Pub Date : 2026-02-01Epub Date: 2025-12-18DOI: 10.1016/j.ancard.2025.101983
Papa Guirane Ndiaye , Aliou Alassane Ngaide , Abdoulgabar Souleiman , Pape MD Fall , Joseph S. Mingou , Cheikh MBM Diop , Mohamed Gazal , Aymard Abadassi , Cheikh T Ndao , Cherif Mboup , Momar Dioum , Bouna Diack , Mouhamadou B. Ndiaye , Maboury Diao , Abdoul Kane
Non-ST-segment elevation acute coronary syndrome (NSTE-ACS) is the most common form of acute coronary syndrome. Its diagnosis and management have always been subjects of controversy, complicating its treatment, particularly in our setting. This study aimed to evaluate the overall management of patients admitted to the hospital for NSTE-ACS.
Patients and Methods: A multicentre, prospective, descriptive, and analytical study was carried out over 12 months, including all patients admitted for NSTE-ACS in three cardiology departments in Dakar.
Results: Among 2,329 patients seen, 131 were admitted for NSTE-ACS, representing 5.63% of hospitalized patients and 26.3% of all ACS cases. The average âge was 61 years. Most patients were women, with a sex ratio of 1.3. The distribution was as follows: NSTE-ACS with positive troponin (86.7%) and NSTE-ACS with negative troponin (13.3%). The main risk factors included sedentary lifestyle (75.6%), hypertension (64.9%), and diabetes (36.7%). Chest pain was the most common symptom (81.7%). Physical examination was mostly normal (75%). Cardiac ultrasound detected kinetic disorders and left ventricular dysfunction in 45% and 38.6% of patients, respectively. According to the GRACE score, 46.6% of patients were at high risk of ischemia. Coronary angiography was performed in 64.8% of patients, with 82.4% showing coronary artery disease and 46.7% having triple-vessel disease. Coronary angioplasty was carried out in 19.9% of cases. There were eight deaths, resulting in an in-hospital mortality rate of 6.1%.
Conclusion: This study highlights that the diagnosis and treatment of NSTE-ACS remain major challenges in Dakar, with limited access to troponin testing, coronary angiography, and angioplasty.
{"title":"Profil et prise en charge des patients hospitalisés pour syndrome coronaire aigu sans sus-décalage de ST à Dakar","authors":"Papa Guirane Ndiaye , Aliou Alassane Ngaide , Abdoulgabar Souleiman , Pape MD Fall , Joseph S. Mingou , Cheikh MBM Diop , Mohamed Gazal , Aymard Abadassi , Cheikh T Ndao , Cherif Mboup , Momar Dioum , Bouna Diack , Mouhamadou B. Ndiaye , Maboury Diao , Abdoul Kane","doi":"10.1016/j.ancard.2025.101983","DOIUrl":"10.1016/j.ancard.2025.101983","url":null,"abstract":"<div><div>Non-ST-segment elevation acute coronary syndrome (NSTE-ACS) is the most common form of acute coronary syndrome. Its diagnosis and management have always been subjects of controversy, complicating its treatment, particularly in our setting. This study aimed to evaluate the overall management of patients admitted to the hospital for NSTE-ACS.</div><div>Patients and Methods: A multicentre, prospective, descriptive, and analytical study was carried out over 12 months, including all patients admitted for NSTE-ACS in three cardiology departments in Dakar.</div><div>Results: Among 2,329 patients seen, 131 were admitted for NSTE-ACS, representing 5.63% of hospitalized patients and 26.3% of all ACS cases. The average âge was 61 years. Most patients were women, with a sex ratio of 1.3. The distribution was as follows: NSTE-ACS with positive troponin (86.7%) and NSTE-ACS with negative troponin (13.3%). The main risk factors included sedentary lifestyle (75.6%), hypertension (64.9%), and diabetes (36.7%). Chest pain was the most common symptom (81.7%). Physical examination was mostly normal (75%). Cardiac ultrasound detected kinetic disorders and left ventricular dysfunction in 45% and 38.6% of patients, respectively. According to the GRACE score, 46.6% of patients were at high risk of ischemia. Coronary angiography was performed in 64.8% of patients, with 82.4% showing coronary artery disease and 46.7% having triple-vessel disease. Coronary angioplasty was carried out in 19.9% of cases. There were eight deaths, resulting in an in-hospital mortality rate of 6.1%.</div><div>Conclusion: This study highlights that the diagnosis and treatment of NSTE-ACS remain major challenges in Dakar, with limited access to troponin testing, coronary angiography, and angioplasty.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 1","pages":"Article 101983"},"PeriodicalIF":0.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145780236","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}
There is a link between physical activity level and survival of cardiac patient. Less than 50 % of patients would remain physically active two months after a phase II cardiac rehabilitation.
