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Abstract

RÉSUMÉ
Introduction. La fibrillation atriale et l’insuffisance cardiaque sont des pathologies souvent associées, aggravant le pronostic vital et représentent un problème de santé publique. L’objectif de ce travail était d’évaluer la prévalence de la fibrillation atriale chez les patients en insuffisance cardiaque chronique et déterminer le profil clinique de ce groupe de patients. Matériels et méthodes. Nous avons mené une étude transversale descriptive réalisée à la polyclinique Guindo de Bamako de Novembre 2017 à Octobre 2018 incluant les patients âgés de plus de 18 ans ayant une insuffisance cardiaque chronique avec une fibrillation atriale. Résultats. L’étude a concerné 15 malades sur 108 malades vus en consultation ou hospitalisé, soit une prévalence hospitalière de 13,9%.La fréquence des facteurs de risque cardiovasculaires associés à la fibrillation atrilale était de 53,3% pour la sédentarité,46,7% pour l'hypertension artérielle, 33,3% pour le tabac, 20% pour le diabète, et 13,3% pour la dyslipidémie. Les étiologies de l'insuffisance cardiaque chronique associées à la fibrillation atriale ont été : les valvulopathies (40%); hypertensives (26,7%);les coronaropathies (13,3%), cœur pulmonaire chronique (13,3%) et primitive (6,7%). Les antivitamines K (AVK) étaient les antithrombotiques plus prescrits avec 53,3%, suivi des anticoagulants oraux directs (AOD) avec 33,3% des cas. La digoxine et les bêtabloquants étaient les antiarythmiques les plus prescrits avec respectivement 40% et 33,3%. Conclusion. La fibrillation atriale reste fréquente dans la population des patients insuffisants cardiaques à la polyclinique Guindo de Bamako et la moyenne d’âge est inférieure à celle retrouvée dans la littérature.


ABSTRACT
Introduction. Atrial fibrillation and heart failure are often associated pathologies, worsening the prognosis and represent a public health problem. The objective of ours study was to assess the prevalence of atrial fibrillation in patients with chronic heart failure and to determine the clinical profile of this group of patients. Materials and methods. We conducted a transversal descriptive study based on the hospitalization and cardiology consultation records of the polyclinic Guindo of Bamako from November 2017 to October 2018. We included patients over 18 years of age with chronic heart failure with atrial fibrillation. Results. During this period, fifteen (15) patients with chronic heart failure with atrial fibrillation (AF) were included in a total of 108 patients with heart failure. The prevalence of atrial fibrillation was 13.9%. The frequency of cardiovascular risk factors associated with FA was (53.3%) for physical inactivity, (46.7%) for arterial hypertension, (33.3%) for tobacco, (20%) for diabetes, and (13, 3%) for dyslipidemia. Etiologies of chronic heart failure associated with atrial fibrillation were: valvulopathies (40%); Hypertensives (26.7%), coronary artery disease (13.3%); chronic pulmonary heart(13.3%) and primary (6.7%).Vitamin K antagonist (VKA) were the most prescribed antithrombotics with 53.3%, followed by oral direct anticoagulants (DOACs) with 33.3% of cases. Digoxin and beta blockers were the most prescribed antiarrhythmics with 40% and 33.3% respectively.Conclusion: Atrial fibrillation remains frequent in the population of heart failure patients at the Guindo polyclinic of Bamako and the average age is lower than that found in the literature.

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How to Cite
Mariko, S., Konaté, M., Sidibé, S., Traoré, K., Dollo, I., Traoré, F., Tolo, N., Diallo, N., Thiam, C., Sako, M., Kodio, A., Diakité, M., Sacko, A., Coulibaly, S., Diall, I., Menta, I., & Guindo, A. (2021). Épidémiologie de l’Association Fibrillation Atriale et Insuffisance Cardiaque à la Polyclinique Guindo de Bamako. HEALTH SCIENCES AND DISEASE, 22(3). Retrieved from https://hsd-fmsb.org/index.php/hsd/article/view/2588

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