Adama Kane

• Gaston Berger University

Background : The aims of this study were to assess the frequency of lower extremity arterial occlusive disease in HIV-positive patients on antiretroviral therapy by measuring the ankle-brachial index (ABI) and to examine the links between the HIV condition, antiretroviral therapy administration, and associated cardiovascular risk factors. Methods :...

Introduction cardiac pacing is the only lifesaving procedure which is effective for major cardiac conduction disorders. In sub-Saharan Africa, few pacemakers are implanted, compared to Western countries. This study aimed to describe the indications for cardiac pacing in four hospitals in Senegal, to evaluate its practical modalities, to identify pa...

Bland-White-Garland syndrome or ALCAPA is an abnormality of birth ofthe left coronary artery from the pulmonary artery. It is a diagnostic andtherapeutic emergency because it is a curable cause of hypokinetic dilatedheart disease in infants. We report through this clinical case, the fourth caseof infantile ALCAPA diagnosed in Senegal in a 7 -month-...

Introduction: atrial fibrillation (AF) is the most common cardiac rhythm disorder. Its prevalence is underestimated in Africa, hence the initiation of the Atrial Fibrillation Registry In Countries of Africa (AFRICA). The aim of our study was to describe, within the framework of the AFRICA registry, the epidemiological, clinical, paraclinical, ther...

Objective In Africa, the number of patients with hypertension is expected to reach 216.8 million by 2030. Large-scale data on antihypertensive medications used in Sub-Saharan Africa (SSA) are scarce. Here, we describe antihypertensive drug strategies and identify treatment factors associated with blood pressure (BP) control in 12 Sub-Saharan countr...

Background Sub-Saharan Africa is experiencing a rising burden of hypertension. Antihypertensive medications and diet are the cornerstone of effective hypertension control. Aims To assess adherence to medication and salt restriction in 12 sub-Saharan countries, and to study the relationship between adherence and blood pressure control in patients w...

Aims: Cardiac arrhythmia services are a neglected field of cardiology in Africa. To provide comprehensive contemporary information on the access and use of cardiac arrhythmia services in Africa. Methods and results: Data on human resources, drug availability, cardiac implantable electronic devices (CIED), and ablation procedures were sought from...

Many parts of the developing world, especially Sub-Saharan Africa, completely lack access to cardiac pacing. The authors initiated a multinational program to implement cardiac pacing in 14 countries in Sub-Saharan Africa (1996 to 2018), aiming to eventually build self-sustainable capacity in each country. This was based on an "on-site training" app...

Background: Cardiac pacing is a growing activity in Sub-Saharan Africa. There is little data on the characteristics of this interventional treatment in our regions. The goal was to evaluate the results of cardiac pacing in a referral service in sub-Saharan Africa. Methods: We carried out a twelve-year retrospective study (from January 1st, 2004...

Introduction Over the past few decades, the prevalence of hypertension has dramatically increased in Sub-Saharan Africa. Poor adherence has been identified as a major cause of failure to control hypertension. Scarce data are available in Africa. Aims We assessed adherence to medication and identified socioeconomics, clinical and treatment factors...

Introduction: Systemic hypertension is a rapidly growing epidemic in Sub-Saharan Africa. Adequacy of blood pressure(BP) control and the factors influencing it, especially the role of socio-economic status(SES) have not been well studied in this part of the world. Hypothesis: We therefore aimed to quantify the association of SES both at the individu...

Aim: The aim of this study was to assess of the risk of sudden death in a population of hypertrophic cardiomyopathy patients in Dakar. Methods: This was a transverse study at the cardiology clinic of Aristide Le Dantec Hospital from January 2014 to June 2015. We used the European Society of Cardiology risk score to calculate this risk. Results:...

Systemic hypertension is a rapidly growing epidemic in Africa. The role of socioeconomic status on blood pressure control has not been well studied in this part of the world. We, therefore, aimed to quantify the association of socioeconomic status both at the individual and at the country level with blood pressure control in Sub-Saharan Africa. We...

Pulmonary embolism and acute aortic dissection are two formidable cardio-vascular emergencies. Their association, although exceptional, is burdened with a heavy mortality in the absence of an early and adapted surgery. We report a case of Standford acute type A aortic dissection associated with fatal pulmonary embolism. This is a 66-years old man w...