Objective. To descriptively assess the physical activity behavior of cardiac patients exposed to connected devices during rehabilitation, at 2- and 4-month post-discharge.
Method. 18 cardiac patients (52.3 ± 11.0 years) attended a therapeutic workshop on linked objects and social networks during four weeks of supervised cardiac rehabilitation. Then, they freely reported their adapted physical activity information on social networks during two periods of 8 weeks, intercepted by 2 weeks, at home.
Results. Three patients (16.7 %) dropped out during the second 8-week period. 15 patients practiced more different physical activities during the second period compared to the first period (1.2 ± 0.4 vs. 1.8 ± 0.9, p=0.007) with no significant effect on weekly duration (90.9 ± 40.8 vs. 91.8 ± 55.9 min, p=0.290) or frequency of adapted physical activities (2.6 ± 1.8 vs. 2.6 ± 1.1, p=0.183). Walking sessions (2.3 ± 0.9 vs. 2.0 ± 1.0, p=0.033) and distance (8.7 ± 3.7 vs. 7.8 ± 3.9 km, p = 0.002) decreased between both periods, the number of bicycling sessions increased (0.0 ± 0.0 vs. 9.0 ± 3.0).
Conclusion. Education on connected health devices, combined with remote professional support, appears to help maintain physical activity in post-discharge cardiac patients. These preliminary findings highlight the need for further studies to assess the intervention’s impact on cardiovascular rehabilitation.
心脏病患者的生存与身体活动水平有一定的关系。不到50%的患者在二期心脏康复后两个月仍能保持体力活动。目的：描述性地评估在康复期间暴露于连接设备的心脏病患者在出院后2个月和4个月的身体活动行为。18例心脏病患者（52.3±11.0岁）在为期四周的心脏康复监督下参加了一个关于连接对象和社会网络的治疗讲习班。然后，他们在两个8周的时间里自由地在社交网络上报告他们适应的体育活动信息，在家里每隔两周进行拦截。3名患者（16.7%）在第二个8周期间退出。15例患者在第二阶段比第一阶段进行了更多不同的体育活动（1.2±0.4比1.8±0.9,p=0.007），但对每周持续时间（90.9±40.8比91.8±55.9分钟，p=0.290）或适应体育活动的频率（2.6±1.8比2.6±1.1,p=0.183）没有显著影响。步行次数（2.3±0.9 vs. 2.0±1.0,p=0.033）和距离（8.7±3.7 vs. 7.8±3.9 km, p= 0.002）减少，骑自行车次数（0.0±0.0 vs. 9.0±3.0）增加。有关联网医疗设备的教育，加上远程专业支持，似乎有助于出院后心脏病患者保持身体活动。这些初步发现强调需要进一步研究来评估干预对心血管康复的影响。
{"title":"Atelier sur les objets connectés et maintien de l’activité physique à domicile : étude descriptive préliminaire chez des patients cardiaques","authors":"Julie Capart , Florent Krim , Aurélien Dassonneville , Éric passavant , Pierre-Henri Bréchat , Tarik Alaoui , Mohamed Ghannem , Pierre-Marie Leprêtre","doi":"10.1016/j.ancard.2025.101987","DOIUrl":"10.1016/j.ancard.2025.101987","url":null,"abstract":"<div><div>There is a link between physical activity level and survival of cardiac patient. Less than 50 % of patients would remain physically active two months after a phase II cardiac rehabilitation.</div><div>Objective. To descriptively assess the physical activity behavior of cardiac patients exposed to connected devices during rehabilitation, at 2- and 4-month post-discharge.</div><div>Method. 18 cardiac patients (52.3 ± 11.0 years) attended a therapeutic workshop on linked objects and social networks during four weeks of supervised cardiac rehabilitation. Then, they freely reported their adapted physical activity information on social networks during two periods of 8 weeks, intercepted by 2 weeks, at home.