腎臓学と治療学ジャーナル

Assessment of cardiovascular complications at Ziguinchor haemodialysis centre in the southern Senegal

Abstract

Ba Aw Mamadou*, Kane Yaya, Manga Simon, Ba Diengz Ameth

Introduction: Cardiovascular complications are very lethal in chronic haemodialysis patients. They are the leading cause of mortality in this population, which is 3 to 20 times higher than in the general population of the same age group. Our work aimed to determine the frequency of cardiovascular complications in our patients.

Patients and methods: We conducted a two-month looking-forward study of descriptive and analytical purpose in the haemodialysis centre of Ziguinchor regional hospital. Data were collected through a questionnaire providing information on epidemiological, clinical and paraclinical parameters. All patients underwent an electrocardiogram and a trans-thoracic cardiac echocardiogram after the dialysis session.

Results: The mean age of the patients was 41.14 years and 57.14% of the patients were hypertensive. Exertional dyspnea was the main clinical manifestation in 47.61% and 28.57% of patients had electrical left ventricular hypertrophy. On echocardiography, concentric LVH was found in 47.61% of patients.

Conclusion: Chronic haemodialysis patients are at risk of common and lethal cardiovascular complications. The management requires a monitoring with periodic paraclinical examinations to prevent complications.