after delivery, and the factors associated with it.
Methods
This was a cohort study (one arm) with an analytical aim and prospective collection among women received for gravido-puerperal hypertension in the medicine and gynecology-obstetrics departments of the regional hospital center of Kaya. They were followed up to 3 months after delivery. The evolution of blood pressure figures was regularly monitored every two weeks. The gestational or postpartum hypertension was declared cured when systolic blood pressure ˂ 140 mmHg and diastolic blood pressure ˂ 90 mmHg were recorded at two successive checks spaced two weeks apart. After the descriptive analysis, a logistic regression made it possible to investigate the factors associated with the persistence of hypertension in the postpartum period beyond 3 months after delivery.
Results
A total of 119 women aged 16 to 49 participated in the study with a mean age of 26.18 ± 7.74 years. The age group of 20 to 30 was the most represented (42%). They were housewives (69.75%), uneducated (60.5%). In total, 75.63% had given birth vaginally, 19.33% had a history of cured postpartum hypertension, 22.69% had achieved less than 4 prenatal follow-up, 49.58% had pre-eclampsia, 10 .92% had eclampsia and 29.41% had dyslipidemia. The prevalence of persistence of gravido-puerperal hypertension was 22.69%. The factors associated with its persistence beyond 3 months were: age > 30 years (3.73 [1.26–11.17]; P = 0.0169), the number of procedures > 4 (4, 44 [1.43–14.18]; P = 0.0100) and pre-eclampsia (3.3 [1.12–10.26]; P = 0.0260).
Conclusion
The prevalence of persistent gravido-puerperal hypertension beyond 3 months postpartum is high. Addressing the associated factors in healthcare interventions will help to reduce it.
{"title":"Facteurs associés à la persistance de l’hypertension artérielle gravido-puerpérale au-delà de 3 mois après l’accouchement, au centre hospitalier régional de Kaya, au Burkina Faso","authors":"G.H.K. Ouedraogo , Z.C. Meda , L.J. Kagambega , B. Ilboudo , H. Zamane , Y.E. Dabire , N.V. Yameogo","doi":"10.1016/j.ancard.2026.102033","DOIUrl":"10.1016/j.ancard.2026.102033","url":null,"abstract":"<div><h3>Introduction</h3><div>Arterial hypertension (AH) is common during pregnancy and in the post-partum period. It is often complicated by pre-eclampsia or eclampsia, with a risk of progression to chronicity. The aim of this study was to determine the prevalence of this persistence beyond 3 months after delivery, and the factors associated with it.</div></div><div><h3>Methods</h3><div>This was a cohort study (one arm) with an analytical aim and prospective collection among women received for gravido-puerperal hypertension in the medicine and gynecology-obstetrics departments of the regional hospital center of Kaya. They were followed up to 3 months after delivery. The evolution of blood pressure figures was regularly monitored every two weeks. The gestational or postpartum hypertension was declared cured when systolic blood pressure<!--> <!-->˂<!--> <!-->140<!--> <!-->mmHg and diastolic blood pressure<!--> <!-->˂<!--> <!-->90<!--> <!-->mmHg were recorded at two successive checks spaced two weeks apart. After the descriptive analysis, a logistic regression made it possible to investigate the factors associated with the persistence of hypertension in the postpartum period beyond 3 months after delivery.</div></div><div><h3>Results</h3><div>A total of 119 women aged 16 to 49 participated in the study with a mean age of 26.18<!