title: [Young heart failure: epidemiological, clinical and etiological aspects in the teaching hospital Sylvanus Olympio of Lomé].
abstract: OBJECTIVE
  The aim of the study was to analyze the epidemiologic, clinical and etiologic aspects of heart failures of the young age to 18 to 45 years.
  
  
  METHODS
  It consisted of a cross-sectional study realized in hospitalization in the service of cardiologic of Teaching Hospital Sylvanus Olympio of Lomé on 35 months (January 2009 to November 2012). The completion of a Doppler echocardiography was necessary to include the patients in the study.
  
  
  RESULTS
  The prevalence heart failure in the 45 years old young people to more was of 28.6%. The median age of the patients was of 36.5±3 years with a sex ratio of 10.7. Heart failure was total among 268 patients (71.3%). The electrocardiogram found 88 patients (23.4%) in complete arrhythmia by auricular fibrillation. Cardiac echography found a dilation of the left ventricle among 271 patients (72.1%), a systolic dysfunction of left ventricle among 213 patients (56.6%) and an intracavitary thrombus among 37 patients (9.8%). The etiologies were: hypertension 161 cases (42.8%), heart valve diseases 68 cases (18.1%), the peripartum cardiomyopathy 58 cases (15.4%), dilated cardiomyopathy 22 cases (5.8%), the alcoholism 12 cases (3.1%), ischaemic heart diseases 10 cases (2.7%), congenital heart diseases 10 cases (2.7%), the chronic pulmonary heart 8 cases (2.1%), the cardiothyreosis 7 cases (1.8%), the pericardial tamponnade 4 cases (1.1%) and myocarditis with VIH 4 cases (1.1%). Hospital lethality was of 16.4% (62 patients).
  
  
  CONCLUSIONS
  Heart failure is a serious and frequent pathology in Africa. It affects young and active subjects. The causes are dominated by hypertension.
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Sylvanus Olympio de Lomé, CHU Tokoin de Lomé, BP 14148, Lomé, Togo. Electronic address: pimae2002@yahoo.fr.
authors.forename: M
authors.initials: M
authors.lastname: Pio
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Sylvanus Olympio de Lomé, CHU Tokoin de Lomé, BP 14148, Lomé, Togo.
authors.forename: E
authors.initials: E
authors.lastname: Goeh-Akue
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Sylvanus Olympio de Lomé, CHU Tokoin de Lomé, BP 14148, Lomé, Togo.
authors.forename: Y
authors.initials: Y
authors.lastname: Afassinou
authors.affiliation: Service de cardiologie, campus de Lomé, centre hospitalier universitaire, Lomé, Togo.
authors.forename: S
authors.initials: S
authors.lastname: Baragou
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Sylvanus Olympio de Lomé, CHU Tokoin de Lomé, BP 14148, Lomé, Togo.
authors.forename: B
authors.initials: B
authors.lastname: Atta
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Sylvanus Olympio de Lomé, CHU Tokoin de Lomé, BP 14148, Lomé, Togo.
authors.forename: E
authors.initials: E
authors.lastname: Missihoun
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Sylvanus Olympio de Lomé, CHU Tokoin de Lomé, BP 14148, Lomé, Togo.
authors.forename: K
authors.initials: K
authors.lastname: Ehlan
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003430:Cross-Sectional Studies; D005260:Female; D006333:Heart Failure / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D014037:Togo; D055815:Young Adult
keywords: Causes; Heart failure; Insuffisance cardiaque; Sujet jeune; Togo; Young person; Étiologie