Aims To provide comprehensive information on the access and use of cardiac implantable electronic devices (CIED) and catheter ablation procedures in Africa. Methods and results The Pan-African Society of Cardiology (PASCAR) collected data on invasive management of cardiac arrhythmias from 2011 to 2016 from 31 African countries. A specific template...

Fatou Aw,1 Mouhamadou Bamba Ndiaye,1 Simon Antoine Sarr,1 Malick Bodian,1 Aliou Alassane Ngaide,2 Alassane Mbaye,2,3 Adama Kane,1 Abdoul Kane,4 Maboury Diao,1 Serigne Abdou Ba1 1Department of Cardiology, Aristide Le Dantec Teaching Hospital, 2Department of Cardiology, General Hospital of Grand Yoff, 3Department of Cardiology, Teaching Hospital of F...

Introduction Le syndrome cardio-rénal (SCR) est un trouble physiopathologique du cœur et des reins dans lequel une dysfonction chronique ou aiguë de l’un peut induire une dysfonction chronique ou aiguë de l’autre. En Afrique et au Sénégal en particulier l’incidence du syndrome cardio-rénal est mal connue. L’objectif de cette étude était d’apprécier...

Patient: Female, 32 Final Diagnosis: Obstructive primary cardiac T-cell lymphoma Symptoms: Right heart failure Medication: — Clinical Procedure: None Specialty: Cardiology Objective Rare disease Background Cardiac lymphoma is a rare entity, defined by the non-extra cardiac location at diagnosis. Case Report Our patient was a 32-year-old female w...

Introduction L’hypertension artérielle (HTA) du sujet âgé est un facteur indépendant de maladie cardio-vasculaire. Nos objectifs étaient de décrire les aspects cliniques, électrocardiographique et échocardiographiques de l’HTA du sujet âgé. Méthodes Nous avons mené une étude descriptive et transversale de Janvier à Septembre 2013. Etaient inclus l...

Background: Whereas the coronary artery disease death rate has declined in high-income countries, the incidence of acute coronary syndromes (ACS) is increasing in sub-Saharan Africa, where their management remains a challenge. Aim: To propose a consensus statement to optimize management of ACS in sub-Saharan Africa on the basis of realistic cons...

The prevalence and characteristics of right heart endocarditis in Africa are not well known. The aim of this study was to describe the epidemiological, clinical and laboratory profiles of patients with right-heart infective endocarditis. This was a 10-year retrospective study conducted in 2 cardiology departments in Dakar, Senegal. All patients who...

Objective To study the prevalence of rheumatic heart disease (RHD) in schools (locally referred to as ‘daaras’) located in the city of Dakar and its suburbs using both clinical examination and echocardiography. Methods This is a cross-sectional study conducted from 9 August to 24 December 2011 involving 2019 pupils, aged between 5 and 18 years sele...

Background: The global prevalence of diabetes and its complications is increasing worldwide. Its role in coronary heart disease has been linked with the presence of left ventricular hypertrophy (LVH). The present study aims to determine the prevalence of electrocardiographic left ventricular hypertrophy (ECG-LVH) in adult diabetic subjects, its ep...

Congenital heart diseases are one of the major cardiovascular diseases in developing countries. Most prevalence studies were based on clinical examination of children with echocardiographic confirmation of suspected cases and underestimate its prevalence. The objective of this study was to investigate the prevalence of congenital heart disease in "...

Certaines dissections de l`aorte peuvent se compliquer d'hémothorax faisant, évoquer initialement, une pathologie pleuro-pulmomaire. Nous rapportons l'observation d'un patient âgé de 67 ans, hypertendu, atteint d`une dissection de l`aorte, présentant un tableau typique, clinique et radiologique d`un syndrome d`épanchement pleural gauche en dehors d...

Background: The estimated rate of sudden cardiac death (SCD) in Western countries ranges from 300,000 to 400,000 annually, which represents 0.36 to 1.28 per 1 000 inhabitants in Europe and the United States. The burden of SCD in Africa is unknown. Our aim is to assess the epidemiology of SCD in Africa. Methods: The Pan-Africa SCD study is a pros...