--> <!-->±<!--> <!-->7.74 years. The age group of 20 to 30 was the most represented (42%). They were housewives (69.75%), uneducated (60.5%). In total, 75.63% had given birth vaginally, 19.33% had a history of cured postpartum hypertension, 22.69% had achieved less than 4 prenatal follow-up, 49.58% had pre-eclampsia, 10 .92% had eclampsia and 29.41% had dyslipidemia. The prevalence of persistence of gravido-puerperal hypertension was 22.69%. The factors associated with its persistence beyond 3 months were: age<!--> <!-->><!--> <!-->30 years (3.73 [1.26–11.17]; <em>P</em> <!-->=<!--> <!-->0.0169), the number of procedures<!--> <!-->><!--> <!-->4 (4, 44 [1.43–14.18]; <em>P</em> <!-->=<!--> <!-->0.0100) and pre-eclampsia (3.3 [1.12–10.26]; <em>P</em> <!-->=<!--> <!-->0.0260).</div></div><div><h3>Conclusion</h3><div>The prevalence of persistent gravido-puerperal hypertension beyond 3 months postpartum is high. Addressing the associated factors in healthcare interventions will help to reduce it.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102033"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-06-01Epub Date: 2026-05-26DOI: 10.1016/j.ancard.2026.102019
L.P. Thiombiano , A. Thiam , I. Bayire , H.E. Lengani , W.M. Nacanabo , T.A.A. Seghda , S. Dimzoure , I. Sawadogo , M. Loya , C.D. Da , N.V. Yameogo , A.K. Samadoulougou , P. Zabsonre
Introduction
Heart failure (HF) is the final common pathway of most cardiovascular diseases and remains a leading cause of hospitalization and mortality worldwide. In sub-Saharan Africa, its burden is particularly high. This study aimed to identify predictors of 30-day readmission and in-hospital mortality among patients hospitalized for HF in a tertiary care hospital in West Africa.
Patients and method
It was a retrospective, descriptive, and analytical cohort study conducted at the Bogodogo University Hospital (Ouagadougou, Burkina Faso) from January 1, 2022, to December 31, 2023. All consecutive patients admitted for acute or decompensated chronic HF were included. Univariate and multivariate logistic regression analyses were performed to determine independent predictors of early readmission and mortality.
Results
The hospital prevalence of heart failure (HF) was 34.28% (396/1155). At discharge, 37.63% (149/396) of patients still exhibited clinical signs of HF. The overall in-hospital mortality rate during the study period (2 years) was 17.42% (69/396). The 30-day readmission rate was 7.57% (30/396), with 69.77% of readmissions occurring within the first two weeks after discharge. The mean length of hospital stays increased from 7 days during the index hospitalization to 11 days at readmission. Independent predictors of early readmission were male sex (P = 0.043), chronic kidney disease (P = 0.013), hypertensive heart disease (P = 0.035), and betablocker use (P = 0.033). Mortality among readmitted patients was 36.66% (11/30). Independent factors associated with mortality were intercurrent infections (P = 0.016), mainly pneumonia (P = 0.036), the presence of a mitral regurgitation murmur (P = 0.020), and ventricular arrhythmias (P = 0.023).
Conclusion
Heart failure remains highly prevalent and severe in low-resource settings. Although the 30-day readmission rate was relatively low, early rehospitalization was strongly associated with excess mortality. Optimizing guideline-directed medical therapy and targeting modifiable predictors are essential to improve clinical outcomes.
