[Cardiovascular manifestations in systemic lupus erythematosus in Dakar: Descriptive study about 50 cases].
Systemic lupus erythematosus is a non-specific inflammatory disorder of an organ of unknown cause and autoimmune origin. Visceral injuries, including those cardiovascular, determine the prognosis of this disease primarily affecting women. The objectives of this study were to determine the frequency and describe the cardiovascular manifestations in systemic lupus erythematosus in a lupus population of the Dakar region. This is a multicenter prospective study descriptive and analytical conducted in the region of Dakar (Senegal) from 14 February 2011 to 2 July 2012. Patients were either hospitalized or monitored as outpatients. Included were all patients with lupus and meeting at least four criteria of the American College of Rheumatology of lupus disease classification 1997. All patients underwent physical examination, an electrocardiogram and an echocardiogram looking for cardiovascular damage. The collected data were entered into the Epi Info version 3.5.1 and processed with SPSS 16.0 software. Quantitative variables are described in the median and the qualitative workforce, percentage and frequency. We have included 50 patients. The average age of the population was 36.18 years. A female predominance is noted with a sex ratio man/woman of 0.09. Cardiovascular functional symptoms were dominated by dyspnea stage II to IV NYHA (26%) and palpitations (22%). The physical signs we have found were mainly tachycardia (40%), spontaneous turgor of the jugular veins (29%), a muffling of the heart sounds (29%) and a infandibulopulmonairy shock (18%). The frequency of cardiovascular events was 46%. Electrical cardiac events were dominated by sinus tachycardia (40%) of repolarization disorders (16.3%) type of ischemia, injury, ischemia injury, necrosis and hypertrophy with 18% atrial and left ventricular hypertrophy each. Furthermore, one case of BAV first degree at 280 ms was recorded. We found 19 cases of pericarditis including 2 tamponade, 3 cases of dilated cardiomyopathy hyperkinesias with impaired ejection fraction less than 35% and 8 patients with mild PAH important. In systemic lupus erythematosus, cardiovascular events are worrying and may remain asymptomatic for awhile. Their research must be systematic in order to treat early.
Clinique cardiologique de l'Hôpital général de Grand Yoff de Dakar, Dakar, Sénégal. ngaideaa@hotmail.fr.
A A
AA
Ngaïdé
Service de dermatologie de l'Institut d'hygiène sociale de Dakar, Dakar, Sénégal.
F
F
Ly
Clinique cardiologique de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal.
K
K
Ly
Clinique cardiologique de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal.
M
M
Diao
Clinique cardiologique de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal.
Ad
A
Kane
Clinique cardiologique de l'Hôpital général de Grand Yoff de Dakar, Dakar, Sénégal.
A
A
Mbaye
Clinique cardiologique du Centre hospitalier national de Fann de Dakar, Dakar, Sénégal.
M
M
Lèye
Clinique cardiologique de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal.
F
F
Aw
Clinique cardiologique de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal.
S A
SA
Sarr
Clinique cardiologique du Centre hospitalier national de Fann de Dakar, Dakar, Sénégal.
M
M
Dioum
Clinique cardiologique de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal.
C T
CT
Ndao
Clinique cardiologique de l'Hôpital général de Grand Yoff de Dakar, Dakar, Sénégal.
N D
ND
Gaye
Clinique cardiologique de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal.
M B
MB
Ndiaye
Clinique cardiologique de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal.
M
M
Bodian
Clinique cardiologique de l'Hôpital général de Grand Yoff de Dakar, Dakar, Sénégal.
M B
MB
Bah
Clinique cardiologique de l'Hôpital général de Grand Yoff de Dakar, Dakar, Sénégal.
M
M
Ndiaye
Clinique cardiologique de l'Hôpital général de Grand Yoff de Dakar, Dakar, Sénégal.
A F
AF
Cissé
Clinique cardiologique de l'Hôpital général de Grand Yoff de Dakar, Dakar, Sénégal.
I
I
Kouamé
Clinique cardiologique de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal.
A
A
Tabane
Clinique cardiologique de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal.
J S
JS
Mingou
Clinique cardiologique de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal.
P
P
Thiombiano
Clinique cardiologique de l'Hôpital général de Grand Yoff de Dakar, Dakar, Sénégal.
A
A
Kane
Clinique cardiologique de l'Hôpital Aristide Le Dantec de Dakar, Dakar, Sénégal.
S A
SA
Bâ
D000293:Adolescent; D000328:Adult; D002318:Cardiovascular Diseases / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000209:etiology*; D004452:Echocardiography / Q000379:methods; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000000981:diagnostic imaging / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012675:Senegal / Q000453:epidemiology; D055815:Young Adult
Cardiovascular event; Dakar; Hospital; Senegal; Sub-Saharan Africa; Systemic Lupus Erythematosus