</div><div>Results. Three patients (16.7 %) dropped out during the second 8-week period. 15 patients practiced more different physical activities during the second period compared to the first period (1.2 ± 0.4 vs. 1.8 ± 0.9, <em>p</em>=0.007) with no significant effect on weekly duration (90.9 ± 40.8 vs. 91.8 ± 55.9 min, <em>p</em>=0.290) or frequency of adapted physical activities (2.6 ± 1.8 vs. 2.6 ± 1.1, <em>p</em>=0.183). Walking sessions (2.3 ± 0.9 vs. 2.0 ± 1.0, <em>p</em>=0.033) and distance (8.7 ± 3.7 vs. 7.8 ± 3.9 km, <em>p</em> = 0.002) decreased between both periods, the number of bicycling sessions increased (0.0 ± 0.0 vs. 9.0 ± 3.0).</div><div>Conclusion. Education on connected health devices, combined with remote professional support, appears to help maintain physical activity in post-discharge cardiac patients. These preliminary findings highlight the need for further studies to assess the intervention’s impact on cardiovascular rehabilitation.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 1","pages":"Article 101987"},"PeriodicalIF":0.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145760750","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 : 2026-02-01Epub Date: 2026-01-27DOI: 10.1016/S0003-3928(26)00005-3
{"title":"Sommaire","authors":"","doi":"10.1016/S0003-3928(26)00005-3","DOIUrl":"10.1016/S0003-3928(26)00005-3","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 1","pages":"Article 102000"},"PeriodicalIF":0.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146074136","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 : 2026-02-01Epub Date: 2025-12-17DOI: 10.1016/j.ancard.2025.101984
Valérie Ndobo , Augustine Telouwe Ndava , Hermann Tsague , Amalia Owona , Nafissatou Nsangou , Carole Ngo Yon , Zéphanie Kobe , Marcus Fokou , Sépolin Lowe , Alain Patrick Menanga , Liliane Mfeukeu Kuate
Background
Lower-limb peripheral arterial disease (PAD) is underdiagnosed despite its high prevalence among patients with cardiovascular risk factors. Given the well-documented benefits of physical activity on physical and mental capacities, we aimed to assess the effects of a supervised exercise-based cardiac rehabilitation program for PAD on walking performance, hemodynamic parameters, anxiety, depression, and quality of life.
Methods
We conducted a prospective quasi-experimental before–after study at Yaoundé General Hospital from November 2024 to June 2025 among adult patients, with or without prior revascularization (bypass, stent, or angioplasty), at Leriche and Fontaine stages II/III, recruited consecutively in clinic. The intervention comprised 20 sessions over 7 weeks combining therapeutic education, walking-centered endurance training (45–60 min) and muscle strengthening (15–30 min), with psychological support. Maximal walking distance, pain-free walking distance, hemodynamic parameters, anxiety/depression, and quality of life were assessed pre- and post-intervention.
