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Chabrak S, Haggui A, Allouche E, Ouali S, Ben Halima A, Kacem S, Krichen S, Marrakchi S, Fehri W, Mourali MS, Jabbari Z, Ben Halima M, Neffati E, Heraiech A, Slim M, Kachboura S, Gamra H, Hassine M, Kraiem S, Kammoun S, Bezdah L, Jridi G, Bouraoui H, Kammoun S, Hammami R, Chettaoui R, Ben Ameur Y, Azaiez F, Tlili R, Battikh K, Ben Slima H, Chrigui R, Fazaa S, Sanaa I, Ellouz Y, Mosrati M, Milouchi S, Jarmouni S, Ayadi W, Akrout M, Razgallah R, Neffati W, Drissa M, Charfeddine S, Abdessalem S, Abid L, Zakhama L. National Tunisian Study of Cardiac Implantable Electronic Devices: Design and Protocol for a Nationwide Multicenter Prospective Observational Study. JMIR Res Protoc 2024; 13:e47525. [PMID: 38588529 PMCID: PMC11036188 DOI: 10.2196/47525] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 10/29/2023] [Accepted: 10/31/2023] [Indexed: 04/10/2024] Open
Abstract
BACKGROUND In Tunisia, the number of cardiac implantable electronic devices (CIEDs) is increasing, owing to the increase in patient life expectancy and expanding indications. Despite their life-saving potential and a significant reduction in population morbidity and mortality, their increased numbers have been associated with the development of multiple early and late complications related to vascular access, pockets, leads, or patient characteristics. OBJECTIVE The study aims to identify the rate, type, and predictors of complications occurring within the first year after CIED implantation. It also aims to describe the demographic and epidemiological characteristics of a nationwide sample of patients with CIED in Tunisia. Additionally, the study will evaluate the extent to which Tunisian electrophysiologists follow international guidelines for cardiac pacing and sudden cardiac death prevention. METHODS The Tunisian National Study of Cardiac Implantable Electronic Devices (NATURE-CIED) is a national, multicenter, prospectively monitored study that includes consecutive patients who underwent primary CIED implantation, generator replacement, and upgrade procedure. Patients were enrolled between January 18, 2021, and February 18, 2022, at all Tunisian public and private CIED implantation centers that agreed to participate in the study. All enrolled patients entered a 1-year follow-up period, with 4 consecutive visits at 1, 3, 6, and 12 months after CIED implantation. The collected data are recorded electronically on the clinical suite platform (DACIMA Clinical Suite). RESULTS The study started on January 18, 2021, and concluded on February 18, 2023. In total, 27 cardiologists actively participated in data collection. Over this period, 1500 patients were enrolled in the study consecutively. The mean age of the patients was 70.1 (SD 15.2) years, with a sex ratio of 1:15. Nine hundred (60%) patients were from the public sector, while 600 (40%) patients were from the private sector. A total of 1298 (86.3%) patients received a conventional pacemaker and 75 (5%) patients received a biventricular pacemaker (CRT-P). Implantable cardioverter defibrillators were implanted in 127 (8.5%) patients. Of these patients, 45 (3%) underwent CRT-D implantation. CONCLUSIONS This study will establish the most extensive contemporary longitudinal cohort of patients undergoing CIED implantation in Tunisia, presenting a significant opportunity for real-world clinical epidemiology. It will address a crucial gap in the management of patients during the perioperative phase and follow-up, enabling the identification of individuals at particularly high risk of complications for optimal care. TRIAL REGISTRATION ClinicalTrials.gov NCT05361759; https://classic.clinicaltrials.gov/ct2/show/NCT05361759. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR1-10.2196/47525.
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Affiliation(s)
- Sonia Chabrak
- Pasteur Clinic, General and Cardiovascular Clinic of Tunis, Tunis, Tunisia
| | - Abdeddayem Haggui
- Military Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | - Emna Allouche
- Cardiology Department, Faculty of Medicine of Tunis, Charles Nicole Hospital, University of Tunis, Tunis, Tunisia
| | - Sana Ouali
- Cardiology Department, Faculty of Medicine of Tunis, La Rabta Hospital, University of Tunis, Tunis, Tunisia
| | - Afef Ben Halima
- Abderrahmen Mami Hospital, Faculty of Medicine of Tunis, University of Tunis, Tunis, Tunisia
| | | | | | - Sonia Marrakchi
- Cardiology Department, Versailles Cardiology Center, Paris, France
| | - Wafa Fehri
- Cardiology Department, Faculty of Medicine of Tunis, Military Hospital, University of Tunis, Tunis, Tunisia
| | - Mohamed Sami Mourali
- Cardiology Department, Faculty of Medicine of Tunis, La Rabta Hospital, University of Tunis, Tunis, Tunisia
| | - Zeineb Jabbari
- Cardiology Department, Faculty of Medicine of Tunis, La Rabta Hospital, University of Tunis, Tunis, Tunisia
| | - Manel Ben Halima
- Cardiology Department, Faculty of Medicine of Tunis, Abderrahmen Mami Hospital, University of Tunis, Tunis, Tunisia
| | - Elyes Neffati
- Cardiology Department, Faculty of Medicine of Sousse, Sahloul Hospital, University of Sousse, Sousse, Tunisia
| | - Aymen Heraiech
- Cardiology Department, Faculty of Medicine of Sousse, Sahloul Hospital, University of Sousse, Sousse, Tunisia
| | - Mehdi Slim
- Cardiology Department, Faculty of Medicine of Sousse, Sahloul Hospital, University of Sousse, Sousse, Tunisia
