CARDIOVASCULAR JOURNAL OF AFRICA • PAFCIC 2021 Abstracts December 2021 19 AFRICA Submission ID: 1081 ACUTE CORONARY SYNDROME IN THE ELDERLY: EPIDEMIOLOGICAL, CLINICAL, THERAPEUTIC AND PROGNOSTIC PARTICULARITIES El Hakim Foued, Taamallah Karima, Nadhem Hajlaoui, Abdeddayem Haggui, Fehri Wafa Cardiology Department, Military Hospital of Tunis, Tunisia Introduction: Acute coronary syndrome (ACS) is a frequent and serious condition, especially in elderly patients. Very few studies have focused on these patients in a specific way. The aim of our study was to identify the clinical, paraclinical, therapeutic and prognostic particularities of non ST-segment elevation ACS (NSTEMI) in elderly patients. Method: A retrospective, analytical, cross-sectional and comparative study, conducted on two consecutive groups of patients (group A: 50 patients aged 70 years or older and group B: 50 patients aged 60 years or younger) with NSTEMI hospitalized in the cardiology department of Military Hospital of Tunis, between January 2017 and December 2019. Results: The mean age of the patients was 76.08 ± 3.67 years in group A versus 54.32 ± 4.89 years in group B). The elder patients were mostly women (sex ratio=0.47) and non-smokers, and had more hypertension. These patients had more frequently a history of atrial fibrillation and chronic renal failure. Atypical chest pain, as well as dyspnea, palpitations and lipothymia were more frequent in the elderly patients. They had lower mean hemoglobin levels and higher creatinine and NTproBNP levels, and significantly higher mean GRACE, CRUSADE and PRECISE-DAPT scores than younger subjects. Submission ID: 1097 ATTITUDES AND PERCEPTIONS OF ADULT SMOKERS ABOUT SMOKING CESSATION Maatouk Amani, Ezzi Olfa, Ammar Asma, Maatouk Iyed, Chelly Souhir, Lakhal Yosr, Njah Mansour, Mahjoub Mohamed Hospital Hygiene Service, University Hospital Centre Farhat Hached, Sousse, Tunisia Background: Tobacco is the major cause of preventable diseases and premature deaths in Tunisia. It is responsible for several health disorders including cardiovascular diseases such as myocardial infarction and angina pectoris. Smoking cessation in adult population is essential to accelerate the reduction in smoking-related morbidity and mortality. Our study aimed to determine attitudes of adult smokers about smoking cessation. Methods: We conducted a cross-sectional study during March 2018 among adults smokers aged between 31 and 45 years in different social and work environments (coffee shops, airport,…). An anonymous questionnaire was used to collect data including two validated scores :1) the Fagerstrom score to assess tobacco dependence and 2) the Prochaska model scale to determine the stage of maturation to change. Results: In total, 49 adults participated in the study. The majority of respondents were male (61.22%). Most of them were aged less than 40 years (73.4%). Almost half of the respondents (44.9%) were highly dependent on nicotine (Fagerstrom score ranged from 7 to 10) and only 12.2% were not dependent on nicotine (Fagerstrom score ranged from 0 to 2). Regarding maturation in smoking behavior, only 20.4% were in the action stage. The majority (79.5%) reported that they were aware that smoking could cause diseases such as cardiovascular diseases. Heart disease was considered attributable to smoking by 40.8%of respendents. The majority of respondents (73.4%) intended to quit. Data suggests that “concern for personal health” (68%) and “high price of cigarettes” (29.7%) were the two motivational factors for smoking cessation. Regarding smoking cessation methods, half of respondents (51%) had ever heard of smoking cessation counseling and 59.1% agreed that smoking cessation counseling could be a helpful solution. Conclusion: Many respondents expressed a desire to free themselves from tobacco addiction. Most public health interventions, such as mass media campaigns, anti-tobacco advertisements and availability of smoking cessation methods may be helpful for motivating cessation in order to prevent tabacco related diseases, especially cardiovascular ones. MODERATED POSTER SESSION 1 2D and 3D planimetry and left ventricular index stroke volume, were recorded. Doppler parameters are determined as the mean of three measurements. Global LA strain curve and peak reservoir strain value were studied on a dedicated 4C view. Maximal TRVmax was used as an indicator of the degree of PH to ignore assumptions on the right atrial pressure. A TRVmax cut-off value ≥2,9m/s was retained to determine an intermediate to high probability of PH. NYHA functional status was determined moments before performing the scan. Results: We enrolled 195 patients with rheumatic MS, with a mean age of 50.55±12.07 yrs (between February 2018 and October 2021). Patients were divided into two groups: group 1 had TRVmax >=2.9m/s and group 2 had TRVmax< 2.9m/s. There was no difference in age (52±12vs49±11, p=0.16)) and in sex (respectively 69.8% and 76.1% were female, p=0.3). AF was comparable between the two groups (69.8vs65.7%, p=0.5). There was no difference in the incidence of severe dyspnea (48.8%vs43.1%, p=0.5 had NYHA class III or I symptoms) The incidence of diabetes mellitus was significantly higher among patients with PH (24.4vs10.6%, p=0.02). Patients in the PH group had significantly higher MTMG (13±6vs8±3mmHg, p<0.001) and significantly lower MVA (1.1±0.5vs1.5±0.5cm², p<0.001). LASr was significantly higher in patients without PH (11.1±7vs8.9±5%, p=0.05). Conclusion: LASr was associated with a lower incidence of pulmonary hypertension in patients with MS Coronary angiography, performed in 98% of patients and in the majority of cases by the radial access, showed calcified lesions more frequently in elderly patients. Angioplasty with active stents was indicated in 69% of patients, with non-significant difference between the two groups. There were no serious complications and no deaths during hospitalization or during the 12-month follow-up. Conclusion: The risk of coronary artery disease is significant in the elderly, especially in those with comorbidities. Taking into account the high risk of bleeding in these patients, their management, especially the invasive strategy, should not differ from that of younger patients.
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