Results
We included 13 patients (mean age 57 ± 10 years), predominantly male. Hypertension was present in 67% and diabetes in 31%. After 7 weeks, walking performance improved markedly: pain-free walking time increased from 3.70 ± 1.57 to 6.30 ± 1.95 min (p = 0.006) and pain-free distance from 220.30 ± 76.21 to 350.10 ± 89.39 m (p = 0.002); maximal walking time from 8.00 ± 4.08 to 14.00 ± 5.06 min (p = 0.003) and maximal distance from 446.38 ± 258.75 to 754.50 ± 331.09 m (p = 0.002). Hemodynamically, systolic blood pressure decreased significantly in both arms (≈154–153 to ≈134 mmHg) and diastolic blood pressure decreased in the right arm (p = 0.039); BMI also declined (28.63 to 27.01 kg/m²; p < 0.001). Anxiety scores decreased from 8.46 ± 2.63 to 5.38 ± 1.45 (p < 0.001), while the reduction in depression scores (7.31 ± 2.78 to 4.69 ± 2.06) did not reach significance (p = 0.16). Finally, optimal quality of life was achieved in 100% of patients (p < 0.001).
Conclusion
The rehabilitation program improved walking capacity, systolic blood pressure, weight/BMI, and anxiety, with overall better quality of life. However, evidence remains limited (pre–post without control, single center, small sample, short follow-up), underscoring the need for multicenter randomized controlled trials.
背景：下肢外周动脉疾病（PAD）在具有心血管危险因素的患者中发病率很高，但仍未得到充分诊断。考虑到体力活动对身心能力的益处，我们旨在评估PAD患者在监督下的基于运动的心脏康复计划对行走性能、血流动力学参数、焦虑、抑郁和生活质量的影响。方法：我们于2024年11月至2025年6月在雅温得总医院进行了一项前瞻性准实验前后研究，在Leriche和Fontaine II/III期连续招募有或未有过血管重建术（搭桥、支架或血管成形术）的成年患者。干预包括20个疗程，为期7周，结合治疗性教育，以步行为中心的耐力训练（45-60分钟）和肌肉强化（15-30分钟），以及心理支持。干预前后分别评估最大步行距离、无痛步行距离、血流动力学参数、焦虑/抑郁和生活质量。结果：我们纳入13例患者（平均年龄57±10岁），以男性为主。67%的人患有高血压，31%的人患有糖尿病。7周后，患者步行能力明显改善：无痛步行时间从3.70±1.57 min增加到6.30±1.95 min (p = 0.006)，无痛步行距离从220.30±76.21 m增加到350.10±89.39 m (p = 0.002)；最大步行时间从8.00±4.08到14.00±5.06 min (p = 0.003)，最大步行距离从446.38±258.75到754.50±331.09 m （p = 0.002）。血流动力学方面，两臂收缩压明显下降（≈154-153 ~≈134 mmHg），右臂舒张压下降（p = 0.039）；BMI也有所下降（28.63 ~ 27.01 kg/m²，p < 0.001）。焦虑评分由8.46±2.63分降至5.38±1.45分（p < 0.001），抑郁评分由7.31±2.78分降至4.69±2.06分，差异无统计学意义（p = 0.16）。最终，100%的患者获得了最佳的生活质量（p < 0.001）。结论：康复方案改善了行走能力、收缩压、体重/BMI和焦虑，总体生活质量更好。然而，证据仍然有限（前后无对照，单中心，小样本，短随访），强调需要进行多中心随机对照试验。
{"title":"Supervised Exercise-Based Cardiac Rehabilitation Program for Lower-Limb Peripheral Arterial Disease : Effect on Walking Capacity, Hemodynamic Parameters, Anxiety, Depression, and Quality of Life in Cameroon","authors":"Valérie Ndobo , Augustine Telouwe Ndava , Hermann Tsague , Amalia Owona , Nafissatou Nsangou , Carole Ngo Yon , Zéphanie Kobe , Marcus Fokou , Sépolin Lowe , Alain Patrick Menanga , Liliane Mfeukeu Kuate","doi":"10.1016/j.ancard.2025.101984","DOIUrl":"10.1016/j.ancard.2025.101984","url":null,"abstract":"<div><h3>Background</h3><div>Lower-limb peripheral arterial disease (PAD) is underdiagnosed despite its high prevalence among patients with cardiovascular risk factors. Given the well-documented benefits of physical activity on physical and mental capacities, we aimed to assess the effects of a supervised exercise-based cardiac rehabilitation program for PAD on walking performance, hemodynamic parameters, anxiety, depression, and quality of life.