| | - Salem Kachboura
- Cardiology Department, Faculty of Medicine of Tunis, Abderrahmen Mami Hospital, University of Tunis, Tunis, Tunisia
| | - Habib Gamra
- Cardiology A Department, Fattouma Bourguiba Hospital, Monastir, Tunisia
| | - Majed Hassine
- Cardiology A Department, Fattouma Bourguiba Hospital, Monastir, Tunisia
| | - Sondes Kraiem
- Cardiology Department, Faculty of Medicine of Tunis, Habib Thameur Hospital, University of Tunis, Tunis, Tunisia
| | - Sofien Kammoun
- Cardiology Department, Faculty of Medicine of Tunis, Habib Thameur Hospital, University of Tunis, Tunis, Tunisia
| | - Leila Bezdah
- Cardiology Department, Faculty of Medicine of Tunis, Charles Nicole Hospital, University of Tunis, Tunis, Tunisia
| | - Gouider Jridi
- Cardiology Department, Faculty of Medicine of Sousse, Farhat Hached Hospital, University of Sousse, Sousse, Tunisia
| | - Hatem Bouraoui
- Cardiology Department, Faculty of Medicine of Sousse, Farhat Hached Hospital, University of Sousse, Sousse, Tunisia
| | - Samir Kammoun
- Cardiology Department, Faculty of Medicine of Sfax, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - Rania Hammami
- Cardiology Department, Faculty of Medicine of Sfax, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Rafik Chettaoui
- Pasteur Clinic, General and Cardiovascular Clinic of Tunis, Tunis, Tunisia
| | - Youssef Ben Ameur
- Cardiology Department, Faculty of Medicine of Tunis, Mongi Slim Hospital, University of Tunis, Tunis, Tunisia
| | - Fares Azaiez
- Cardiology Department, Faculty of Medicine of Tunis, Mongi Slim Hospital, University of Tunis, Tunis, Tunisia
| | - Rami Tlili
- Cardiology Department, Faculty of Medicine of Tunis, Mongi Slim Hospital, University of Tunis, Tunis, Tunisia
| | | | - Hedi Ben Slima
- Cardiology Department, Faculty of Medicine of Tunis, Menzel Bourguiba Hospital, University of Tunis, Bizerte, Tunisia
| | - Rim Chrigui
- Pasteur Clinic, General and Cardiovascular Clinic of Tunis, Tunis, Tunisia
| | - Samia Fazaa
- Pasteur Clinic, General and Cardiovascular Clinic of Tunis, Tunis, Tunisia
| | - Islem Sanaa
- General & Cardiovascular Clinic, Tunis, Tunisia
| | - Yassine Ellouz
- Pasteur Clinic, General and Cardiovascular Clinic of Tunis, Tunis, Tunisia
| | | | - Sami Milouchi
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
- Cardiology Department, Habib Bourguiba Hospital, University of Sfax, Medenine, Tunisia
| | - Soumaya Jarmouni
- Pasteur Clinic, General and Cardiovascular Clinic of Tunis, Tunis, Tunisia
| | | | | | | | | | - Meriem Drissa
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
- Cardiology Department, Faculty of Medicine of Tunis, Mongi Slim Hospital, University of Tunis, Tunis, Tunisia
| | - Selma Charfeddine
- Cardiology Department, Faculty of Medicine of Sfax, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Salem Abdessalem
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia
| | - Leila Abid
- Cardiology Department, Faculty of Medicine of Sfax, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia
| | - Lilia Zakhama
- Cardiology Department, Hospital of the Interior Force Security, University of Tunis, Tunis, Tunisia
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Ben Ahmed H, Bellali M, Allouche E, Allouche M, Belhadj A, Ben Khelil M, Shimi M, Razghallah R, Banasr A, Benzarti A, Bezdah L, Hamdoun M. [Circadian and septadian variation in sudden cardiac death : Autopsy registry of the Tunisian North]. Ann Cardiol Angeiol (Paris) 2023; 72:101597. [PMID: 37075563 DOI: 10.1016/j.ancard.2023.101597] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Revised: 02/26/2023] [Accepted: 03/21/2023] [Indexed: 04/21/2023]
Abstract
INTRODUCTION Several studies have suggested a circadian and septadian pattern of incidence of sudden cardiac death with a morning peak and a Monday peak. OBJECTIVE To analyze the circadian and septadian pattern of occurrence of sudden cardiac death in the eight northern Tunisian governorates. METHODS We prospectively collected epidemiological and autopsy data of sudden cardiac death victims occurring in the northern region of Tunisia between January 2013 and December 2019. RESULTS The population included 1834 men (79.6%) and 468 women (20.4%) with a mean age of 56.5 ± 14 years. Smoking (53.9%) was the most prevalent cardiovascular risk factor. One-fifth (20.9%) of victims had known heart disease, and 3% had a family history of sudden death. ischemic heart disease was the leading cause of sudden death (46.8% of cases). One- fourth (25.7%) of autopsies were negative. Analysis of the circadian pattern of occurrence of sudden cardiac death identified a peak (36.1%, p < 0.001) between midnight and 6 am. This nocturnal excess mortality was significant (p < 0.001) and independent of sex (34.1 % in men and 43.8 % in women) and cause of death (39.3 % of cases of sudden ischemic death and 33.3 % of cases of nonischemic death). Moreover, there was a significant septadian variability in the occurrence of sudden death (p: 0.0015), with a peak on Friday (15.8 %, p: 0.042). CONCLUSION This study showed a peak of sudden death between midnight and 6 am, and on Fridays, confirming the modification of the classic circadian and septadian pattern of sudden death occurrence. These results may help optimize the deployment of emergency mobile teams and structures during the most vulnerable periods.
