Mouanodji M, Mbaigonro D, Bredon P; International Conference on AIDS.
Int Conf AIDS. 1994 Aug 7-12; 10: 266 (abstract no. PB0495).
Central Hospital - CHAD.
OBJECTIVE: From clinical and electrocardiogramm (ECG) data, we aim to find out profile of AIDS patient with cardiac manifestations in order to minimize complementary tests cost in these patients. METHODS: This is a retrospective study of 55 Aids inward patients at the Central Hospital with positive ELISA TEST from 1992-93. We analyse sex, age, cardiac symptoms and ECG findings. RESULTS: There were 55 patients (27 males and 28 female), mean age 32 years (range 11-56). The 3 main cardiac symptoms (19/55) were respectively: chest pain (31.5%), palpitations (26%), dyspnee (5%). Relating to the stade of AIDS, these cardiac symptoms were frequent in stade I and II CDC (42% respectively). The pericardium is the most frequent tunic involved in this study. In fact, there were an increasing frequency of pericarditis in these patients compared to others heart desease patients (20% VS 1.87%) and tuberculosis is the most common etiology (81.8%). There were only 2 cases of congestive heart failure and 1 case of fatal cardiovascular collapse. ECG was abnormal in 86% cases and the main ECG findings were: sinus tachycardia (31%); low voltage of QRS complexes and abnormalities of T waves (31% and 38% respectively). CONCLUSION: Our results suggest that the clinical outline of African AIDS patients with cardiac manifestations are as follow: male or female, age 32, presenting pericardium tuberculosis with sinus tachycardia and abnormalitees of T waves. We consider such patients as a high risk group among our cardiac patients. And the policy implications of the study's findings is to hierarchize and minimize complementary tests cost wich are not routine tests at our hospital.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Africa
- Arrhythmias, Cardiac
- Electrocardiography
- Female
- Health Personnel
- Heart
- Heart Diseases
- Heart Function Tests
- Heart Neoplasms
- Humans
- Male
- Pericarditis
- Pericardium
- Retrospective Studies
- Rheumatic Heart Disease
- Tachycardia, Sinus
- psychology
Other ID:
UI: 102208798
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