</div></div><div><h3>Methods</h3><div>We conducted a prospective quasi-experimental before–after study at Yaoundé General Hospital from November 2024 to June 2025 among adult patients, with or without prior revascularization (bypass, stent, or angioplasty), at Leriche and Fontaine stages II/III, recruited consecutively in clinic. The intervention comprised 20 sessions over 7 weeks combining therapeutic education, walking-centered endurance training (45–60 min) and muscle strengthening (15–30 min), with psychological support. Maximal walking distance, pain-free walking distance, hemodynamic parameters, anxiety/depression, and quality of life were assessed pre- and post-intervention.</div></div><div><h3>Results</h3><div>We included 13 patients (mean age 57 ± 10 years), predominantly male. Hypertension was present in 67% and diabetes in 31%. After 7 weeks, walking performance improved markedly: pain-free walking time increased from 3.70 ± 1.57 to 6.30 ± 1.95 min (p = 0.006) and pain-free distance from 220.30 ± 76.21 to 350.10 ± 89.39 m (p = 0.002); maximal walking time from 8.00 ± 4.08 to 14.00 ± 5.06 min (p = 0.003) and maximal distance from 446.38 ± 258.75 to 754.50 ± 331.09 m (p = 0.002). Hemodynamically, systolic blood pressure decreased significantly in both arms (≈154–153 to ≈134 mmHg) and diastolic blood pressure decreased in the right arm (p = 0.039); BMI also declined (28.63 to 27.01 kg/m²; p < 0.001). Anxiety scores decreased from 8.46 ± 2.63 to 5.38 ± 1.45 (p < 0.001), while the reduction in depression scores (7.31 ± 2.78 to 4.69 ± 2.06) did not reach significance (p = 0.16). Finally, optimal quality of life was achieved in 100% of patients (p < 0.001).</div></div><div><h3>Conclusion</h3><div>The rehabilitation program improved walking capacity, systolic blood pressure, weight/BMI, and anxiety, with overall better quality of life. However, evidence remains limited (pre–post without control, single center, small sample, short follow-up), underscoring the need for multicenter randomized controlled trials.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 1","pages":"Article 101984"},"PeriodicalIF":0.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145780198","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 : 2025-12-01Epub Date: 2025-10-27DOI: 10.1016/j.ancard.2025.101956
Hélène Hergault , Diane Mansencal , Alain Beauchet , Loïc Josseran , Thomas Lévesque , Pierre Boisson de Chazournes , Orianne Weizman , Abdallah Fayssoil , Marion Pépin , Christophe Rodon , Olivier Dubourg , Nicolas Mansencal , Marie Hauguel-Moreau
Background
Tobacco is one of the strongest modifiable cardiovascular risk factors, contributing significantly to cardiovascular morbidity and mortality. We aimed to assess the impact of neighborhood deprivation on smoking status and smoking intensity.
Methods
Between 2010 and 2018, we studied smoking status and intensity in 7821 participants residing in Paris west suburb included in the CARVAR 92 prospective cohort. Moderate or high-intensity smoking was defined as consuming more than 10 cigarettes a day Three neighborhood clusters of decreasing socioeconomic status (SES) were obtained after a hierarchical clustering analysis applied to eighteen measures of SES. We used multivariate logistic models to estimate the association between neighborhood SES (NSES) clusters and smoking status and intensity.