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Affiliation(s)
- H Ben Ahmed
- Service de cardiologie, Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - M Bellali
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - E Allouche
- Service de cardiologie, Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie.
| | - M Allouche
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - A Belhadj
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - M Ben Khelil
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - M Shimi
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - R Razghallah
- Service de cardiologie, Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - A Banasr
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - A Benzarti
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - L Bezdah
- Service de cardiologie, Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
| | - M Hamdoun
- Service de Médecine Légale Hôpital Charles Nicolle, Tunis. Faculté de Médecine, Université Tunis El Manar 2092-Tunis, Tunisie
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Allouche E, Chetoui A, El Ayech F, Ben Jemaa H, Ben Ahmed H, Ouechtati Ben Attia W, Bezdah L. Functional ischemic mitral regurgitation in acute myocardial infarction: Importance of changes in left ventricular shape and regional function. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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Ouechtati Ben Attia W, El Ayech F, Ben Jemaa H, Ben Ahmed H, Allouche E, Bouzid K, Bezdah L. Correlations between Gatectin 3 and clinical echocardiographic parameters during ST-elevation myocardial infarction. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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Bezdah L, Chetoui A, Ayech FE, Jemaa HB, Ahmed HB, Attia WOB, Allouche E. Functional mitral regurgitation determinants in dilated cardiomyopathy. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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Allouche E, Neji S, Boudiche F, Ben Jemaa H, Chetoui A, Ben Ahmed H, Ouechtati Ben Attia W, Bezdah L. Importance of socioeconomic and educational factors in the return to work after acute myocardial infarction. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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Ben Ahmed H, Allouche E, Rekik A, Ouechtati W, Bezdah L. Multivessel spontaneous coronary artery dissection with simultaneously three different angiographic patterns. Ann Cardiol Angeiol (Paris) 2022; 71:118-121. [PMID: 32854904 DOI: 10.1016/j.ancard.2020.03.019] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Accepted: 03/31/2020] [Indexed: 06/11/2023]
Abstract
Spontaneous coronary artery dissection (SCAD) is a non-traumatic non-iatrogenic coronary dissection. It's a frequent cause of acute coronary syndrome (ACS) in women without or with few traditional cardiovascular risk factors. We report an unusual case of multivessel SCAD in a middle-aged woman with successful medical management.
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Affiliation(s)
- H Ben Ahmed
- Cardiology Department, Charles-Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University of Tunis-El-Manar 2092 Tunis, Tunisia.
| | - E Allouche
- Cardiology Department, Charles-Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University of Tunis-El-Manar 2092 Tunis, Tunisia.
| | - A Rekik
- Cardiology Department, Charles-Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University of Tunis-El-Manar 2092 Tunis, Tunisia.
| | - W Ouechtati
- Cardiology Department, Charles-Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University of Tunis-El-Manar 2092 Tunis, Tunisia.
| | - L Bezdah
- Cardiology Department, Charles-Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University of Tunis-El-Manar 2092 Tunis, Tunisia.
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8
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Abid L, Hammami R, Chamtouri I, Drissa M, Boudiche S, Bahloul M, BenSlima H, Sayahi K, Charfeddine S, Allouche E, Rais L, Kaab B, IbnHadjamor H, BenFatma L, Garbaa R, Boukhris S, Halima MB, Amdouni N, Ghorbel C, Soudani S, Khaled I, Triki S, Bouazizi F, Jemai I, Abdeljalil O, Ammar Y, Farah A, Neji A, Oumayma Z, Seghaier S, Mokrani S, Thawaba H, Sarray H, Ouaghlani K, Thabet H, Mnif Z, Boujelban F, Sghaier M, Khalifa R, Fourati S, Kammoun Y, Abid S, Hamza C, Jeddou SB, Sabbah L, Lakhdhar R, Dammak N, Sellami T, Herbegue B, Koubaa A, Triki F, Ellouz T, Hmoudi A, BenAmeur I, Boukhchina M, Abid N, Wachtati W, Nasrallah N, Houidi Y, Meghaieth F, Ghodhbane E, Chayeb M, Chenik S, Kaabachi S, Saadaoui N, BenAmeur I, Affes M, Ouali S, Chaker M, Naanaa H, Dghim M, Jarrar M, Mnif J, Turki A, Zairi I, Langar J, Dardouri S, Hchaichi I, Chettaoui R, Essmat W, Chakroun A, Mzoughi K, Mechmeche R, BenHalima A, BenKhala S, Chtourou S, Maalej A, Ayari M, Hadrich M, Tlili R, Azaiez F, Bouhlel I, Sahnoun S, Jerbi H, BenMrad I, Riahi L, Sahnoun M, BenJemaa A, BenSalem A, Rekik B, BenDoudou M, Boujneh R, Joulak A, Mejdoub Y, Gtif I, Jribi G, Naffeti E, Gamra H, BenYousef S, Sdiri W, BenHalima N, BenAmeur Y, Kachboura S, Kraiem S, Fehri W, Bazdeh L, Mourali M, Milouchi S, Drissa H, Maatouk F, Zakhama L, Addad F, Kammoun S, Abdesselem S. Epidemiologic features and management of hypertension in Tunisia, the results from the Hypertension National Registry (NaTuRe HTN). BMC Cardiovasc Disord 2022; 22:131. [PMID: 35351007 PMCID: PMC8966189 DOI: 10.1186/s12872-022-02584-y] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2021] [Accepted: 03/10/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Hypertension is the leading cause of morbi-mortality in our country. Thus, we conducted this national survey on hypertension to analyze the profile of the Tunisian hypertensive patient and to assess the level of blood pressure control. METHODS Nature HTN is an observational multicentric survey, including hypertensive individuals and consulting their doctors during the period of the study. Blood pressure measurements were conducted during consultation, using a standardized auscultatory or oscillometric sphygmomanometer after at least 15 min of rest. The diagnosis of new hypertension is based on the 2018 ESC/ESH criteria. The primary endpoint of our study was uncontrolled hypertension defined by a systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg. RESULTS Three hundred twenty-one investigators participated in the study. We enrolled 25,890 patients with a female predominance (Sex ratio, 1.21) and an average age of 64.4 ± 12.2 years. Most individuals were treated in the public sector (74%), 39.4% of patients were diabetic, 25.8% were obese, 44.6% were overweight and 14% were smokers. Hypertension was controlled in 51.7% of cases if we consider 140/90 as a BP target, and only in 18.6% if we consider 130/80 as a target. The independent predictors of uncontrolled blood pressure were male sex (OR = 1.09, 95%CI [1.02-1.16]), age > 65 year-old (OR = 1.07, 95% CI[1.01-1.13], diabetes (OR = 1.18, 95% CI [1.11-1.25], Smoking (OR = 1.15, 95% CI [1.05-1.25]), Obesity (OR = 1.14, 95% CI[1.07-1.21]), management in public sector (OR = 1.25, 95% CI [1.16-1.34]), and Heart rate > 80 bpm (OR = 1.59, 95% CI [1.48-1.71]). Contrarily, high educational level (OR = 0.9, 95% CI [0.84-0.97], absence of history of coronary disease (OR = 0.86, 95% CI [0.8-0.93]), salt restriction (OR = 0.48, 95% CI [0.45-0.51]), drug compliance (OR = 0.57, 95% CI[0.52-0.61]), and regular physical activity (OR = 0.77, 95% CI[0.71-0.84]) are strong predictors of blood pressure control. CONCLUSION NaTuRe HTN showed that blood pressure control was reached in more than half of the Tunisian people. The control remains low in patients with high cardiovascular profiles and in those treated in the public sector. A national health program based on therapeutic education, regular control and continuous support to the public institutions is needed to decrease the burden of hypertension incidence rate.