Introduction: According to the WHO, 50% of deaths worldwide (40.1% in developing countries) are due to chronic non-communicable diseases (NCDs). Of these chronic NCDs, cardiovascular diseases remain the leading cause of death and disability in developed countries. The Framingham study has shown the importance of hypercholesterolemia as a primary r...

Introduction The aim of this study was to evaluate the frequency of lipid profile requests and the prevalence of dyslipidemia in patients at the biochemistry laboratory of St. Louis University Hospital, as well as their correlation with sex and age. Methods This was a retrospective study reviewing 14,116 laboratory results of patients of both sexe...

Coronary heart disease remains the leading cause of death in developed countries. In Africa, the disease continues to rise with varying rates of progression in different countries. At present, there is little available work on its juvenile forms. The objective of this work was to study the epidemiological, clinical and evolutionary aspects of acute...

Key Clinical Message Right atrial thrombus is a rare medical emergency that should be suspected in all cases of pulmonary embolism, and rapid action should be taken to ensure a timely, proper management.

Routine implantation of pacemakers and implantable cardioverter defibrillators is not commonly associated with complications. However, in some cases we see misplacement of pacemaker leads which is most often related to the presence of underlying cardiac anomalies. We report the case of misplacement of a pacemaker lead into the left ventricle of a 5...

Pseudoaneurysm of the left ventricle is a rare late complication of myocardial infarction. So-called non-coronary forms have been described in young people. In this context, we report three cases. Mr. M.B., aged 20, consulted for chest pain associated with palpitations. Cardiovascular examination found a pulsatile, expanding precordial bulging and...

Background: Cardiovascular diseases are becoming with their risk factors a real health problem in Africa. The objectives of this study were to assess the prevalence of risk factors for cardiovascular diseases in the general population in Saint-Louis, Senegal. Methodology: This is a cross-sectional, descriptive and analytical made in May 2010, in...

We report a familial form of ventricular non compaction in a mother and two of her sons. It was a young man of 25 years who presented with NYHA stage III dyspnea and a cough with bloody sputum. The clinical examination found left ventricular failure. The echocardiogram done showed left ventricular dilatation with large trabeculae separated by deep...

L’infection par le virus de l’immunodéficience humaine (VIH) peut provoquer des complications vasculaires. Il s’agit le plus souvent de thrombose veineuse des membres inférieurs. De rares cas d’ischémie des membres révélatrice de l’infection à VIH ont été décrits. Nous rapportons un cas de thrombose veineuse du membre inférieur gauche et d’une isch...

Left ventricular noncompaction (LVNC) is classified as a genetic cardiomyopathy characterized by a progressive systolic dysfunction. It may occur alone or in association with congenital cardiac anomalies. The combination of left ventricular noncompaction with partial atrioventricular canal defect is rare and has not, to our knowledge, been describe...

Permanent cardiac pacing is a technique whose indications have increased in the last 20 years. As with any foreign body, pacemaker implantation is associated with the risk of infection. The objective of this study was to describe the clinical, paraclinical and treatment options of infections secondary to pacemaker implantation at the Cardiology Dep...

Objectives The purpose of this study was to investigate the prevalence of peripheral arterial disease (PAOD) and cardiovascular risk factors associated with the ankle-brachial index (ABI) in Senegalese patients aged 40 years and over. Methodology We prospectively studied a random sample of Senegalese aged 40 years and older, residing in the city o...

Thrombolysis is an essential treatment in pulmonary embolism with a high risk of premature death in our region where embolectomy is not developed. We conducted a retrospective study in a cardiology setting in order to evaluate the practice. Thus, the folders of 10 patients were collected. They had a mean age of 41.2 years (22 to 69 years) with a fe...

Introduction: La survenue de l’hypertension artérielle pulmonaire (HTAP) est un tournant dans l’évolution de la sclérodermie. L’objectif de cette étude est de décrire les aspects épidémiologiques et évolutifs de l’HTAP au cours de la sclérodermie systémique. Méthodes: Nous avons réalisé une étude descriptive concernant des patients suivis pour sclé...

Introduction La survenue de l’hypertension artérielle pulmonaire (HTAP) est un tournant dans l’évolution de la sclérodermie. L’objectif de cette étude est de décrire les aspects épidémiologiques et évolutifs de l’HTAP au cours de la sclérodermie systémique. Méthodes Nous avons réalisé une étude descriptive concernant des patients suivis pour sclér...