Results
Of the 7821 participants (mean age: 55.1 ± 9.7 years, 56.8% women), 16.4% were smokers (N=1284): 18.8% of males (N=635) and 14.6% of females (N=649, p < 0.0001). The overall proportions of smokers were similar in the three groups: 16.2%, 15.6% and 18.2% in high, medium, and low NSES, respectively (p for trend=0.171). We observed a higher proportion of males among smokers in each NSES: 17.6%, 20.1% and 20.2% (p for trend=0.03) in high, medium and low NSES, respectively, versus 15.2%, 12.3%, and 15.9% (p for trend=0.801) among women. Lowest SES neighborhood was independently associated with moderate or high-intensity smoking in the whole population (OR=1.66; 95% CI 1.27-2.04, p = 0.02), in men (OR 1.59, 95% CI 1.06-2.40), and in women (OR 1.79, 95% CI 1.17-2.72).
Conclusion
In conclusion, the intensity of smoking is greatly influenced by neighborhood SES. We found an association between lowest SES neighborhoods and moderate or high-intensity smoking, regardless of sex, with a slightly more pronounced effect among women.
背景：烟草是最强的可改变的心血管危险因素之一，对心血管发病率和死亡率有显著影响。我们的目的是评估邻里剥夺对吸烟状况和吸烟强度的影响。方法：2010年至2018年间，我们研究了CARVAR 92前瞻性队列中居住在巴黎西郊的7821名参与者的吸烟状况和强度。中等或高强度吸烟被定义为每天消费超过10支香烟，在对18项社会经济地位（SES）测量进行分层聚类分析后，得到了三个社会经济地位（SES）下降的邻里聚类。我们使用多元逻辑模型来估计社区SES （NSES）集群与吸烟状况和强度之间的关系。结果：在7821名参与者中（平均年龄：55.1±9.7岁，56.8%为女性），16.4%为吸烟者（N=1284），其中男性占18.8% (N=635)，女性占14.6% （N=649, p < 0.0001）。三组吸烟者的总体比例相似：高、中、低NSES分别为16.2%、15.6%和18.2%（趋势p =0.171）。我们观察到，在每个NSES中，男性吸烟者的比例更高：在高、中、低NSES中，分别为17.6%、20.1%和20.2% (p为趋势=0.03)，而在女性中，分别为15.2%、12.3%和15.9% （p为趋势=0.801）。社会经济地位最低的社区与整个人群中中度或高强度吸烟独立相关（or =1.66; 95% CI 1.27-2.04, p = 0.02），男性（or 1.59, 95% CI 1.06-2.40），女性（or 1.79, 95% CI 1.17-2.72）。结论：综上所述，吸烟强度受社区经济地位的影响较大。我们发现，社会经济地位最低的社区与中等或高强度吸烟之间存在关联，无论性别如何，对女性的影响略显明显。
{"title":"Effect of neighborhood socioeconomic status on smoking behavior in the CARVAR 92 cohort study","authors":"Hélène Hergault , Diane Mansencal , Alain Beauchet , Loïc Josseran , Thomas Lévesque , Pierre Boisson de Chazournes , Orianne Weizman , Abdallah Fayssoil , Marion Pépin , Christophe Rodon , Olivier Dubourg , Nicolas Mansencal , Marie Hauguel-Moreau","doi":"10.1016/j.ancard.2025.101956","DOIUrl":"10.1016/j.ancard.2025.101956","url":null,"abstract":"<div><h3>Background</h3><div>Tobacco is one of the strongest modifiable cardiovascular risk factors, contributing significantly to cardiovascular morbidity and mortality. We aimed to assess the impact of neighborhood deprivation on smoking status and smoking intensity.</div></div><div><h3>Methods</h3><div>Between 2010 and 2018, we studied smoking status and intensity in 7821 participants residing in Paris west suburb included in the CARVAR 92 prospective cohort. Moderate or high-intensity smoking was defined as consuming more than 10 cigarettes a day Three neighborhood clusters of decreasing socioeconomic status (SES) were obtained after a hierarchical clustering analysis applied to eighteen measures of SES. We used multivariate logistic models to estimate the association between neighborhood SES (NSES) clusters and smoking status and intensity.