[Ebstein anomaly. Developmental aspects].
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Adolescent↗
Biomedical subjects
P Zabsonre
Publications and source records attributed to P Zabsonre.
[Risk and severity factors in cerebrovascular accidents in west african Blacks of Burkina Faso].
This report presents the findings of a retrospective review of 193 cases of cerebrovascular attacks (CVA) diagnosed on the basis of clinical data over a 3-year period at the Bobo Dioulasso Hospital in Burkina Faso. CVA accounted for 15.1% of admissions for cardiovascular disorders. Mean patient age was 58.4 +/- 14 years and the male to female ratio was 2:1. From a socioeconomic standpoint 72% of patients had low incomes and 22% were laborers. Risk factors were poorly controlled hypertension (83.9%), obesity (44.2%), hyperlipidemia (20.6%), thromboembolism (16.6%), smoking (12.4%), hypercholesterolemia (8.1%) and diabetes (7.3%). Further study is needed to confirm risk related to red blood cell abnormalities. The event was transient ischemic attack in 22 cases (11.7%) and stroke in 171 cases (88.3%). Hospital mortality was high (31.6%) with a significantly higher death rate in elderly (p < 0.05) and female (p < 0.001) patients. Recurrent CVA within a mean delay of 9 to 12 months following the initial event was observed in 11.4% of survivors and was fatal in 80%. The authors emphasize the need for improvement in the management of arterial hypertension by district physicians and for prevention of thromboembolic complications in high-risk patients.
Adult↗
[Echocardiography and Jones criteria in the diagnosis of rheumatic heart diseases: 138 cases reviewed at the Cardiology Institute of Abidjan].
The files of 138 patients suffering from rheumatic heart disease were studied in order to confirm the value of modified Jones' criteria and heart damage and to evaluate the contribution of echocardiography findings. Only files containing complete clinical and laboratory findings were studied. Of the 138 cases reviewed there were 51 cases of carditis (36.6 percent) and 87 cases of heart damage (63.4 percent). Carditis was associated with arthritis in 35.3 percent of cases. Antistreptolysin O levels were elevated in 74.5% percent of cases. Regarding Jones' criteria, the presence of a minor clinical criteria such as fever, polyarthritis, and history of acute rheumatic joint inflammation and laboratory findings such as elevated erythrosedimentation and antistreptolysin O rates were associated with carditis significantly more often than with heart damage. Echocardiography played a determinant role in the diagnosis between rheumatic heart disease in 35.3 percent of cases. Only echocardiography allowed differential diagnosis between rheumatic heart damage and other tropical cardiovascular diseases.
Adolescent↗