{"title":"Réadmission précoce et mortalité chez les patients insuffisants cardiaques dans un hôpital de soins tertiaires en Afrique de l’Ouest (Ouagadougou) : facteurs prédictifs issus d’une étude rétrospective de deux ans","authors":"L.P. Thiombiano , A. Thiam , I. Bayire , H.E. Lengani , W.M. Nacanabo , T.A.A. Seghda , S. Dimzoure , I. Sawadogo , M. Loya , C.D. Da , N.V. Yameogo , A.K. Samadoulougou , P. Zabsonre","doi":"10.1016/j.ancard.2026.102019","DOIUrl":"10.1016/j.ancard.2026.102019","url":null,"abstract":"<div><h3>Introduction</h3><div>Heart failure (HF) is the final common pathway of most cardiovascular diseases and remains a leading cause of hospitalization and mortality worldwide. In sub-Saharan Africa, its burden is particularly high. This study aimed to identify predictors of 30-day readmission and in-hospital mortality among patients hospitalized for HF in a tertiary care hospital in West Africa.</div></div><div><h3>Patients and method</h3><div>It was a retrospective, descriptive, and analytical cohort study conducted at the Bogodogo University Hospital (Ouagadougou, Burkina Faso) from January 1, 2022, to December 31, 2023. All consecutive patients admitted for acute or decompensated chronic HF were included. Univariate and multivariate logistic regression analyses were performed to determine independent predictors of early readmission and mortality.</div></div><div><h3>Results</h3><div>The hospital prevalence of heart failure (HF) was 34.28% (396/1155). At discharge, 37.63% (149/396) of patients still exhibited clinical signs of HF. The overall in-hospital mortality rate during the study period (2 years) was 17.42% (69/396). The 30-day readmission rate was 7.57% (30/396), with 69.77% of readmissions occurring within the first two weeks after discharge. The mean length of hospital stays increased from 7 days during the index hospitalization to 11 days at readmission. Independent predictors of early readmission were male sex (<em>P</em> <!-->=<!--> <!-->0.043), chronic kidney disease (<em>P</em> <!-->=<!--> <!-->0.013), hypertensive heart disease (<em>P</em> <!-->=<!--> <!-->0.035), and betablocker use (<em>P</em> <!-->=<!--> <!-->0.033). Mortality among readmitted patients was 36.66% (11/30). Independent factors associated with mortality were intercurrent infections (<em>P</em> <!-->=<!--> <!-->0.016), mainly pneumonia (<em>P</em> <!-->=<!--> <!-->0.036), the presence of a mitral regurgitation murmur (<em>P</em> <!-->=<!--> <!-->0.020), and ventricular arrhythmias (<em>P</em> <!-->=<!--> <!-->0.023).</div></div><div><h3>Conclusion</h3><div>Heart failure remains highly prevalent and severe in low-resource settings. Although the 30-day readmission rate was relatively low, early rehospitalization was strongly associated with excess mortality. Optimizing guideline-directed medical therapy and targeting modifiable predictors are essential to improve clinical outcomes.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102019"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-06-01Epub Date: 2026-05-26DOI: 10.1016/j.ancard.2026.102017
M.W. Nacanabo , A.A.T. Seghda , A. Tall Thiam , C.D. Dah , I. Sawadogo , M.S. Dimzouré , M. Loya Abouga , P.L. Thiombiano , E.H. Lengani , Y. Kambiré , J.K. Kologo , G.C. Millogo , V.N. Yameogo , A.K. Samadoulougou , P. Zabsonre
Introduction
Pulmonary embolism is a relatively common condition. The aim of this study was to examine the epidemiological, clinical, paraclinical, therapeutic and evolutionary aspects of PE.
Materials and methods
This was a cross-sectional analytical study of a cohort of patients hospitalised in the cardiology department of the Bogodogo University Hospital Centre (CHU-B) between 5 March 2017 and 31 July 2023. The study included all patients whose diagnosis of pulmonary embolism was confirmed by pulmonary artery CT angiography or, in the absence of this, in an emergency situation, by echocardiographic signs. Epidemiological, demographic, clinical, paraclinical, therapeutic and evolutionary parameters were investigated.
Results
The prevalence in the cardiology department was 21.90% during the study period. The sex ratio was 0.86. The average age was 54.46 ± 16.74 years. Sedentary lifestyle, obesity and a history of venous thromboembolic disease were the predominant thromboembolic risk factors. The mortality rate from pulmonary embolism was 10.72%. High mortality rates were recorded between 2020 and 2022 (n = 50). Treatment was medication only. Seventy-seven (77) patients underwent thrombolysis.
Conclusion
Pulmonary embolism is a very serious condition with a high mortality rate in our context. Improving emergency treatment methods and our technical facilities could reduce this mortality rate.