</div></div><div><h3>Results</h3><div>Of the 7821 participants (mean age: 55.1 ± 9.7 years, 56.8% women), 16.4% were smokers (N=1284): 18.8% of males (N=635) and 14.6% of females (N=649, p < 0.0001). The overall proportions of smokers were similar in the three groups: 16.2%, 15.6% and 18.2% in high, medium, and low NSES, respectively (p for trend=0.171). We observed a higher proportion of males among smokers in each NSES: 17.6%, 20.1% and 20.2% (p for trend=0.03) in high, medium and low NSES, respectively, versus 15.2%, 12.3%, and 15.9% (p for trend=0.801) among women. Lowest SES neighborhood was independently associated with moderate or high-intensity smoking in the whole population (OR=1.66; 95% CI 1.27-2.04, p = 0.02), in men (OR 1.59, 95% CI 1.06-2.40), and in women (OR 1.79, 95% CI 1.17-2.72).</div></div><div><h3>Conclusion</h3><div>In conclusion, the intensity of smoking is greatly influenced by neighborhood SES. We found an association between lowest SES neighborhoods and moderate or high-intensity smoking, regardless of sex, with a slightly more pronounced effect among women.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101956"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145385976","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 : 2025-12-01Epub Date: 2025-07-06DOI: 10.1016/j.ancard.2025.101902
Relwendé Aristide Yameogo , Lydie Kologo , Adama Sawadogo , Yibar Kambire , Hippolyte N Some , Lassina Konate , Safiatou Tiemtore , Lynda Compaore , Patrice Zabsonre , Nicolas Meda , Cheick Oumar Bagayoko
Introduction
Medical imaging is a major focus of information and communication technologies (ICTs) as it generates the largest volume of digital data. L’utilisation de la télémédecine est une opportunité qui permettra d’améliorer la prise en charge des patients. The objective of our study was to assess the contribution of echocardiographic tele-expertise in the management of heart diseases in Burkina Faso.
Methods
This was a prospective cohort study conducted from February 16, 2021, to April 6, 2023, in the thoracic and cardiovascular surgery department of the Tengandogo University Hospital. Patients included were those who had undergone echocardiographic tele-expertise and cardiac surgery in Burkina Faso. We compared the concordance between the diagnoses of the requesting cardiologist and the consulting cardiologist on one hand, and between the consulting physician and intraoperative diagnoses on the other hand. Diagnostic concordance rates were used for comparisons.
Results
A total of 384 patients benefited from tele-expertise, and 123 underwent surgery in Burkina Faso. Of these, 111 patients were included in the study. The cohort exhibited a female predominance (59.5%), with a mean age of 9.3 years. Congenital heart diseases accounted for 82.9% of cases, dominated by patent ductus arteriosus (40.2%). Acquired heart diseases represented 17.1%, mainly mitral stenosis (52.6%). The diagnostic concordance rate was 94.5% between the requesting and consulting cardiologists and 100% between the consulting cardiologist and intraoperative findings. The mortality rate was 3.6%.
Conclusion
Echocardiographic tele-expertise is a reliable and safe practice for both patient management and continuous training of cardiologists. Deploying this practice in regional hospital with cardiologists can improve healthcare delivery.
