Cor Vasa 2021, 63(1):15-19 | DOI: 10.33678/cor.2020.066

Inventory of heart failure in Morocco: about a series of 120 patients

Soulaymane Diakite^*, Fatima Zohra Radi^*, Hajar El Ouartassi, Zouhair Lakhal, Maha Raissouni, Ali Chaib, Abdelmajid Bouzerda, Atif Benyass

Service of Cardiology of Military Hospital Mohamed V of Rabat, Rabat, Morocco

^* These authors participated equally in this work.

Objective: The aim of this study is to make an inventory of the quality of care regarding HF, in comparison with current recommendations, at the Cardiology Department of Mohammed V Military Hospital in Rabat.

Materials and methods: This is a retrospective study performed in consecutive patients admitted for heart failure documented by echocardiography, from January 2017 to March 2018, at the Cardiology Department of Mohammed V Military Hospital of Rabat. Data analysis is done by SPSS 19.0 software.

Results: One hundred and twenty patients with a mean age of 66.42±10.78 years were included. The main risk factor observed in our series was hypertension followed by smoking and diabetes. Dyspnea is the main symptom reported in 97.5% of cases. The clinical picture is that of biventricular HF (83.3%), left-sided HF (80.8%) and right-sided HF (38.3%). On transthoracic echocardiogram, HF with impaired ejection fraction is found in 68.3%. HF with preserved ejection fraction constitutes 31.6% of the cases. 52 patients underwent coronary angiography showing coronary artery disease in 65 % of cases. The main etiologies found are ischemic heart disease (57.5%), heart valve disease (24.1%), and arterial hypertension (38.3%). Therapeutically, the most used drugs are furosemides (97.5%). ACE inhibitors/ARBs (86.6%), beta-blockers (33.6%), and spironolactone (70%), sacubitril/valsartan and ivabradine (1.67%). Other used drugs are digoxin (11.2%) and amiodarone (9.2%) in patients with atrial fibrillation or refractory HF. 16.6% of patients were referred to the cardiac rehabilitation service. There was neither electrical treatment nor a structured therapeutic education for all patients. Intra-hospital mortality rate was 1.6%.

Conclusion: Despite the epidemiological and clinical features, our present series have many similarities with those of European and American registries. Efforts must be made to optimize medical treatment.

Keywords: Coronary artery disease, Heart failure, Valve disease

Received: May 11, 2020; Revised: July 2, 2020; Accepted: July 3, 2020; Published: February 25, 2021  Show citation