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Affiliation(s)
- Leila Abid
- Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia.
| | - Rania Hammami
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Sfax, Tunisia
| | - Ikram Chamtouri
- Cardiology Department B, Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | - Meriam Drissa
- Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Tunis, Tunisia
| | - Selim Boudiche
- Cardiology Department, La Rabta 1 (Pr Mourali) University Hospital, Tunis, Tunisia
| | | | - Hedi BenSlima
- Cardiology Department, Hospital of Menzel Bourguiba, Bizerte, Tunisia
| | - Khaled Sayahi
- Cardiology Department, ElKef Hospital, Elkef, Tunisia
| | - Selma Charfeddine
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Sfax, Tunisia
| | - Emna Allouche
- Cardiology Department, Charles Nicole University Hospital, Tunis, Tunisia
| | - Lamia Rais
- Nephrology Department, La Rabta University Hospital, Tunis, Tunisia
| | - Badr Kaab
- Nephrology Department, La Rabta University Hospital, Tunis, Tunisia
| | | | - Lilia BenFatma
- Nephrology Department, La Rabta University Hospital, Tunis, Tunisia
| | | | - Sabrine Boukhris
- Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Tunis, Tunisia
| | - Manel Ben Halima
- Cardiology Department, La Rabta 1 (Pr Mourali) University Hospital, Tunis, Tunisia
| | - Nesrine Amdouni
- Cardiology Department B, Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | - Chaima Ghorbel
- Cardiology Department, Habib Bourguiba Hospital, Medenine, Tunisia
| | - Sabrine Soudani
- Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Tunis, Tunisia
| | | | - Syrine Triki
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Sfax, Tunisia
| | | | - Imen Jemai
- Habib Bourguiba Hospital, Medenine, Tunisia
| | - Ouday Abdeljalil
- Cardiology Department B, Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | | | - Amani Farah
- Cardiology Department B, Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | | | - Zeineb Oumayma
- Cardiology Department, Charles Nicole University Hospital, Tunis, Tunisia
| | | | | | | | - Hela Sarray
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Sfax, Tunisia
| | - Khalil Ouaghlani
- Cardiology Department, Charles Nicole University Hospital, Tunis, Tunisia
| | - Houssem Thabet
- Cardiology Department, Farhat Hached Hospital, Sousse, Tunisia
| | | | | | | | - Roueida Khalifa
- Cardiology Department B, Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | | | - Yasmin Kammoun
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Sfax, Tunisia
| | | | | | - Syrine Ben Jeddou
- Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Tunis, Tunisia
| | | | | | - Najla Dammak
- Nephrology Department, Hedi Chaker-Sfax University Hospital, Sfax, Tunisia
| | | | | | | | - Faten Triki
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Sfax, Tunisia
| | - Tarek Ellouz
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Sfax, Tunisia
| | | | | | | | | | - Wejdene Wachtati
- Cardiology Department, Charles Nicole University Hospital, Tunis, Tunisia
| | | | | | - Fathia Meghaieth
- Cardiology Department, La Rabta 1 (Pr Mourali) University Hospital, Tunis, Tunisia
| | | | | | - Sarra Chenik
- Cardiology Department, The Main Military Instruction Hospital of Tunis, Tunis, Tunisia
| | | | | | | | | | - Sana Ouali
- Cardiology Department, La Rabta 1 (Pr Mourali) University Hospital, Tunis, Tunisia
| | - Mouna Chaker
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Sfax, Tunisia
| | | | - Meriem Dghim
- Cardiology Department, The Main Military Instruction Hospital of Tunis, Tunis, Tunisia
| | | | | | - Ahmed Turki
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Sfax, Tunisia
| | - Ihsen Zairi
- Cardiology Department, Habib Thameur Hospital, Tunis, Tunisia
| | | | - Safa Dardouri
- Cardiology Department, Farhat Hached Hospital, Sousse, Tunisia
| | | | | | | | | | - Khadija Mzoughi
- Cardiology Department, Habib Thameur Hospital, Tunis, Tunisia
| | | | - Afef BenHalima
- Cardiology Department, Abderrahmen Mami-Ariana Hospital, Ariana, Tunisia
| | | | | | | | | | | | - Rami Tlili
- Cardiology Department, Mongi Slim Hospital, Tunis, Tunisia
| | - Fares Azaiez
- Cardiology Department, Mongi Slim Hospital, Tunis, Tunisia
| | - Imen Bouhlel
- Cardiology Department, Farhat Hached Hospital, Sousse, Tunisia
| | | | | | | | - Leila Riahi
- Cardiology Department, The Main Military Instruction Hospital of Tunis, Tunis, Tunisia
| | | | | | - Amel BenSalem
- Cardiology Department, Charles Nicole University Hospital, Tunis, Tunisia
| | - Bassem Rekik
- Cardiology Department, Charles Nicole University Hospital, Tunis, Tunisia
| | | | | | | | - Yosra Mejdoub
- Community Medicine Department, Hedi Chaker-Sfax University Hospital, Sfax, Tunisia
| | - Imen Gtif