{"title":"Contribution de la téléexpertise échocardiographique à la prise en charge des cardiopathies congénitales : expérience du Burkina Faso","authors":"Relwendé Aristide Yameogo , Lydie Kologo , Adama Sawadogo , Yibar Kambire , Hippolyte N Some , Lassina Konate , Safiatou Tiemtore , Lynda Compaore , Patrice Zabsonre , Nicolas Meda , Cheick Oumar Bagayoko","doi":"10.1016/j.ancard.2025.101902","DOIUrl":"10.1016/j.ancard.2025.101902","url":null,"abstract":"<div><h3>Introduction</h3><div>Medical imaging is a major focus of information and communication technologies (ICTs) as it generates the largest volume of digital data. L’utilisation de la télémédecine est une opportunité qui permettra d’améliorer la prise en charge des patients. The objective of our study was to assess the contribution of echocardiographic tele-expertise in the management of heart diseases in Burkina Faso.</div></div><div><h3>Methods</h3><div>This was a prospective cohort study conducted from February 16, 2021, to April 6, 2023, in the thoracic and cardiovascular surgery department of the Tengandogo University Hospital. Patients included were those who had undergone echocardiographic tele-expertise and cardiac surgery in Burkina Faso. We compared the concordance between the diagnoses of the requesting cardiologist and the consulting cardiologist on one hand, and between the consulting physician and intraoperative diagnoses on the other hand. Diagnostic concordance rates were used for comparisons.</div></div><div><h3>Results</h3><div>A total of 384 patients benefited from tele-expertise, and 123 underwent surgery in Burkina Faso. Of these, 111 patients were included in the study. The cohort exhibited a female predominance (59.5%), with a mean age of 9.3 years. Congenital heart diseases accounted for 82.9% of cases, dominated by patent ductus arteriosus (40.2%). Acquired heart diseases represented 17.1%, mainly mitral stenosis (52.6%). The diagnostic concordance rate was 94.5% between the requesting and consulting cardiologists and 100% between the consulting cardiologist and intraoperative findings. The mortality rate was 3.6%.</div></div><div><h3>Conclusion</h3><div>Echocardiographic tele-expertise is a reliable and safe practice for both patient management and continuous training of cardiologists. Deploying this practice in regional hospital with cardiologists can improve healthcare delivery.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101902"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563303","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 : 2025-12-01Epub Date: 2025-10-27DOI: 10.1016/j.ancard.2025.101959
H. Bensussan , R. Auger , T. Genet , A. Bernard
This case report tells the story of a non-trivial infarction, where the usual rapid management of a ST-segment elevation infarction could have led to serious consequences for the patient. It is important to maintain a systematic clinical assessment before performing invasive procedures.
{"title":"Infarctus du myocarde inférieur avec extension au ventricule droit lié à un énorme thrombus naissant de l’aorte ascendante et envahissant la coronaire droite – cas clinique","authors":"H. Bensussan , R. Auger , T. Genet , A. Bernard","doi":"10.1016/j.ancard.2025.101959","DOIUrl":"10.1016/j.ancard.2025.101959","url":null,"abstract":"<div><div>This case report tells the story of a non-trivial infarction, where the usual rapid management of a ST-segment elevation infarction could have led to serious consequences for the patient. It is important to maintain a systematic clinical assessment before performing invasive procedures.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101959"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145386023","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 : 2025-12-01Epub Date: 2025-10-27DOI: 10.1016/j.ancard.2025.101958
Imène Rachdi, Mariem Ben Brahim, Mehdi Somai, Ibrahim Arbaoui, Besma Ben Dhaou, Fatma Boussema, Fatma Daoud, Zohra Aydi
Background
Vitamin K antagonists (VKAs) are the most commonly prescribed drug for the treatment of venous thromboembolism (VTE). Our study’s aim was to evaluate the role of Time in Therapeutic Range (TTR) in preventing thrombotic and hemorrhagic complications in patients treated by VKAs for VTE.
The mean age of patients was 59.4 ± 16.7 years. Sex-ratio was 1.5. VKAs were mainly prescribed for deep venous thromboses (57%). Cancer was the most common etiology (26%). The mean follow-up period was 5.3 months. The mean TTR was 36.1±22.5%. Twenty-seven percent of patients had a TTR>50%. We noted 25% of hemorrhagic events and 15% of thromboembolic recurrence. A TTR<50% was correlated with hemorrhagic complications (p=0.02), but not with thrombotic ones (p = 0.224).
Conclusion
Our results outline the necessity of implementing adequate tools to improve anticoagulation in our population. Implementing TTR as a quality assessment tool for anticoagulation will likely decrease complications related to VKAs.
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