{"title":"Profil épidémiologique de l’embolie pulmonaire au centre hospitalier universitaire de Bogodogo/Burkina Faso : étude transversale descriptive","authors":"M.W. Nacanabo , A.A.T. Seghda , A. Tall Thiam , C.D. Dah , I. Sawadogo , M.S. Dimzouré , M. Loya Abouga , P.L. Thiombiano , E.H. Lengani , Y. Kambiré , J.K. Kologo , G.C. Millogo , V.N. Yameogo , A.K. Samadoulougou , P. Zabsonre","doi":"10.1016/j.ancard.2026.102017","DOIUrl":"10.1016/j.ancard.2026.102017","url":null,"abstract":"<div><h3>Introduction</h3><div>Pulmonary embolism is a relatively common condition. The aim of this study was to examine the epidemiological, clinical, paraclinical, therapeutic and evolutionary aspects of PE.</div></div><div><h3>Materials and methods</h3><div>This was a cross-sectional analytical study of a cohort of patients hospitalised in the cardiology department of the Bogodogo University Hospital Centre (CHU-B) between 5 March 2017 and 31 July 2023. The study included all patients whose diagnosis of pulmonary embolism was confirmed by pulmonary artery CT angiography or, in the absence of this, in an emergency situation, by echocardiographic signs. Epidemiological, demographic, clinical, paraclinical, therapeutic and evolutionary parameters were investigated.</div></div><div><h3>Results</h3><div>The prevalence in the cardiology department was 21.90% during the study period. The sex ratio was 0.86. The average age was 54.46<!--> <!-->±<!--> <!-->16.74 years. Sedentary lifestyle, obesity and a history of venous thromboembolic disease were the predominant thromboembolic risk factors. The mortality rate from pulmonary embolism was 10.72%. High mortality rates were recorded between 2020 and 2022 (<em>n</em> <!-->=<!--> <!-->50). Treatment was medication only. Seventy-seven (77) patients underwent thrombolysis.</div></div><div><h3>Conclusion</h3><div>Pulmonary embolism is a very serious condition with a high mortality rate in our context. Improving emergency treatment methods and our technical facilities could reduce this mortality rate.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102017"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-06-01Epub Date: 2026-05-19DOI: 10.1016/j.ancard.2026.102035
L. Bounab , M.S. Lounes , M. Chemli , A. Bouamra
<div><h3>Objective</h3><div>Ambulatory blood pressure monitoring (ABPM) is the gold standard method for diagnosing hypertension (HTN). It allows for the determination of different blood pressure (BP) profiles according to the dipping status (DS). The objective of our study is to evaluate the impact of blood pressure profiles, according to dipping status, on target organ damage in a population of untreated adult hypertensives in Algeria.</div></div><div><h3>Methods</h3><div>We recruited 304 untreated adult patients with hypertension. All our patients underwent 24-hour ambulatory blood pressure monitoring (ABPM) and the following TOD assessment: urinary albumin/creatinine (ACR), ECG, echocardiography, fundoscopy, and carotid ultrasound. Our patients were divided into four groups according to their dipping status (dipper, non-dipper, extreme dipping, and reverse dipping). We carried out a descriptive study followed by an analytic study in search of predictors of TOD.</div></div><div><h3>Results</h3><div>The mean age of patients was 46.4<!--> <!-->±<!--> <!-->12<!--> <!-->years, with 82% males. The frequencies according to dipping status were as follows: dipper (<em>n</em> <!