CARDIOVASCULAR JOURNAL OF AFRICA • SMC-PAFCIC Abstracts October 2022 23 AFRICA [HR 95% CI : 1.41 (1.13, 2.05) versus 1.77 (1.36, 2.12)] (p= 0,073) in controls; cancer-specific mortality (HR 95% CI :1.64 (1.03-2.78) versus 2,12 (1,17, 3,27)] (p=0,19), and CVD-specific mortality [HR 95% CI : 1.54 (1.12, 1.83) versus 1.83 (0.97, 3.72)] (p=0,039) and kidney disease mortality (HR 95% CI : 2.11 (1.65-2.72) versus 1,76 (1,19-3,31). Conclusions: Our study showed a positive association between history of physician-diagnosed DM and risk of CVD-related mortality as well as kidney disease mortality in BC patients compared to women without BC. However, BC survivors with DM had similar risk of allcause and cancer-specific mortality during the study period. Greater attention on diabetes management is recommended in BC survivors with diabetes, especially if associated with other CVD risk factors. Submission ID: 1426 RIGHT VENTRICULAR THROMBUS REVEALING BEHCET’S DISEASE LOKMAN HAFSA, OUAOUICHA HIND, RAOUI JIHAD, NAWAL DOGHMI MOROCCO Introduction: Behçet’s disease is a multisystemic, inflammatory disease of unknown etiology. It characterized with the triad of uveitis, oral and genital ulcers. Intracardiac thrombus is a rare but serious complication of disease disease. A 34-year-oldman was hospitalized into our department with a history of genital ulcers history and thromboembolic disease. Transthoracic echocardiography revealed a right ventricular thrombus. After three months of treatment with anticoagulant, corticosteroid and cyclophosphamide the intracardiac thrombus has been resolved. Submission ID: 1427 INFERIOR STEMI REVEALING TYPE A AORTIC DISSECTION OUAOUICHA HIND, LOKMAN HAFSA, HANAA BOUHDADI, ROCHDE SAYAH MOROCCO Introduction: Type A aortic dissection with concurrent STEMI is relatively rare. However, it can be potentially fatal and easily misdiagnosed as STEMI alone. Misdiagnosis will lead to inappropriate administration of anticoagulant and thrombolytic therapy and delayed surgical repair of the aorta. When a patient presents with chest pain and ST elevation on EKG, STEMI should not be the only diagnosis considered. By using bedside available information, detailed history taking and focused physical examination, it is possible to avoid a mistaken diagnosis. Here we report a case of Stanford type A aortic dissection with STEMI that was initially misdiagnosed as sole acute inferior wall myocardial infarction. Figure 1: Apical four chamber view chamber showed a thrombus in the right ventricle.in the right ventricle. Figure 1: EKG showing the ST elevation with EKG showing the ST elevation with concomitant Q waves in the inferior leads. Figure 2: Chest CT showing the intimal flap and the 2 lumens. Submission ID: 1435 POSTPARTUM DILATED CARDIOMYOPATHY ASSOCIATED WITH PULMONARY EMBOLISM RELEVANT TO APS(ANTIPHOSPHOLIPID SYNDROM): A RARE ASSOCIATION (CASE REPORT) ZAKARIA EL MARRAKI, ADAM BOUZHIR, JAOUAD NGUADI, NAJAT MOUINE, ATIF BENYASS MOROCCO Background: Antiphospholipid syndrome is a rare entity that must be systematically evoked in front of a picture of recurrent miscarriages associated with venous and/or arterial thrombosis, its diagnosis is based on a set of clinico-biological arguments. In rare cases, it can be associated with postpartum cardiomyopathy, which is itself defined by a dysfunction of the left ventricle with an LVEF<45%, which may or may not be associated with a dilation of the left ventricle. In this context we report the case of a 33 year old patient with cardiovascular risk factors such as arterial hypertension poorly balanced under hygienic measures and two previous miscarriages and repeated phlebitis, She was admitted to the emergency room MODERATED POSTER SESSION
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