- Laboratory of Screening Cellular and Molecular Process, Centre of Biotechnology of Sfax, Sfax, Tunisia
| | - Gouider Jribi
- Cardiology Department, Farhat Hached Hospital, Sousse, Tunisia
| | - Elyes Naffeti
- Cardiology Department, University Hospital Sahloul, Sousse, Tunisia
| | - Habib Gamra
- Cardiology Department A, Fatouma Bourguiba Hospital, Monastir, Tunisia
| | - Soraya BenYousef
- Cardiology Department, Internal Security Forces Hospital, Tunis, Tunisia
| | - Wissem Sdiri
- Cardiology Department, Bougatfa Hospital, Bizerte, Tunisia
| | - Najeh BenHalima
- Cardiology Department, Ibn El Jazzar Hospital, Kairouan, Tunisia
| | | | - Salem Kachboura
- Cardiology Department, Abderrahmen Mami-Ariana Hospital, Ariana, Tunisia
| | - Sondes Kraiem
- Cardiology Department, Habib Thameur Hospital, Tunis, Tunisia
| | - Wafa Fehri
- Cardiology Department, The Main Military Instruction Hospital of Tunis, Tunis, Tunisia
| | - Leila Bazdeh
- Cardiology Department, Charles Nicole University Hospital, Tunis, Tunisia
| | - MohamedSami Mourali
- Cardiology Department, La Rabta 1 (Pr Mourali) University Hospital, Tunis, Tunisia
| | - Sami Milouchi
- Cardiology Department, Habib Bourguiba Hospital, Medenine, Tunisia
| | - Habiba Drissa
- Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Tunis, Tunisia
| | - Faouzi Maatouk
- Cardiology Department B, Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | - Lilia Zakhama
- Cardiology Department, Internal Security Forces Hospital, Tunis, Tunisia
| | - Faouzi Addad
- Cardiology Department, Abderrahmen Mami-Ariana Hospital, Ariana, Tunisia
| | - Samir Kammoun
- Cardiology Department, Hedi Chaker-Sfax University Hospital, Sfax, Tunisia
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Ouali S, Ben Halima A, Zidi A, Heraiech A, Ben Halima M, Abidi F, Allouche E, Charfi M, Ben Mrad I, Boudiche S, Arous Y, Mzoughi K, Antit S, Chammakhi C, Drissa M, Ben Ahmed H, Zakhama L. Tunisian Consensus document on magnetic resonance imaging in patients with intracardiac devices. Tunis Med 2022; 99:1104-1116. [PMID: 35288916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Patients with ferromagnetic cardiac devices, particularly cardiac implantable electronic devices (CIED) such as pacemakers or implantable cardioverter defibrillators, are often inappropriately deprived of magnetic resonance imaging (MRI) for safety reasons. This consensus document is written by a multidisciplinary working group involving rhythmologists, interventional cardiologists, echocardiographists and radiologists. Its objective is to establish good practice recommendations to optimize the management of patients with cardiac devices requiring MRI examination, while ensuring their safety and facilitating their access to MRI.
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Bezdah L, Allouche E, Abid O, Sidhom S, Ouchtati W, Ben Ahmed H. Echocardiographic factors determining immediate results of percutaneous mitral balloon commissurotomy. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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11
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Ouechtati Ben Attia W, Ben Ahmed H, Allouche E, Oumaya Z, El Ayech F, Bouzid K, Bezdah L. Correlations between Gatectin 3 and clinical echocardiographic parameters during ST elevation myocardial infarction. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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12
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Ouechtati ben Attia W, Oumaya Z, Allouche E, Fathi M, El Ayech F, Beji M, Ben Ahmed H, Bezdah L. Five-year epidemiological study of surgical valvular heart diseases in a north African tertiary referral hospital. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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13
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Allouche E, Ben Ahmed H, Driss A, Oumaya Z, Aissa M, Bezdah L. Perioperative cardiac risk assessment by anesthesiology residents. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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14