-->=<!--> <!-->106; 35.9%), non-dipper (<em>n</em> <!-->=<!--> <!-->157; 51.6%), extreme dipper (<em>n</em> <!-->=<!--> <!-->20; 6.6%) and reverse dipper (<em>n</em> <!-->=<!--> <!-->21; 6.9%). In bivariate analysis, there was no difference in TOD between the different groups except for vascular damage: dipper (16.2%), non-dipper (21.9%), extreme dipper (0%) and reverse dipper (47.4%); <em>P</em> <!--><<!--> <!-->0.01. In logistic regression, cardiac damage was correlated with age (OR<!--> <!-->=<!--> <!-->1.035, <em>P</em> <!-->=<!--> <!-->0.006), nocturnal systolic BP (SBP) (OR<!--> <!-->=<!--> <!-->1.048, <em>P</em> <!-->=<!--> <!-->0.002) and body mass index (OR<!--> <!-->=<!--> <!-->1.115, <em>P</em> <!--><<!--> <!-->0.001). Renal damage was correlated with diurnal SBP (OR<!--> <!-->=<!--> <!-->1.028; <em>P</em> <!--><<!--> <!-->0.016) and glycated haemoglobin (OR<!--> <!-->=<!--> <!-->1.438, <em>P</em> <!--><<!--> <!-->0.016). Vascular damage was correlated with age (OR<!--> <!-->=<!--> <!-->1.112, <em>P</em> <!--><<!--> <!-->0.001), diurnal SBP (OR<!--> <!-->=<!--> <!-->1.061, <em>P</em> <!--><<!--> <!-->0.001) and glycaemia (OR<!--> <!-->=<!--> <!-->1.016, <em>P</em> <!-->=<!--> <!-->0.022). Ophthalmic damage was correlated with nocturnal SBP (OR<!--> <!-->=<!--> <!-->1.021; <em>P</em> <!-->=<!--> <!-->0.03) and sedentarity (OR<!--> <!-->=<!--> <!-->1.758; <em>P</em> <!-->=<!--> <!-->0.036).</div></div><div><h3>Conclusion</h3><div>The non-dipper pattern was prevalent in our population. There was not a correlation between dipping status and TOD, except for the reverse dipper profile, which presents a higher vascular risk. The nocturnal SBP was a predictive factor for cardiac and ophthalmic damage; however, the diurnal SBP was a predictive factor for renal
{"title":"Valeur pronostique du dipping status chez une population algérienne d’hypertendus non traités","authors":"L. Bounab , M.S. Lounes , M. Chemli , A. Bouamra","doi":"10.1016/j.ancard.2026.102035","DOIUrl":"10.1016/j.ancard.2026.102035","url":null,"abstract":"<div><h3>Objective</h3><div>Ambulatory blood pressure monitoring (ABPM) is the gold standard method for diagnosing hypertension (HTN). It allows for the determination of different blood pressure (BP) profiles according to the dipping status (DS). The objective of our study is to evaluate the impact of blood pressure profiles, according to dipping status, on target organ damage in a population of untreated adult hypertensives in Algeria.</div></div><div><h3>Methods</h3><div>We recruited 304 untreated adult patients with hypertension. All our patients underwent 24-hour ambulatory blood pressure monitoring (ABPM) and the following TOD assessment: urinary albumin/creatinine (ACR), ECG, echocardiography, fundoscopy, and carotid ultrasound. Our patients were divided into four groups according to their dipping status (dipper, non-dipper, extreme dipping, and reverse dipping). We carried out a descriptive study followed by an analytic study in search of predictors of TOD.</div></div><div><h3>Results</h3><div>The mean age of patients was 46.4<!--> <!-->±<!--> <!-->12<!--> <!-->years, with 82% males. The frequencies according to dipping status were as follows: dipper (<em>n</em> <!-->=<!--> <!-->106; 35.9%), non-dipper (<em>n</em> <!-->=<!--> <!-->157; 51.6%), extreme dipper (<em>n</em> <!-->=<!--> <!-->20; 6.6%) and reverse dipper (<em>n</em> <!-->=<!