Abstract：
OBJECTIVE: To describe the epidemiological, clinical, paraclinical, therapeutic and evolutionary characteristics of of peripartum cardiomyopathy (PPCM) in the internal medicine department of the Zinder National Hospital (ZNH).
METHODS: This was a descriptive cross-sectional study carried out from 2018 to 2022 at the ZNH Department of Internal Medicine. Included were all patients admitted for PPCM who met National Heart Blood and Lung Institute criteria. The data collected was analyzed using Excel and EPI INFO v7.
RESULTS: We had collected 100 cases of PPCM out of a total of 8706 hospitalized patients, i.e. a hospital prevalence of 1.14%. The mean age of the patients was 27.9 years ± 7.4 [17-45]. The majority of patients were from underprivileged social strata (n=64). The risk factors for PMPC found were essentially hot bath (n=66), home birth (n=40), natron porridge (n=35) and multiparity (n=57). Cardiac symptomatology appeared postpartum in 56% of patients. Dyspnea was the main symptom in 98% of cases. The physical signs were dominated by the functional systolic murmur (66%). Three quarters (75%) of the patients had congestive heart failure. Electrocardiographic signs were dominated by left ventricular hypertrophy (n=65). Cardiomegaly was present in 94% of patients. Left ventricular ejection fraction was altered in all patients. Impaired renal function was found in 31% of patients. Management was based on a low-sodium diet tripod, diuretics and converting enzyme inhibitors. Two cases of death were recorded.
CONCLUSIONS: PPCM is common in the Zinder region. It affects young women with several risk factors and is revealed by signs of congestive heart failure. For a better understanding of this still poorly elucidated condition, it is necessary to pursue research efforts.
METHODS: This was a descriptive cross-sectional study carried out from 2018 to 2022 at the ZNH Department of Internal Medicine. Included were all patients admitted for PPCM who met National Heart Blood and Lung Institute criteria. The data collected was analyzed using Excel and EPI INFO v7.
RESULTS: We had collected 100 cases of PPCM out of a total of 8706 hospitalized patients, i.e. a hospital prevalence of 1.14%. The mean age of the patients was 27.9 years ± 7.4 [17-45]. The majority of patients were from underprivileged social strata (n=64). The risk factors for PMPC found were essentially hot bath (n=66), home birth (n=40), natron porridge (n=35) and multiparity (n=57). Cardiac symptomatology appeared postpartum in 56% of patients. Dyspnea was the main symptom in 98% of cases. The physical signs were dominated by the functional systolic murmur (66%). Three quarters (75%) of the patients had congestive heart failure. Electrocardiographic signs were dominated by left ventricular hypertrophy (n=65). Cardiomegaly was present in 94% of patients. Left ventricular ejection fraction was altered in all patients. Impaired renal function was found in 31% of patients. Management was based on a low-sodium diet tripod, diuretics and converting enzyme inhibitors. Two cases of death were recorded.
CONCLUSIONS: PPCM is common in the Zinder region. It affects young women with several risk factors and is revealed by signs of congestive heart failure. For a better understanding of this still poorly elucidated condition, it is necessary to pursue research efforts.
摘要：
目的：描述流行病学，临床,临床旁,Zinder国家医院（ZNH）内科围产期心肌病（PPCM）的治疗和进化特征。
方法：这是一项描述性横断面研究，于2018年至2022年在ZNH内科进行。包括所有符合国家心脏血液和肺研究所标准的PPCM患者。使用Excel和EPIINFOv7分析收集的数据。
结果：我们共收集了8706例住院患者中的100例PPCM，即医院患病率为1.14%。患者的平均年龄为27.9岁±7.4[17-45]。大多数患者来自贫困社会阶层（n=64）。发现PMPC的危险因素基本上是热水浴(n=66)，家庭出生（n=40），纳氏粥(n=35)和多胎粥(n=57)。56％的患者产后出现心脏症状。98%的病例以呼吸困难为主要症状。体征以功能性收缩期杂音为主（66％）。四分之三（75％）的患者患有充血性心力衰竭。心电图征象以左心室肥厚为主（n=65）。94%的患者存在心脏肥大。所有患者的左心室射血分数均发生改变。31%的患者肾功能受损。管理是基于低钠饮食三脚架，利尿剂和转化酶抑制剂。记录2例死亡。
结论：PPCM在Zinder地区很常见。它影响有几个危险因素的年轻女性，并通过充血性心力衰竭的迹象显示。为了更好地理解这种仍未阐明的情况，有必要继续努力研究。
方法：这是一项描述性横断面研究，于2018年至2022年在ZNH内科进行。包括所有符合国家心脏血液和肺研究所标准的PPCM患者。使用Excel和EPIINFOv7分析收集的数据。
结果：我们共收集了8706例住院患者中的100例PPCM，即医院患病率为1.14%。患者的平均年龄为27.9岁±7.4[17-45]。大多数患者来自贫困社会阶层（n=64）。发现PMPC的危险因素基本上是热水浴(n=66)，家庭出生（n=40），纳氏粥(n=35)和多胎粥(n=57)。56％的患者产后出现心脏症状。98%的病例以呼吸困难为主要症状。体征以功能性收缩期杂音为主（66％）。四分之三（75％）的患者患有充血性心力衰竭。心电图征象以左心室肥厚为主（n=65）。94%的患者存在心脏肥大。所有患者的左心室射血分数均发生改变。31%的患者肾功能受损。管理是基于低钠饮食三脚架，利尿剂和转化酶抑制剂。记录2例死亡。
结论：PPCM在Zinder地区很常见。它影响有几个危险因素的年轻女性，并通过充血性心力衰竭的迹象显示。为了更好地理解这种仍未阐明的情况，有必要继续努力研究。
