CARDIOVASCULAR JOURNAL OF AFRICA • PAFCIC 2021 Abstracts December 2021 35 AFRICA MODERATED POSTER SESSION 2 Submission ID: 1146 EVOLUTION OF LEFT VENTRICULAR EJECTION FRACTION IN YOUNG ADULTS HEART FAILURE (HF) Mariem Drissa, Refka Oueslati, Asma Brahim, Oumayma Taher, Asma Bouslimi LA RABTA, Tunisia Introduction: HF in young adults is an uncommon yet potentially fatal disease which has increasing incidence and an impredictable outcome therefore it requires regular assessement in order to control symptoms and improve quality of life. Aim: Is to assess the predictive factors of modification of the LVEF. Methods: Our study is prospective and descriptive. We have tracked 40 patients who were hospitalized in ‘Adults’ cardiology Department in Rabta hospital for management of acute HF from september 2019 to september 2020 and we followed them up over 1 year by trans thoracic echocardiography TTE, we defined improvement or worsening with a modification of 10% compared to the base value of LVEF. Results: The mean age was 33 +/- 6. 65% men and (35%) women. Patients were active smokers in (35%), (22,5%) had hypertension, (20%) diabetes mellitus, (12,5%) Chronic kidney disease . Obesity (BMI>= 30) and history of coronary artery disease CAD were both found in (5%) of cases. The mean left ventricular ejection fraction LVEF was 34.6+/-9. The principal cause of HF was valvular herat disease VHD in 25% followed by CAD 17.5%. The tracking at one year showed 11 (27.5%) deterioration of the LVEF and 9(22.7%) improvement. The predictive factors of worsening HF were when patients present typical chest pain (p= 0.041), signs of left HF congestion (p=0.045) and electrocardiogram findings such as Left bundle branch block LBBB (p=0.022) and ventricular extrasystole VE (p=0.0 32). Nevertheless, the absence of severe mitral regurgitation was associated with better prognosis (p= 0.045). Conclusion: Given the poor progosis of HF a regular assessement is the best to consider in order to avoid deterioration of LVEF especillay in patients with symptoms of congestive HF , typical angina,VE and LBBB. Patients and Methods: This is a retrospective study including patients with IE admitted between January 2000 and December 2019 in the Cardiology B department of the Fattouma Bourguiba Monastir hospital. The diagnosis of IE was retained according to Duke’s criteria. Results: A total of 245 patients were included. Fifty-six point seven percent were male. The mean age was 37.4 ± 17.8 years. Half of them had a history of valvular heart disease. Prosthetic IE was noted in 25.7% of cases. Blood cultures were positive in 52.9% of cases. Staphylococcus aureus was the most frequently isolated germ. Indication for surgery was given in 49.8% of patients. In-hospital mortality rate was 18.8%. In univariate analysis, anemia (hemoglobin level <10.5 d / dl), inflammatory syndrome (leukocytes> 10,000 / mm³ and CRP> 100mg / l), positive blood cultures and renal failure were significant factors associated with a high rate of in hospital mortality (p = 0.01, p = 0.039, p = 0.028, p = 0.015 respectively). Conclusion: The independent laboratory risk factors for in-hospital mortality were renal failure and anemia. Better management of these factors could improve the prognosis of patients with AE. Submission ID: 1211 INFECTIVE ENDOCARDITIS PROFILE, PROGNOSTIC FACTORS AND IN-HOSPITAL MORTALITY: 20-YEARS TRENDS FROM A TERTIARY UNIVERSITY CENTER IN TUNISA MARIEM DRISSA, BRAHIM ASMA, ESSIA MOUSLI, HASSAN ABU NADA, HABIBA DRISSA LA RABTA HOSPITAL, Tunisia Background Infective endocarditis (IE) remains an expressive health problem with high morbimortality rates. the profil of these disease has evolved continuously Aim This study aims to describe IE epidemiological, clinical, and microbiological profile in a tertiary university center in Tunisia to identify in-hospital mortality rate and predictors. Methods An observational, retrospective study of 150 patients, who fulfilled modified Duke’s criteria during, from January 2000 to December 2019. The primary outcome was defined as in-hospital mortality Multivariate analysis identified mortality predictors. Results The median age was 39+4 years and 66% were male. Rheumatic heart disease was the predominant underlying heart condition (92%). Echocardiogram demonstrated vegetations in 90.4%. The infective agent was identified in 40.9%of cases, and themost frequent causative agents were streptococci (46.6%), followed by staphylococci (42.2%). Overall in-hospital mortality was 28%Onmultivariate analysis, diabetes mellitus (odds ratio [OR], 2.5), previous structural heart disease (OR, 3.1), and mitral valve infection (OR, 2.1, staphylococci infection, heart failure, neurological complications and abscesses. Conclusion This study presents IE profile and all-cause mortality in a large patient’s cohort, young and male patients predominated, while streptococcus was the main microbiological agent its prognosis is still dark with high rate of mortality. Submission ID: 1233 DIAGNOSTIC OF ACCURACY OF POINT –OF-CARE LUNG ULTRASONOGRAPHY USING TWO METHODS OF CALCULATING THE PULMONARY CONGESTION SCORE IN ADULTS WITH SYMPTOMS SUGGESTIVE OF ACUTE DECOMPENSATED HEART FAILURE OUSSEMA ACHECHE, AHMED BOUHLEL, MEHDI SLIM, HAJER YAACOUBI, RIM YOUSSEF, HOUDA BEN SALAH, LOTFI BOUKADIDA, ASMA ZORGATI, RIADH BOUKEFG Emergency department Sahloul sousse, Tunisia Background: Point – of – care lung ultrasonography (LUS), as a bedside approach, has emerged as a practical diagnostic tool for the most common causes of dyspnea. The present study assessed the performance of a simplified scoring system for evaluating pulmonary congestion. Objective: To compare the accuracy of LUS using two methods of calculating the pulmonary congestion score, the first assessing B-lines in 4 lung fields to more detailed assessments with 8 fields, in the diagnosis of cardiogenic pulmonary edema in adult patients presenting with dyspnea. Materials & Methods: Patients admitted to the Emergency Department for dyspnea
RkJQdWJsaXNoZXIy NDIzNzc=