--> <!-->21; 6.9%). In bivariate analysis, there was no difference in TOD between the different groups except for vascular damage: dipper (16.2%), non-dipper (21.9%), extreme dipper (0%) and reverse dipper (47.4%); <em>P</em> <!--><<!--> <!-->0.01. In logistic regression, cardiac damage was correlated with age (OR<!--> <!-->=<!--> <!-->1.035, <em>P</em> <!-->=<!--> <!-->0.006), nocturnal systolic BP (SBP) (OR<!--> <!-->=<!--> <!-->1.048, <em>P</em> <!-->=<!--> <!-->0.002) and body mass index (OR<!--> <!-->=<!--> <!-->1.115, <em>P</em> <!--><<!--> <!-->0.001). Renal damage was correlated with diurnal SBP (OR<!--> <!-->=<!--> <!-->1.028; <em>P</em> <!--><<!--> <!-->0.016) and glycated haemoglobin (OR<!--> <!-->=<!--> <!-->1.438, <em>P</em> <!--><<!--> <!-->0.016). Vascular damage was correlated with age (OR<!--> <!-->=<!--> <!-->1.112, <em>P</em> <!--><<!--> <!-->0.001), diurnal SBP (OR<!--> <!-->=<!--> <!-->1.061, <em>P</em> <!--><<!--> <!-->0.001) and glycaemia (OR<!--> <!-->=<!--> <!-->1.016, <em>P</em> <!-->=<!--> <!-->0.022). Ophthalmic damage was correlated with nocturnal SBP (OR<!--> <!-->=<!--> <!-->1.021; <em>P</em> <!-->=<!--> <!-->0.03) and sedentarity (OR<!--> <!-->=<!--> <!-->1.758; <em>P</em> <!-->=<!--> <!-->0.036).</div></div><div><h3>Conclusion</h3><div>The non-dipper pattern was prevalent in our population. There was not a correlation between dipping status and TOD, except for the reverse dipper profile, which presents a higher vascular risk. The nocturnal SBP was a predictive factor for cardiac and ophthalmic damage; however, the diurnal SBP was a predictive factor for renal","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102035"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-06-01Epub Date: 2026-05-26DOI: 10.1016/j.ancard.2026.102021
D. Bamba-Kamagaté, K.E. Soya, A.E.M. Avoh, F. Koffi, C. Gbassi, F. Traore-Diaby
Background
Non-drug management of high blood pressure includes hygiene and dietary measures, the good knowledge and practice of which contribute to the control of hypertension with the reduction of complications.
Objective
To evaluate the impact of knowledge and practice of hygiene and dietary measures in the management of hypertension.
Method
This was a single-center, cross-sectional and analytical study of hypertensive patients followed in outpatient consultations at the Abidjan Institute of Cardiology from January 1 to October 31, 2022. The data studied were sociodemographic, clinical, therapeutic, lifestyle habits and complications.
Results
301 patients were included, mostly women (sex ratio: 0.9) with a mean age of 61.0 ± 10.4 years. The majority of patients were on dual therapy (72.8%), followed by monotherapy (19.6%). The low-sodium diet (98.3%), fat reduction (89.4%), smoking cessation (87.4%), weight control (86%) and alcohol reduction (70.4%) were the hygiene-dietetic measures known by the patients. The level of the knowledge score did not seem to impact on the occurrence of complications (P = 0.18) and the control of high blood pressure (P = 0.5) and did not depend on gender (P = 0.50). The low-sodium diet was the most practiced (84.4%). The practice of MHD was protective of the occurrence of complications [OR = 0.50; 95% CI (0.30–0.80); P = 0.005] and significantly impacted on the control of blood pressure (P = 0.03).
Conclusion
The patients had a good knowledge of the hygiene-dietetic measures and mostly practiced the low-sodium diet.