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Ben Halima A, Aouina H, Hamzaoui A, Gharbi L, Chaouech N, Dhahri B, Ghrairi H, Maazaoui S, Sahnoun I, Ben Mansour A, Louhichi S, Ben Amar J, Lakehal R, Allouche E, Ben Ahmed H, Aissa MS, Fathi M, Boudiche F, Ben Jemaa H, Béji M, Ouechtati W, Bezdah L, Ben Abdessalem MA, Cheikh Sidiya K, Romdhane AF, Ben Ameur Z, Mosrati H, Ammar F, Bouraoui H, Hajri S, Mahdhaoui A, Jeridi G, Nasser K, Elhraiech A, Kacem M, Tekaya MA, Meddeb A, Ben Hamda K, Maatouk F, Wachem O, Antit S, Fekih R, Antit C, Boussabah E, Thameur M, Zakhama L, Ben Youssef S, Ben Doudou M, Kamoun S, Ben Mrad I, Ben Moussa F, Fennira S, Mzoughi K, Zairi I, Kraiem S, Messaoudi Y, Ben Abdallah M, Ghabi O, Ben Halima N, Mleyhi S, Sandi T, Miri R, Besbes T, Ghédira F, Ben Omrane S, Denguir R, Drissa M, Brahim A, Mousli E, Ousji C, Abou Nada H, Bouslimi A, Merdassi A, Taher O, Drissa H, Yaakoubi W, Ben Hlima M, Rekik B, Soula MA, Zouari F, Boudiche S, Mghaieth F, Ouali S, Mourali MS, Taamallah K, Abid M, Hajlaoui N, Haggui A, Fehri W, Ben Abdallah M, Azaiez F, Cherif N, Jaoued F, Tlili R, Ben Ameur Y, Khorchani A, Ben Ali Z, Dali AE, Milouchi S, Boufares A, Ben Krayen I, Mtimet H, Ben Haj Mbarek MG, Bouhamed O, Dardouri S, Gribaa R, Ben Ali I, Slim M, Neffati E, Damak E, Jaber C, Cherif T, Bousnina M, Jemel A, Jerbi S, Marzouki Y, Neji S, Beji M, Chaabene I, Tahri S, Kechida M, Daada S, Hammami S, Ben Abdallah W, Klii R, Khochtali I, Rekik E, Abdelhedi M, Lahbib N, Aouadi D, Abid S, Besbes B, Oumaya Z, BelKahla N, Arbaoui I, Daoued F, Jebali H, Lahmaier E, Chaabouni E, Hajji M, Zouaghi MK, Abdallah M, Mlayah S, Selmi Y, Idriss H, Ahmed J, Brahim O, Turki E, Ghzel R, Ouaghlani K, Hakim K, Boussema A, Ben Arbia H, Said S, Msaad H, Ouarda F, Khalifa R, Hamila G, Triki S, Ataoui S, Keita A, Ben Othman R, Ghardallou H, Karmous R, El Bardi M, Lassoued C, Laadhar L, Khadhar Y, Aouini F, Ben Mrad M, Ben Romdhane N, Hamdi S, Chenik S, Jabloun Y, Talhaoui A, Mahfoudhi H, Ghardallou M, Noamen A, Raddaoui H, Chourabi C, Amorri A, Boukhili H, Khannouch A, Louati M, Alzain H, Hamdani A, Bousnina S, Ajra Z, Gheni R, Ben Hmida R, Ounissi T, Ibn Elhadj Z, Fekih W, Ben Yedder M, Medi W, Elghoul J, Ben Dayekh A, Ben Radhia B, Nasser K, Mtir H, Kortas C, Mgarrech I, Jamli M, Kaddour H, Mekki N, Amamou I, Achour A, Ouannes S, Ben Farhat S, Jaouadi A, Ben Saad S, Letaief R. Abstracts of the Tunisian Society of Cardiology and Cardiovascular Surgery congress, STCCCV 2021. Tunis Med 2022; 100:72-90. [PMID: 35822336 PMCID: PMC9028527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Allouche E, Bezdah L, Abid O, Ben Jemaa H, Boudiche F, Beji M, Sidhom S, Ben Ahmed H, Ouchtati W. Functional ischemic mitral regurgitation in acute myocardial infarction: Importance of changes in left ventricular shape and regional function. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Bezdah L, Allouche E, Abid O, Boudiche F, Ben Jemaa H, Beji M, Sidhom S, Ben Ahmed H, Ouchtati W. Functional mitral regurgitation determinants in dilated cardiomyopathy. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Ouechtati Ben Attia W, Arfaoui J, Neji S, Allouche E, El Ayech F, Beji M, Ben Ahmed H, Bezdah L. Epidemiology of infective endocarditis: Experience of department of cardiology in Charles Nicolle hospital. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Allouche E, Neji S, Ben Ahmed H, Oumaya Z, El Ayech F, Beji M, Ouechtati W, Bezdah L. Risk Factors in Young Adults With First Myocardial Infarction. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Allouche E, Ben Ahmed H, Oumaya Z, Fathi M, El Ayech F, Beji M, Ouechtati W, Bezdah L. Impaired nocturnal blood pressure dipping in patients with type 2 diabetes mellitus with microvascular complications. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Allouche E, Lachter G, Aissa MS, Ben Jemaa H, Boudiche F, Ben Ahmed H, Ouechtati W, Bezdah L, Bousnina S, Antit S, Ben Kaab B, Boussabah E, Zakhama L, Brahmi H, Ammar F, Belkhiria H, Dali A, Daassa C, Jamel A, Ben Halima N, Hamdani A, Ajra Z, Bayar MF, Gheni R, Rashikou L, Ben Hmida R, Ounissi T, Ibn Elhadj Z, Chelbi H, Fekih R, Boufares A, Thameur M, Abdelhedi M, Neji S, Boudiche F, Chetoui A, Ouechtati W, Cherif N, Mekki N, Slim M, Ouannes S, Ghardallou H, Neffati E, Kadardar F, Hachani M, Iddir S, Marzouki Y, Dardour S, Mejber W, Ben Slima H, Lassoued T, Chamtouri I, Jomaa W, Ben Hamda K, Maatouk F, Hakim K, Ben Othmen R, Msaad H, Ouarda F, Ben Gandoura A, Ben Halima A, Taktak I, Draoui Y, Yaakoubi W, Tamallah K, Chourabi C, Oussema M, Haggui A, Hajlaoui N, Fehri W, Ben Romdhane R, Tlili R, Azaiez F, Bachraoui K, Drissa M, Ben Youssef A, Fatou AW, Khadra H, Diouf MT, Ba S, Diouf D, Sarr MN, Mingou JS, Sarr SA, Dioum M, Ngaide AA, Beye SM, Manga S, Affangla DA, Diouf Y, Diop KH, Bodian M, Leye MMCB, Ndiaye MB, Mbaye A, Kane AD, Diao M, Kane A, Ben Ghorbel C, Soudani S, Gribaa R, Leye M, Ismael Ibouroi MH, Ba EHM, Affangla DA, Ba DM, Diagne Diallo A, Fall AL, Saidane S, Mzoughi K, Bouzidi H, Khannouch A, Ben Mrad I, Kamoun S, Zairi I, Kraiem S, Guesmi A, Mestiri B. ABSTRACTS CONGRÈS STCCCV 2022. Tunis Med 2022; 100:809-818. [PMID: 37551524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 08/09/2023]
