ABSTRACT
Objectif. La pandémie de COVID-19 a été cause d'une mortalité élevée chez les patients porteurs de comorbidités comme les pathologies cardiovasculaires. L'accélération de la mise sur marché des vaccins contre la pandémie a suscité une réticence envers ces derniers. L'étudié porte sur l'attitude des patients porteurs de pathologie cardiovasculaires vus en consultation cardiologique à Ouahigouya vis-à-vis de la vaccination contre la COVID-19. Population et méthodes. Une étude transversale a été menée du 1er au 25 avril 2022 dans trois cliniques privées de la ville de Ouahigouya. Nous avons inclus les patients consentants et porteurs de pathologie cardiovasculaire vus en consultation cardiologique. Le questionnaire était centré sur les connaissances, attitudes et pratiques de groupe vis-à-vis de la vaccination, notamment les raisons de 'l'acceptation ou du refus de se faire vacciner. Résultats. Cent-un patients ont été interviewés. Le sex-ratio était 1,46 avec un âge moyen de 48,26 ± 11,93 ans. Les plus représentés étaient les travailleurs indépendants, les urbains, les musulmans, les non-scolarisés et les mariés. L'HTA et ses complications étaient les atteintes cardiovasculaires les plus fréquentes (93,07%). La proportion de vaccinés était de 55,45%. Les raisons les plus évoquées par les vaccinés pour se vacciner étaient pour se protéger (100%) et le suivi des Recommandations gouvernementales et des agents respectivement 78,52% et 72,21%. Les raisons de l'hésitation vaccinale les plus citées étaient : la COVID-19 est une maladie banale (62,22%) et la peur des effets secondaires (44,44%). Conclusion. La vaccination contre la COVID-19 devrait se poursuivre, accompagnée d'une sensibilisation efficace afin d'améliorer le taux de couverture vaccinale parmi les patients porteurs de pathologies cardiovasculaires
Objective. COVID-19 pandemic has caused high mortality in patients with comorbidities such as cardiovascular pathologies. The acceleration of the marketing of vaccines against the pandemic has caused reluctance towards them. The study focuses on the attitude of patients with cardiovascular disease seen in cardiology consultation in Ouahigouya vis-à-vis COVID-19 vaccination. Population and methods. A cross-sectional study was conducted from April 1 to 25, 2022 in three private clinics of the city of Ouahigouya. We included consenting patients and carriers of cardiovascular pathology seen in cardiology consultation. Our main data of interest were the knowledge, attitude and practice of this population towards vaccination, especially thereasons for accepting or refusing vaccination. Results One hundred and one patients were interviewed. The sex ratio was 1.46 with an average age of 48.26 ± 11.93 years. The most represented were the self-employed, urban dwellers, Muslims, the uneducated and the married. Hypertension and its complications were the most common cardiovascular disorders (93.07%). The proportion of vaccinated was 55.45%. The reasons most mentioned by the vaccinated for getting vaccinated were to protect themselves (100%) and to follow government recommendations and agents, respectively 78.52% and 72.21%. The most cited reasons for vaccine hesitation were: COVID-19 is a common disease (62.22%) and fear of side effects (44.44%). Conclusion. Vaccination against COVID-19 must continue, accompanied by effective awareness-raising in order to improve the vaccination coverage rate among patients with cardiovascular pathologies
Subject(s)
Humans , Male , Female , Patient Acceptance of Health Care , Cardiology Service, Hospital , Vaccination Coverage , Vaccination Refusal , COVID-19 , CardiologyABSTRACT
Background : Although cardiothoracic surgery has made significant progress in Nigeria; more has to be done in the field of open heart surgery to mitigate the currently experienced need for surgery abroad. This communication highlights the common indications for major cardiothoracic surgeries performed over a 2-year period from November 2011 to October 2013 in Aminu Kano Teaching Hospital; Kano. Highlighted are common cardiothoracic problems often encountered in this region and their outcome. This will therefore form the basis for comparison with what is obtainable in other cardiothoracic centers in the country.Objectives: To determine the common indications for major cardiothoracic surgeries and their outcome over a 2-year period in the Aminu Kano Teaching Hospital; Kano.Methodology: Data were retrieved from the operation theater register of our institution and relevant information such as age; sex; indication for surgery; surgical procedure performed and outcome were extracted.Results : A total of 89 major surgeries were performed during the study period. The subjects comprised of 66 males and 23 females; with a male to female ratio of 3:1. Trauma-related chest injuries constituted the major indication (21.4); with nine cases being arrow-related chest injury; which was the most common. A single case of pericardectomy was performed. All surgeries were carried out successfully and patients were discharged except for one mortality recorded following intervention of a case of arrow-related chest injury (5.3).Conclusion : Trauma-related events were the most common indication for major cardiothoracic surgery in our series. Arrow-related injuries were the most common; and these were seen mostly in males
Subject(s)
Cardiology , Hospitals , Review , Teaching , Thoracic Surgery , Wounds and InjuriesABSTRACT
A patent foramen is commonly found in the general population. Evidence exists that a patent foramen ovale (PFO) and atrial septal aneurysm are strongly associated with cryptogenic stroke. Associations with migraine have also been described; but the status of cause and effect is less clear. Management of PFO is controversial and no form of therapy has been properly evaluated. PFO closure devices are readily available and can be safely and effectively implanted percutaneously. Complication rates are low and symptoms are improved in most patients. At present; there is a lack of guidelines for the treatment of PFO and results of prospective randomised trials are eagerly awaited
Subject(s)
Adult , Cardiology , Foramen Ovale , Patent , Signs and SymptomsABSTRACT
"The theme for the World Health Day 1992 is the ""Heartbeat; the Rhythm of Health."" The article describes some of the activities to be carried out."