背景：高血压的非药物管理包括卫生和饮食措施，良好的知识和实践有助于控制高血压，减少并发症。目的：评价卫生和饮食措施的知识和实践对高血压管理的影响。方法：这是一项单中心、横断面和分析性研究，研究对象是2022年1月1日至10月31日在阿比让心脏病研究所门诊就诊的高血压患者。研究的数据包括社会人口学、临床、治疗、生活习惯和并发症。结果：纳入301例患者，以女性为主（性别比：0.9），平均年龄61.0±10.4岁。大多数患者接受双重治疗（72.8%），其次是单药治疗（19.6%）。低钠饮食（98.3%）、减脂（89.4%）、戒烟（87.4%）、控制体重（86%）和减少酒精（70.4%）是患者已知的卫生饮食措施。知识得分水平似乎对并发症的发生（P=0.18）和高血压的控制（P=0.5）没有影响，也不依赖于性别（P=0.50）。低钠饮食最为普遍（84.4%）。MHD对并发症的发生有保护作用[OR=0.50；95% ci (0.30-0.80)；P=0.005]对血压控制有显著影响（P=0.03）。结论：患者对卫生饮食措施了解较好，以低钠饮食为主。
{"title":"Impact des connaissances et pratiques des mesures hygiénodiététiques chez les hypertendus à l’institut de cardiologie d’Abidjan","authors":"D. Bamba-Kamagaté, K.E. Soya, A.E.M. Avoh, F. Koffi, C. Gbassi, F. Traore-Diaby","doi":"10.1016/j.ancard.2026.102021","DOIUrl":"10.1016/j.ancard.2026.102021","url":null,"abstract":"<div><h3>Background</h3><div>Non-drug management of high blood pressure includes hygiene and dietary measures, the good knowledge and practice of which contribute to the control of hypertension with the reduction of complications.</div></div><div><h3>Objective</h3><div>To evaluate the impact of knowledge and practice of hygiene and dietary measures in the management of hypertension.</div></div><div><h3>Method</h3><div>This was a single-center, cross-sectional and analytical study of hypertensive patients followed in outpatient consultations at the Abidjan Institute of Cardiology from January 1 to October 31, 2022. The data studied were sociodemographic, clinical, therapeutic, lifestyle habits and complications.</div></div><div><h3>Results</h3><div>301 patients were included, mostly women (sex ratio: 0.9) with a mean age of 61.0<!--> <!-->±<!--> <!-->10.4 years. The majority of patients were on dual therapy (72.8%), followed by monotherapy (19.6%). The low-sodium diet (98.3%), fat reduction (89.4%), smoking cessation (87.4%), weight control (86%) and alcohol reduction (70.4%) were the hygiene-dietetic measures known by the patients. The level of the knowledge score did not seem to impact on the occurrence of complications (<em>P</em> <!-->=<!--> <!-->0.18) and the control of high blood pressure (<em>P</em> <!-->=<!--> <!-->0.5) and did not depend on gender (<em>P</em> <!-->=<!--> <!-->0.50). The low-sodium diet was the most practiced (84.4%). The practice of MHD was protective of the occurrence of complications [OR<!--> <!-->=<!--> <!-->0.50; 95% CI (0.30–0.80); <em>P</em> <!-->=<!--> <!-->0.005] and significantly impacted on the control of blood pressure (<em>P</em> <!-->=<!--> <!-->0.03).</div></div><div><h3>Conclusion</h3><div>The patients had a good knowledge of the hygiene-dietetic measures and mostly practiced the low-sodium diet.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102021"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Socioeconomic development is gradually reducing in the prevalence of hypertension (HT) and associated risk factors between urban and rural areas.
Objectives
To update data for the Democratic Republic of the Congo by examining differences in the prevalence and control of HT and other cardiovascular risk factors between urban and rural populations of Congolese adults.
Methodology
During the May Measurement Month campaigns in 2023 and 2024, 4,012 participants aged ≥ 30 years (1,036 residing in the city of Bukavu and 2,976 in the rural areas of Kaziba and Katana) were interviewed and underwent measurements of blood pressure, weight, and height. HT was defined as blood pressure ≥ 140/90 mmHg and/or current use of antihypertensive medication.