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Allouche E, Ghariani A, Ben Ahmed H, Fekih Romdhane H, Ouechtati W, Bezdah L. [Myocardial infarction in the young : clinical characteristics, therapeutic aspects and in-hospital complications.]. Ann Cardiol Angeiol (Paris) 2021; 71:90-94. [PMID: 34802668 DOI: 10.1016/j.ancard.2021.10.019] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 10/04/2021] [Accepted: 10/26/2021] [Indexed: 11/18/2022]
Abstract
AIM OF THE STUDY The aim of our study was to assess the clinical, electrical, angiographic and therapeutic characteristics of young patients with acute myocardial infarction and to describe the prevalence of in-hospital complications. PATIENTS AND METHODS FromJanuary 2014 to May 2017, we retrospectively studied data of patients with acute myocardial infarction younger than 45 years old in the department of cardiology of Charles Nicolle hospital of Tunis. RESULTS We enrolled 108 patients in the study. The prevalence of myocardial infarction in young patients was 8.5%. The mean age was 39.5 ± 5.5 years with a sex-ratio of 11. The most frequent cardiovascular risk factors were smoking (88%) and dyslipidaemia (51.9%). We reported 75 cases of ST segment elevation myocardial infarction. Primary angioplasty was performed in 41.3% of cases while lytic therapy was administered for the rest of the patients. It was successful in 75% of cases. Among 33 patients who presented with non-ST segment elevation myocardial infarction, percutaneous coronary angioplasty was performed in 60.6% of patients while 15.2% have undergone coronary artery bypass surgery and 24.2% received medical treatment only. In-hospital complications occurred in 39.8% of cases. In-hospital mortality was 1.9 %. CONCLUSIONS Acute myocardial infarction in the young represents a serious health problem. Primary preventive measures aimed at preventing our youth from adopting tobacco use and developing dyslipidemia should be implemented to delay and even to avoid the onset of coronary artery disease.
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Affiliation(s)
- E Allouche
- Service de Cardiologie, Centre hospital-universitaire Charles Nicole, Tunis, Tunisie
| | - A Ghariani
- Service de Cardiologie, Centre hospital-universitaire Farhat Hached, Sousse, Tunisie.
| | - H Ben Ahmed
- Service de Cardiologie, Centre hospital-universitaire Charles Nicole, Tunis, Tunisie
| | - H Fekih Romdhane
- Service de Cardiologie, Centre hospital-universitaire Charles Nicole, Tunis, Tunisie
| | - W Ouechtati
- Service de Cardiologie, Centre hospital-universitaire Charles Nicole, Tunis, Tunisie
| | - L Bezdah
- Service de Cardiologie, Centre hospital-universitaire Charles Nicole, Tunis, Tunisie
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22
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Hammami R, Ben Mrad I, Bahloul A, Charfeddine S, Gribaa R, thabet H, Allouche E, Ben Abdessalem A, Hassine M, Abid L, Kammoun S, Amor HIH. Angioplasty of anomalous coronaries arising from the opposite sinus with an inter-arterial course, is it safe? J Saudi Heart Assoc 2021; 33:296-305. [PMID: 35083121 PMCID: PMC8754440 DOI: 10.37616/2212-5043.1280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 08/05/2021] [Accepted: 09/28/2021] [Indexed: 11/20/2022] Open
Abstract
Background The coronary artery with an interarterial course CAIAC is the most threatening coronary anomaly, especially if it concerns the left coronary. Percutaneous coronary intervention PCI is scarcely described given its low prevalence and lack of long-term outcome data. Therefore, we assessed through this case series the feasibility and safety of PCI in this population. Methods This is an observational multicentric study including patients with CAIAC arising from the opposite sinus of Valsalva. The primary endpoints were immediate angiographic success and target lesion revascularization. Results During the period of the study, we performed 27235 PCI in six Cath labs, 26 procedures concerning abnormal coronaries including 12 with CAIAC. The median age was 57 years extremes: 43–78 with male predominance 1:11. Anomalous coronary artery was Right coronary artery RCA in eight patients, Left main LM in three patients, and left anterior descending LAD in one patient. The stenosis was located in all cases in proximal segments beyond the inter-arterial course proximal LAD, the superior genius of the RCA, or the proximal segment of mid-RCA. Five patients showed slit-like ostium and all have an angle take-off <45° on CT scan. After a median follow-up of 24 months, four subjects presented target lesion revascularization TLR, all were initially treated with either a bare-metal stent or with balloons. Conclusions PCI of patients with CAIAC is feasible and appears safe. The operator should carefully analyze the angiogram before PCI to choose the appropriate guiding catheter and should be acquainted with the different techniques for improving backup.
