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dc.contributor.authorAminde, Leopold
dc.contributor.authorDzudie, Anastase
dc.contributor.authorMapoh, Sylvester
dc.contributor.authorTakah, Noah
dc.contributor.authorNgu, Blackett
dc.contributor.authorSliwa, Karen
dc.contributor.authorKengne, Andre Pascal
dc.date.accessioned2019-09-18T04:27:19Z
dc.date.available2019-09-18T04:27:19Z
dc.date.issued2016
dc.identifier.issn0263-6352
dc.identifier.doi10.1097/01.hjh.0000501141.12067.32
dc.identifier.urihttp://hdl.handle.net/10072/387478
dc.description.abstractObjective: Pulmonary hypertension (PH) is a prominent prognostic feature of heart failure (the final common pathway of most cardiovascular diseases (CVD)) and has limited epidemiological data in Africa. We sought to determine the differences in clinical and echocardiographic characteristics as well as outcomes with respect to gender in a cohort of patients with PH in Douala, Cameroon. Design and Method: A prospective study from March 2012 to December 2013 in which PH patients were consecutively recruited following echocardiography (right ventricle systolic pressure (RVSP) ≥35 mmHg) from two cardiovascular centers in Douala. Patients were followed up for 12 months. Group comparisons were done using chi square & t-tests while survival was estimated using Kaplan-Meier plots and log rank tests for comparisons. Results: In a cohort of 130 patients (54.6% women) with PH (78% being PH due to left heart disease) were recruited. Overall mean age was 58.7years (59.2 for men and 58.3 for women). While hypertension, cigarette smoking and alcohol abuse were more common in men than women (all p < 0.001), women had respectively greater exposure to log smoke (p < 0.001), previous pulmonary tuberculosis infection (p < 0.01) and S3 gallop rhythm (p < 0.01) than men. Echocardiographic left ventricle (LV) systolic dysfunction was found more in men (mean LV ejection fraction: 41.6 vs 51.5, p < 0.01 and mean fractional shortening: 21.4 vs 28.6, p < 0.01), while rheumatic valvular heart disease was frequent in women (p < 0.01). Overall mortality rate was 39.2% and survival was better in females. Conclusions: Though women are more affected by PH, conventional cardiovascular risk factors were more common in men with PH as opposed to rheumatic valvulopathies in women. Interventions targeting control of CVDs in the region should be intensified while accounting for women's specificities.
dc.languageEnglish
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofconferencetitleJOURNAL OF HYPERTENSION
dc.relation.ispartofdatefrom2016-09-24
dc.relation.ispartofdateto2016-09-29
dc.relation.ispartoflocationSeoul, Korea
dc.relation.ispartofpagefromE439
dc.relation.ispartofpagetoE439
dc.relation.ispartofvolume34
dc.subject.fieldofresearchCardiorespiratory Medicine and Haematology
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchMedical Physiology
dc.subject.fieldofresearchcode1102
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1116
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsPeripheral Vascular Disease
dc.subject.keywordsCardiovascular System & Cardiology
dc.titleInfluence of gender in clinical profiles and mortality in a cohort of patients with pulmonary hypertension in sub-saharan Africa
dc.typeConference output
dc.type.descriptionE3 - Conferences (Extract Paper)
dcterms.bibliographicCitationAminde, L; Dzudie, A; Mapoh, S; Takah, N; Ngu, B; Sliwa, K; Kengne, AP, Influence of gender in clinical profiles and mortality in a cohort of patients with pulmonary hypertension in sub-saharan Africa, Journal of Hypertension, 2016, 34, pp. E439-E439
dc.date.updated2019-09-17T04:28:19Z
gro.hasfulltextNo Full Text
gro.griffith.authorAminde, Leopold N.


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