Results
Compared with urban participants, rural participants had a significantly higher prevalence of HT (33.4% vs. 27.8%; P = 0.001), age > 60 years (29.4% vs. 20.4%; P < 0.0001), and smoking (27.6% vs. 14.0%; P < 0.0001). Conversely, overweight (32.9% vs. 23.2%; P < 0.0001), obesity (12.3% vs. 5.3%; P < 0.0001), physical inactivity (32.9% vs. 11.8%; P < 0.0001) and a history of diabetes mellitus (5.3% vs. 3.5%; P = 0.01) were significantly more significantly more common in urban areas. Multivariate analysis indicated that rural residence (adjusted OR = 1.55; P < 0.0001) was an independent predictor of HT after adjustment for age, sex, BMI, smoking, diabetes mellitus, and physical inactivity.
Conclusion
The findings suggest that the rural Congolese environment may contribute to hypertension due to an older age structure, the adoption of unhealthy behaviors, and low detection rates of HT. Enhanced awareness of HT diagnosis and promotion of healthy lifestyles are essential in these settings to mitigate this major cardiovascular risk factor.
{"title":"Urban–rural disparities in hypertension prevalence, screening, and control in South Kivu Province, eastern Democratic Republic of the Congo","authors":"A.B Gendusa , J.Z. Agishwe , F.C. Chubaka , J.M. Musung , P.N. Katchunga , A.Z. Byandike , J.N. Mugalihya , D.M Bihehe , P.B. Katchunga","doi":"10.1016/j.ancard.2026.102015","DOIUrl":"10.1016/j.ancard.2026.102015","url":null,"abstract":"<div><h3>Background</h3><div>Socioeconomic development is gradually reducing in the prevalence of hypertension (HT) and associated risk factors between urban and rural areas.</div></div><div><h3>Objectives</h3><div>To update data for the Democratic Republic of the Congo by examining differences in the prevalence and control of HT and other cardiovascular risk factors between urban and rural populations of Congolese adults.</div></div><div><h3>Methodology</h3><div>During the May Measurement Month campaigns in 2023 and 2024, 4,012 participants aged ≥ 30 years (1,036 residing in the city of Bukavu and 2,976 in the rural areas of Kaziba and Katana) were interviewed and underwent measurements of blood pressure, weight, and height. HT was defined as blood pressure ≥ 140/90<!--> <!-->mmHg and/or current use of antihypertensive medication.</div></div><div><h3>Results</h3><div>Compared with urban participants, rural participants had a significantly higher prevalence of HT (33.4% vs. 27.8%; <em>P</em> <!-->=<!--> <!-->0.001), age ><!--> <!-->60 years (29.4% vs. 20.4%; <em>P</em> <!--><<!--> <!-->0.0001), and smoking (27.6% vs. 14.0%; <em>P</em> <!--><<!--> <!-->0.0001). Conversely, overweight (32.9% vs. 23.2%; <em>P</em> <!--><<!--> <!-->0.0001), obesity (12.3% vs. 5.3%; <em>P</em> <!--><<!--> <!-->0.0001), physical inactivity (32.9% vs. 11.8%; <em>P</em> <!--><<!--> <!-->0.0001) and a history of diabetes mellitus (5.3% vs. 3.5%; <em>P</em> <!-->=<!--> <!-->0.01) were significantly more significantly more common in urban areas. Multivariate analysis indicated that rural residence (adjusted OR<!--> <!-->=<!--> <!-->1.55; <em>P</em> <!--><<!--> <!-->0.0001) was an independent predictor of HT after adjustment for age, sex, BMI, smoking, diabetes mellitus, and physical inactivity.</div></div><div><h3>Conclusion</h3><div>The findings suggest that the rural Congolese environment may contribute to hypertension due to an older age structure, the adoption of unhealthy behaviors, and low detection rates of HT. Enhanced awareness of HT diagnosis and promotion of healthy lifestyles are essential in these settings to mitigate this major cardiovascular risk factor.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 3","pages":"Article 102015"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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