Twenty-third PanAfrican Course on Interventional Cardiology SMC-PAFCIC 2022

AFRICA CARDIOVASCULAR JOURNAL OF AFRICA • SMC-PAFCIC Abstracts October 2022 52 Early Post-operative heart bloc occurred in one patient. During follow-up only one patient presented heart bloc. A Re-intervention was necessary in five patients. Conclusion: Congenitally corrected transposition of great arteries is a complex heterogenous heart disease, Hence, therapeutic approach should be individulized depending in associated anomalies and systemic ventricle function. Submission ID: 1645 SEVERITY OF ERECTILE DYSFUNCTION AND CARDIOVASCULAR RISK: A PROSPECTIVE STUDY CHENIK SARRA, NOEMEN AYMEN, JABLOUN TAHA YASSINE, HAGGUI ABDEDDAYEM, HAJLAOUI NADHEM, FEHRI WAFA TUNISIA Introduction: Erectile dysfunction (ED) is now recognized in most cases to be of vascular cause, with endothelial dysfunction as the main pathophysiological mechanism. Studies nowadays are suggesting that ED is often a marker for an asymptomatic cardiovascular disease (CVD) and that the two conditions oftenly coexist. Objective: The aim of this study was to evaluate the link between different cardiovascular risk scores and the severity of erectile dysfunction, and to identify the most related risk factors to this condition. Methods: This was a prospective observational study carried out from June 2020 to march 2022, including all patients with organic erectile dysfunction referred to our cardiology consultation from the department of urology. Epidemiological and clinical characteristics were investigated. The severity of ED was evaluated using the International Index of Erectile Function (IIEF5). The Cardiovascular risk was assessed through identifying the different risk factors and using the SCORE2 and GLOBORISK algorithms. The study was conducted after the approval of the local ethics comity. Results: We included 109 patients with a mean age of 59 years +/- 7.9. Cardiovascular risk factors were (%): Body mass index (BMI) greater than 25kg/m² (68.5), followed by smoking (56.9), diabetes mellitus (53.2), arterial hypertension (52.3), and dyslipidemia (44%). The severity of erectile dysfunction was mild in 10.1%, moderate in 46.8% and severe in 42.2% of the cases. One third of the patients (33%) with severe ED had a history of coronary artery disease confirmed by angiography. When analyzing each cardiovascular risk factor apart, only dyslipidemia showed a statistical correlation with the severity of ED (OR=2.4, IC95% [1,13-5,47] ; p=0,02). However, using the SCORE2 and GLOBORISK algorithms to evaluate the risk of CVD, both showed a statistically significant relationship with the severity of ED (p=0.02 and 0.04 respectively). Conclusion: The assessment of the risk of cardiovascular disease in patients with erectile dysfunction should be based on valid dedicated scores rather than analyzing each cardiovascular risk factor apart. Submission ID: 1647 EPIDEMIOLOGICAL AND ETIOLOGICAL PROFILE OF ATRIAL FIBRILLATION: A MOROCCAN STUDY TAOUSSI OUMAIMA, DAOUDI YOUSSEF, ILHAM BENSAHI, MOHAMED SABRY MOROCCO Background: Atrial fibrillation is the most common supraventricular arrhythmia associated with significant morbi-mortality, which places a heavy burden on the health system. Unfortunately, not enough is known about the characteristics of African patients with AF. This study aimed to describe the epidemiological and etiological profile of atrial fibrillation in Moroccan patients. Methods: This is a retrospective descriptive study in which we assembled, described, analyzed, and compared to international studies, data of 300 Moroccan adults with atrial fibrillation, who received care within Cheikh Khalifa international university hospital’s cardiology department between January 1st, 2019, and January 1st, 2022. Results: There was a male predominance with a sex ratio of 1.12. The mean age was 69 – 12,3 years with extremes ranging from 29 to 96 years. The majority (60,3%) were aged between 45 and 75 years. Common presentations were dyspnea (59.3%) palpitations (42.3%) and embolic complications (42%). Frequent risk factors were old age and hypertension and 90.78% of women, were postmenopausal. EKG abnormalities associated with AF were mostly left bundle branch block and repolarization disorders. Permanent AF was predominant. There were 53,4% of valvular causes, and the common lesion was mitral regurgitation. Ischemic cardiomyopathy was found in 22% of the patients and 4% of the patients developed AF on a healthy heart. Calculated CHA2DS2VASc was 3 in 87,7% of the cases. Left ventricular ejection fraction was preserved in 54% of the cases, and 80.3% had left atrium enlargement. 21% of our patients had coronary artery disease with narrowing mostly found in the left anterior descending coronary artery and the right coronary artery. Laboratory tests revealed that 42% of the patients had chronic kidney disease. Thyroid dysfunction was noted in 9% of patients. In terms of stroke prevention, oral anticoagulants were mostly prescribed with a rate of 46.3%. A good outcome was noted in 93.4% of cases, however, 3.7% were transferred to the cardiac resuscitation unit and 2% died during hospitalization. Conclusion: AF is correlated to several factors. Analyzing current findings provides a better understanding of our population making it easy to prevent, screen, diagnose and engage in suitable integrated management, then, therefore, improve health in individuals with this arrhythmia. Submission ID: 1653 PREDICTIVE FACTORS FOR REOPERATION AND DEATH IN OPERATED ATRIOVENTRICULAR DUCTS HAKIM KAOUTHAR, TALHAOUI AMIRA, BEN OTHMEN RIHAB, BEN KHELIFA ROUEIDA, SOUDANI SABRINE, LAHMAIER ELLA, BEN JEDDOU SYRINE, SOULA MOHAMED AMINE, GHORBEL CHAIMA, MEKKI NOUHA, ZERAI KARAM, MSAAD HELA, OUARDA FATMA TUNISIA Introduction: Atrioventricular canal(AVSD) is a frequent congenital heart disease. Its surgical correction is associated with a high rate of re-operation and death. MODERATED POSTER SESSION

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