Introduction : Seul ou associé à d’autres facteurs de risque vasculaire, le diabète est responsable d’une lourde morbi-mortalité partout dans le monde. Son expansion prend des allures de pandémie, mais elle reste encore peu documentée en Afrique sub-saharienne. Ce travail fournit quelques aspects épidémiologiques du diabète parmi les autres facteur...

Introduction Le tabagisme est un puissant facteur de risque cardio-vasculaire. Son sevrage semble moins bien pris en compte chez les coronariens. Les objectifs de ce travail étaient d’évaluer la prévalence du tabagisme et le sevrage tabagique au décours d'un infarctus du myocarde dans un service de cardiologie au Sénégal. Méthodes Il s'agit d'une...

Upper -extremity venous thrombosis are rare and represent 2-4% of deep vein thrombosis. Their frequency seems to increase due to the frequent use of central venous access and a development of pacemaker. We report two cases of upper -extremity venous thrombosis among patients who have pacemaker. These two women aged respectively 60 and 72 years who...

Aortic dissection is a rare and very serious condition, often fatal, mainly revealed by symptoms such as chest pain with posterior irradiation, cardiac collapse or neurologic disorders. We report two cases of aortic dissection respectively one revealed by cardiac tamponade and by left hemothorax. The first case concerns a hypertensive woman of 77 y...

Although previous studies showed that pregnancy with heart disease is associated with significant complications, few focused on patients with valvular heart disease in sub-Saharan Africa. We report maternal and foetal outcomes in 50 pregnant women with heart disease admitted to the Department of Cardiology of the University of Dakar, during an 8-ye...

Introduction: Diabetes is a major risk factor for coronary artery disease witch may develop insidiously. Several non-invasive methods are used to detect silent myocardial ischaemia, especially in diabetic patients at high cardiovascular risk. We project to screen, by dobutamine stress echocardiography, silent myocardial ischaemia in type 2 diabeti...

Diabetes is a major risk factor for coronary artery disease witch may develop insidiously. Several non-invasive methods are used to detect silent myocardial ischaemia, especially in diabetic patients at high cardiovascular risk. We project to screen, by dobutamine stress echocardiography, silent myocardial ischaemia in type 2 diabetics in Senegal....

We examined the efficacy and safety of pulmonary vein (PV) isolation, using a cryoballoon catheter. We studied 117 consecutive patients presenting with paroxysmal (n = 92) or persistent (n = 25) atrial fibrillation (AF), who underwent attempts at isolation of 442 PV with a cryoballoon catheter. They were followed in our ambulatory department for ev...

Purpose of the study Screening and management of risk factors is a crucial step in the strategy for disease prevention. We report the results of a survey in a private telecommunications company in Senegal. This work is structured around two objectives: to determine the prevalence of risk factors and to evaluate the absolute cardiovascular risk amon...

We describe the case history of a 43-year-old male with type 1 Brugada syndrome. He was fitted with an implantable cardioverter defibrillator (ICD) for primary prevention nine years ago. After admission for inappropriate shocks, an abnormal position of the lead was discovered. Further investigations (chest X-ray and transesophageal echocardiography...

L’endocardite infectieuse est une complication fréquente des cardiopathies rhumatismales. L’objectif de ce travail était de faire une étude descriptive de l’endocardite infectieuse, en milieu hospitalier Dakarois. Il s’agit d’une étude rétrospective, descriptive, réalisée à la clinique cardiologique de l’hôpital Aristide Le Dantec, durant la périod...

L’endocardite infectieuse est une complication fréquente des cardiopathies rhumatismales. L’objectif de ce travail était de faire une étude descriptive de l’endocardite infectieuse, en milieu hospitalier Dakarois. Il s’agit d’une étude rétrospective, descriptive, réalisée à la clinique cardiologique de l’hôpital Aristide Le Dantec, durant la périod...

Introduction: Intima-media thickness is considered as a marker of cardiovascular risk. It represents the earliest form currently detectable of atherosclerosis. In this work, we measured the carotid intima-media thickness in a hypertensive population, determined the prevalence of increased carotid intima-media thickness and looked for correlation wi...

