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M94A2607.TXT
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1994-10-25
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Document 2607
DOCN M94A2607
TI Clinical outline of AIDS patients with cardiac manifestations in Africa.
DT 9412
AU Mouanodji M; Mbaigonro D; Bredon P; Central Hospital - CHAD.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):266 (abstract no. PB0495). Unique
Identifier : AIDSLINE ICA10/94369968
AB OBJECTIVE: From clinical and electrocardiogramm (ECG) data, we aim to
find out profile of AIDS patient with cardiac manifestations in order to
minimize complementary tests cost in these patients. METHODS: This is a
retrospective study of 55 Aids inward patients at the Central Hospital
with positive ELISA TEST from 1992-93. We analyse sex, age, cardiac
symptoms and ECG findings. RESULTS: There were 55 patients (27 males and
28 female), mean age 32 years (range 11-56). The 3 main cardiac symptoms
(19/55) were respectively: chest pain (31.5%), palpitations (26%),
dyspnee (5%). Relating to the stade of AIDS, these cardiac symptoms were
frequent in stade I and II CDC (42% respectively). The pericardium is
the most frequent tunic involved in this study. In fact, there were an
increasing frequency of pericarditis in these patients compared to
others heart desease patients (20% VS 1.87%) and tuberculosis is the
most common etiology (81.8%). There were only 2 cases of congestive
heart failure and 1 case of fatal cardiovascular collapse. ECG was
abnormal in 86% cases and the main ECG findings were: sinus tachycardia
(31%); low voltage of QRS complexes and abnormalities of T waves (31%
and 38% respectively). CONCLUSION: Our results suggest that the clinical
outline of African AIDS patients with cardiac manifestations are as
follow: male or female, age 32, presenting pericardium tuberculosis with
sinus tachycardia and abnormalitees of T waves. We consider such
patients as a high risk group among our cardiac patients. And the policy
implications of the study's findings is to hierarchize and minimize
complementary tests cost wich are not routine tests at our hospital.
DE Acquired Immunodeficiency Syndrome/DIAGNOSIS/*PHYSIOPATHOLOGY
Adolescence Adult Arrhythmia/DIAGNOSIS/*PHYSIOPATHOLOGY AIDS-Related
Opportunistic Infections/DIAGNOSIS/*PHYSIOPATHOLOGY Child Diagnosis,
Differential Electrocardiography Female Human Male Middle Age
*Pericardium Retrospective Studies Tuberculosis,
Cardiovascular/DIAGNOSIS/*PHYSIOPATHOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).