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Osibowale BT, Ogah OS, Adebiyi AA, Obasuyi VA, Adeleke KT, Oresegun OO, Aje A, Adeoye AM. Premature Atherosclerotic Cardiovascular Disease: A Case of Myocardial Infarction Seven Years after Bentall Procedure in a Nigerian Man. West Afr J Med 2023; 40:452-455. [PMID: 37120819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
Abstract
Surgical procedures often carry varying risk of post-procedural complications. The Bentall procedure for managing aortic root diseases has known complications including graft infection, pseudoaneurysm of the aorta or coronary arteries, embolisation and coronary insufficiency. The last three complications can cause myocardial infarction, are evaluated with coronary angiography and have been well described in the literature. Surprisingly, none of these possible complications was found in our patient. This case report describes a young Nigerian man with atherosclerotic coronary artery disease seven years after Bentall procedure.
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Affiliation(s)
- B T Osibowale
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - O S Ogah
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
- Institute of Advanced Medical Research and Training, College of Medicine, University of Ibadan, Oyo State, Nigeria
| | - A A Adebiyi
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - V A Obasuyi
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - K T Adeleke
- Tristate Cardiovascular Institute, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Oyo State, Nigeria
| | - O O Oresegun
- Tristate Cardiovascular Institute, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Oyo State, Nigeria
| | - A Aje
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - A M Adeoye
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
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Idowu AO, Adesegun OA, Akintunde A, Alalade BA, Osibowale BT, Odelola OI, Ogunkoya JO, Idowu AA, Ayoade AO, Omokore OA, Imishue OT. 10-Year Risk of Developing Type 2 Diabetes Mellitus: A Survey of Rural Communities in Southern Nigeria. West Afr J Med 2022; 39:1113-1118. [PMID: 36453196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
BACKGROUND The exponential rise in the prevalence of Type 2 Diabetes (T2DM) necessitates the introduction of strategies for early diagnosis to reduce the burden of the disease. This study assessed the prevalence of prediabetes and also determined the 10-year risk of developing T2DM in Southern Nigerian rural communities by adopting the validated Finnish Diabetes Risk Score (FINDRISC) tool. METHODS 273 participants from 3 Southern rural communities aged 18 years and older were recruited in this cross-sectional study. Data in the FINDRISC stratification tool and Random Blood Glucose (RBG) variables were obtained for the participants. IBM SPSS version 21 was used to analyze the data with a level of significance put at p < 0.05. RESULTS The participants' mean age was 54.20±16.61 years. The prevalence of prediabetes among the study participants based on RBG was 4.8% (3.8% of males and 6.6% of females, respectively). Most of the study participants (41%) had a low risk of developing T2DM which meant that 1 in 100 participants would become diabetic in a 10-year period, based on the FINDRISC scale. Amongst the male participants, the Total Diabetes Risk Score (TDRS) showed significant positive correlation with the RBG (r=0.315, p=0.001); similarly, a weak positive correlation between TDRS and RBG was noted among female participants. CONCLUSION The propensity of developing T2DM in 10 years was indisputably low amongst rural dwellers in the Southern Nigerian rural communities studied. Further studies to compare the risk of developing T2DM between rural and urban communities would be required.