A 72-year-old man with a history of paroxysmal symptomatic atrial fibrillation refractory to oral D,L-sotalol 320 mg/day was referred for cryoballoon pulmonary vein (PV) isolation. Cardiac CT angiography (CTA) was performed prior to the ablation procedure to evaluate the left atrium and the anatomy of the PV. The CTA revealed an unusual pulmonary v...

INTRODUCTION: La fibrillation atriale est le trouble du rythme cardiaque soutenu le plus fréquent. Les objectifs de ce travail étaient d’étudier la fréquence, les facteurs étiologiques, l’évolution et le traitement de la fibrillation atriale dans un service de cardiologie de Dakar au Sénégal. METHODES: Il s’agit d’une étude rétrospective réalisée s...

Introduction: La fibrillation atriale est le trouble du rythme cardiaque soutenu le plus fréquent. Les objectifs de ce travail étaient d’étudier la fréquence, les facteurs étiologiques, l'évolution et le traitement de la fibrillation atriale dans un service de cardiologie de Dakar au Sénégal. Méthodes: Il s'agit d'une étude rétrospective réalisée s...

Introduction : The high pulmonary arterial blood pressure is a grave complication, potentially mortal of the CREST syndrome. Observation : A 57-year-old woman, suffering from hypertension and gout, was admitted for a dyspnea class III of the NYHA and a right heart failure. The physical examination found a cyanosis of the extremities with an unstick...

Treatment of atrial fibrillation (AF) by radiofrequency or cryoballoon ablation requires good sedation and effective analgesia to be carried out safely and successfully. To compare analgesic and sedative drug usage during ablation procedures for paroxysmal AF. The records of 60 patients hospitalized for ablation of paroxysmal AF were studied. Patie...

Right atrial myxoma is a heart benignant tumor characterized by an important clinical polymorphism. We report a case of a 30-year-old female with a diagnosis of a big right atrial myxoma. The diagnosis has been done by transthoracic echocardiography which showed an important tumorous mass in the right atrium. It was moving, inhomogeneous and takes...

The main objective of this retrospective study is to analyze the future of heart failure patients, refractory to optimal pharmacological treatment, implanted by a system of bi-ventricular pacemaker (CRT-P) or defibrillator (CRT-D). Methods 340 patients were implanted between the 1 st January 1999 and 31 December 2007, aged 69 +/-10 years mainly men...

Pulmonary vein isolation (PVI) became the usual approach for the treatment of atrial fibrillation (AF) refractory to medical antiarrhythmic treatment. Pulmonary vein isolation with a cryoballoon is a new technique wich allows a circumferential PVI. Aim to assess the feasibility, efficacy, and safety of using a cryoballoon catheter to achieve pulmon...

The main objective of this retrospective study is to analyze the future of heart failure patients, refractory to optimal pharmacological treatment, implanted by a bi-ventricular pacemaker (CRT-P) or defibrillator (CRT-D). Methods 340 patients were implanted between the 1st January 1999 and 31 December 2007, aged 69 +/-10 years mainly men (80%). Th...

The study is transversal and descriptive. It take place in the odontology department in a public hospital in Dakar (Senegal), during 09 month (January-September 2005). The objective of this work was to determine the TP-INR value making possible to carry out an act of oral surgery without haemorrhagic risk. (INR = International Normalized Ratio). It...

Seldom described in Africa, the disease of Buerger or thromboangeiitis obliterans (CAT) is a severe occlusive vascularity responsible for mutilation especially of the lower limbs secondary to necrose arterial, and which generally occurs among young smokers of male sex. The authors report the case of a 35 years old patient, black race, large smoker,...

A pregnancy in a patient with a prosthetic heart valve is a rare occurence in Senegal. Two cases are reported. The prognosis Is guarded For both the mother and the fetus. The problems raised by anticoagulant therapy during pregnancy and delivery are discussed. Mole widespread use of heart valve surgery and other cardiovascular surgical procedures i...

Heart disease due to thyrotoxicosis has become rare in industrialized countries where it occurs primarily in elderly subjects and in patients with an underlying heart disorder, A prospective study of the clinical features, etiology, and course of cardiac disease due to thyrotoxicosis was conducted in Senegal in 20 patients, Evaluation of the heart...