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Abstract

INTRODUCTION
L’artériopathie oblitérante des membres inférieurs (AOMI) évolue chez près de 70% des malades de manière asymptomatique. Le but de notre étude était de décrire les aspects épidémiologiques, cliniques et diagnostiques de l’AOMI chez un groupe de patients consultant à l’Hôpital Général de Yaoundé.

METHODOLOGIE

Il s’agit d’une étude transversale, descriptive qui s’est déroulée d’Octobre 2012 à Avril 2013 dans l’unité de Cardiologie de l’Hôpital général de Yaoundé. Nous avons recruté 42 sujets ayant au moins un facteur de risque cardiovasculaire majeur. Pour chaque sujet, nous avons collecté des données cliniques, anthropométriques. Puis nous avons mesuré l’Indice des pressions systoliques(IPS) et l’épaisseur intima média (EIM) fémorale.
RESULTATS
La moyenne d’âge des sujets était de 54,3 ± 10,3 ans avec un sex-ratio (H/F) de 3,2. Une AOMI (IPS < 0,90) a été retrouvée chez 16,7% des sujets, tandis que 7,1% avaient un IPS > 1,30. L’EIM fémorale moyenne était de 0,82 ± 0,19 mm et 26,2% des sujets avaient une EIM augmentée (> 1 mm).
CONCLUSION
L’AOMI asymptomatique est fréquente chez les patients présentant plusieurs facteurs de risque cardiovasculaire à Yaoundé.


ABSTRACT
INTRODUCTION
Peripheral arterial disease (PAD) is a vascular disease that evolves in a latent form in about 70% of the patients. The aim of the study was to describe the epidemiological, clinical and diagnostic aspects of PAD in a group of patients at the Yaounde General Hospital.
METHODOLOGY
This was a cross-sectional, descriptive and analytic study which extended from October 2012 to April 2013 at the Cardiology unit of the Yaounde General Hospital. We recruited a total of 42 subjects having at least one major cardiovascular risk factor. For every patient, we collected clinical and anthropometric data. Then, we measured the ankle brachial index (ABI) and the femoral artery intima media thickness (IMT). Statistical analysis was done using appropriate tests in the SPSS 17.0 and STATA 11.1 soft ware.
RESULTS
The mean age was 54.3 ± 10.3 years with a sex ratio (M/F) 3.2. PAD (ABI < 0.9) was found in 16.7% of the subjects, whereas, 7.1% had an ABI > 1.3. The population’s mean femoral artery IMT was 0.82 ± 0.19 mm and 26.2% of the subjects had an increased IMT (> 1 mm).
CONCLUSION
Asymptomatic PAD is common among patients who present with cardiovascular risk factors in Yaounde.

Article Details

Author Biography

Alain Menanga, fmsb

Department of Internal Medicine and Specialties
How to Cite
Menanga, A., Hamadou, B., Ahinaga, A., Guegang, G. E., Hakapoka, H., Yomba, A., Nkoké, C., Mintom, P., Boombhi, J., Wawo, E., & Kingué, S. (2014). Artériopathie Oblitérante Asymptomatique des Membres Inférieurs chez un Groupe de Patients avec des Facteurs de Risque Cardiovasculaire à Yaoundé. HEALTH SCIENCES AND DISEASE, 15(4). https://doi.org/10.5281/hsd.v15i4.439

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