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Affiliation(s)
- A O Idowu
- Benjamin S. Carson (Snr.) College of Health and Medical Sciences, Babcock University, Ilishan-Remo, Ogun State, Nigeria
- Department of Internal Medicine, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria
| | - O A Adesegun
- Department of Community Medicine, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria
| | - A Akintunde
- Department of Biochemistry, School of Basic Medical Sciences, Babcock University, Ilishan-Remo, Ogun State, Nigeria
| | - B A Alalade
- Department of Internal Medicine, Federal Medical Centre Abeokuta, Ogun State, Nigeria
| | - B T Osibowale
- Department of Internal Medicine, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria
| | - O I Odelola
- Department of Obstetrics and Gynaecology, General Hospital, Ijebu Ode, Ogun State, Nigeria
| | - J O Ogunkoya
- Benjamin S. Carson (Snr.) College of Health and Medical Sciences, Babcock University, Ilishan-Remo, Ogun State, Nigeria
- Department of Internal Medicine, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria
| | - A A Idowu
- Department of Pharmacy, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria
| | - A O Ayoade
- Department of Surgery, Olabisi Onabanjo University Teaching Hospital, Ogun State, Nigeria
| | - O A Omokore
- Benjamin S. Carson (Snr.) College of Health and Medical Sciences, Babcock University, Ilishan-Remo, Ogun State, Nigeria
| | - O T Imishue
- Department of Psychiatry, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria
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Adeoye AM, Osibowale BT, Adebayo O, Adeyanju AT, Tayo BO, Fakunle GA, Ojo AO. Comparative Analysis of Left Ventricular Geometry in Adult Nigerians with and without Chronic Kidney Disease: Results from Ibadan CRECKID STUDY. West Afr J Med 2022; 39:336-342. [PMID: 35488873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
BACKGROUND Chronic kidney disease (CKD) is associated with increased risk of cardiovascular morbidity and mortality. Left ventricular hypertrophy (LVH) is considered the strongest independent predictor of cardiovascular disease and events among CKD patients. We reported the echocardiographic left ventricular geometry in CKD patients compared to non-CKD hypertensive and apparently healthy controls in Ibadan. MATERIALS AND METHODS A total of 683 participants in the CRECKID STUDY comprising 220(32.2%) CKD patients, 281(41.1%) non-CKD hypertensive patients and 182(26.6%) healthy controls were included in this analysis. Basic demographic and clinical information with echocardiographic parameters were obtained. RESULTS Study participants in the non-CKD hypertensive group were on average older than the CKD and the healthy controls (56.2±13.1 vs 47.2±14.6, and 46.8±13.3 years, respectively; p<0.01). Compared with other groups, greater proportions of participants with CKD were men (40.5% vs.38.1% and 21.3%; p<0.0001). The left atrial and left ventricular dimensions were significantly higher in CKD compared with others. LVH was significantly more prevalent among CKD patients (68.2%) compared to hypertensive (43.9%) and normotensive (19.5%) group (p<0.01). The participants with CKD had a greater proportion of abnormal LV geometry with concentric LVH predominating (p<0.0001). Having LVH was associated with lower mean estimated glomerular filtration rate (eGFR) (40.6±37.71 vs 67±37.38, p<0.0001). CONCLUSION In our study, patients with CKD had the highest prevalence of abnormal LV geometry and functions. A unit decrease in eGFR was associated with increased left ventricular mass. Early detection and prompt management of abnormal LV geometry may help in reducing adverse cardiovascular outcome in patients with CKD.
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Affiliation(s)
- A M Adeoye
- Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
- Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - B T Osibowale
- Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - O Adebayo
- Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - A T Adeyanju
- Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - B O Tayo
- Department of Public Health Sciences, Parkinson School of Health Sciences and Public Health, Loyola University, Chicago, Maywood, IL
| | - G A Fakunle
- Department of Public Health, Osun State University, Osogbo, Osun State, Nigeria
| | - A O Ojo
- School of Medicine, University of Kansas Medical Center
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Ogah OS, Osibowale BT, Adebayo O, Adeyanju AT, Okorie CE, Adeoye AM, Aje A, Adebiyi AA. Pregnancy-associated Acute Myocardial Infarction (PAMI): Case Report. West Afr J Med 2021; 38:596-598. [PMID: 34180213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Cardiovascular diseases are recognised complications of pregnancy, however, pregnancy-associated acute myocardial infarction (PAMI) is uncommon. Pregnancy is known to increase risk of myocardial infarction even in the absence of traditional risk factors for atherosclerotic vascular disease. Our patient presented with acute chest pain two weeks after delivery and her electrocardiogram was in keeping with STelevation myocardial infarction (STEMI). Coronary angiography revealed coronary artery dissection and she was managed conservatively. Various pathophysiological mechanisms of PAMI have been described in literature including spontaneous coronary artery dissection (SCAD) found in our case. The diagnosis is often missed and earlier reported cases were diagnosed at autopsy. Therefore, we report this case as a learning tool. Also, there is a need for a high index of suspicion in pregnant patients presenting with features suggestive of aortic dissection, and its diagnosis should be thought of in peripartum women presenting with acute chest pain.
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Affiliation(s)
- O S Ogah
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - B T Osibowale
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - O Adebayo
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - A T Adeyanju
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - C E Okorie
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - A M Adeoye
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - A Aje
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - A A Adebiyi
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
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