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Affiliation(s)
- Rania Hammami
- Cardiology Department, Hedi Chaker Hospital, Sfax,
Tunisia
- Research Unit RU 17ES37, University of Medicine, Sfax University,
Tunisia
- Corresponding author at: Hedi Chaker Hospital, 3029, Sfax, Tunisia. E-mail address: (R. Hammami)
| | | | - Amine Bahloul
- Cardiology Department, Hedi Chaker Hospital, Sfax,
Tunisia
| | | | - Rym Gribaa
- Cardiology Department, Sahloul Hospital, Sousse,
Tunisia
| | - Houssem thabet
- Cardiology Department, Sahloul Hospital, Sousse,
Tunisia
| | - Emna Allouche
- Cardiology Department, Charles Nicolles Hospital, Tunis,
Tunisia
| | | | - Majed Hassine
- Cardiology Department, Fattouma Bourguiba Hospital, Monastir,
Tunisia
| | - Leila Abid
- Cardiology Department, Hedi Chaker Hospital, Sfax,
Tunisia
- Research Unit RU 17ES37, University of Medicine, Sfax University,
Tunisia
| | - Samir Kammoun
- Cardiology Department, Hedi Chaker Hospital, Sfax,
Tunisia
- Research Unit RU 17ES37, University of Medicine, Sfax University,
Tunisia
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23
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Abid L, Kammoun I, Ben Halima M, Charfeddine S, Ben Slima H, Drissa M, Mzoughi K, Mbarek D, Riahi L, Antit S, Ben Halima A, Ouechtati W, Allouche E, Mechri M, Yousfi C, Khorchani A, Abid O, Sammoud K, Ezzaouia K, Gtif I, Ouali S, Triki F, Hamdi S, Boudiche S, Chebbi M, Hentati M, Farah A, Triki H, Ghardallou H, Raddaoui H, Zayed S, Azaiez F, Omri F, Zouari A, Ben Ali Z, Najjar A, Thabet H, Chaker M, Mohamed S, Chouaieb M, Ben Jemaa A, Tangour H, Kammoun Y, Bouhlel M, Azaiez S, Letaief R, Maskhi S, Amri A, Naanaa H, Othmani R, Chahbani I, Zargouni H, Abid S, Ayari M, Ben Ameur I, Gasmi A, Ben Halima N, Haouala H, Boughzela E, Zakhama L, Ben Youssef S, Nasraoui W, Boujnah MR, Barakett N, Kraiem S, Drissa H, Ben Khalfallah A, Gamra H, Kachboura S, Bezdah L, Baccar H, Milouchi S, Sdiri W, Ben Omrane S, Abdesselem S, Kanoun A, Hezbri K, Zannad F, Mebazaa A, Kammoun S, Mourali MS, Addad F. Design and Rationale of the National Tunisian Registry of Heart Failure (NATURE-HF): Protocol for a Multicenter Registry Study. JMIR Res Protoc 2021; 10:e12262. [PMID: 34704958 PMCID: PMC8581756 DOI: 10.2196/12262] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2018] [Revised: 03/04/2019] [Accepted: 03/24/2019] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The frequency of heart failure (HF) in Tunisia is on the rise and has now become a public health concern. This is mainly due to an aging Tunisian population (Tunisia has one of the oldest populations in Africa as well as the highest life expectancy in the continent) and an increase in coronary artery disease and hypertension. However, no extensive data are available on demographic characteristics, prognosis, and quality of care of patients with HF in Tunisia (nor in North Africa). OBJECTIVE The aim of this study was to analyze, follow, and evaluate patients with HF in a large nation-wide multicenter trial. METHODS A total of 1700 patients with HF diagnosed by the investigator will be included in the National Tunisian Registry of Heart Failure study (NATURE-HF). Patients must visit the cardiology clinic 1, 3, and 12 months after study inclusion. This follow-up is provided by the investigator. All data are collected via the DACIMA Clinical Suite web interface. RESULTS At the end of the study, we will note the occurrence of cardiovascular death (sudden death, coronary artery disease, refractory HF, stroke), death from any cause (cardiovascular and noncardiovascular), and the occurrence of a rehospitalization episode for an HF relapse during the follow-up period. Based on these data, we will evaluate the demographic characteristics of the study patients, the characteristics of pathological antecedents, and symptomatic and clinical features of HF. In addition, we will report the paraclinical examination findings such as the laboratory standard parameters and brain natriuretic peptides, electrocardiogram or 24-hour Holter monitoring, echocardiography, and coronarography. We will also provide a description of the therapeutic environment and therapeutic changes that occur during the 1-year follow-up of patients, adverse events following medical treatment and intervention during the 3- and 12-month follow-up, the evaluation of left ventricular ejection fraction during the 3- and 12-month follow-up, the overall rate of rehospitalization over the 1-year follow-up for an HF relapse, and the rate of rehospitalization during the first 3 months after inclusion into the study. CONCLUSIONS The NATURE-HF study will fill a significant gap in the dynamic landscape of HF care and research. It will provide unique and necessary data on the management and outcomes of patients with HF. This study will yield the largest contemporary longitudinal cohort of patients with HF in Tunisia. TRIAL REGISTRATION ClinicalTrials.gov NCT03262675; https://clinicaltrials.gov/ct2/show/NCT03262675. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/12262.
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Affiliation(s)
- Leila Abid
- Société Tunisienne De Cardiologie Et De Chirurgie Cardiovasculaire, Tunis, Tunisia
| | - Ikram Kammoun
- Société Tunisienne De Cardiologie Et De Chirurgie Cardiovasculaire, Tunis, Tunisia.,Hôpital Abderrahmen Mami-Ariana, Ariana, Tunisia
| | - Manel Ben Halima
- Société Tunisienne De Cardiologie Et De Chirurgie Cardiovasculaire, Tunis, Tunisia.,Hôpital La Rabta 2, Tunis, Tunisia
| | - Salma Charfeddine
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | - Meriem Drissa
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Khadija Mzoughi
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Dorra Mbarek
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Leila Riahi
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Saoussen Antit
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Afef Ben Halima
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Wejdene Ouechtati
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Emna Allouche
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Mehdi Mechri
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Chedi Yousfi
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Ali Khorchani
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Omar Abid
- Centre Hospitalier de Chambéry, Chambéry, France
| | - Kais Sammoud
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Khaled Ezzaouia
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Imen Gtif
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Sana Ouali
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Feten Triki
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Sonia Hamdi
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Selim Boudiche
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Marwa Chebbi
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Mouna Hentati
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Amani Farah
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Habib Triki
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Houda Ghardallou
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | - Haythem Raddaoui
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Seifeddine Azaiez
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | | | - Aymen Amri
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | | | - Iheb Chahbani
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | - Syrine Abid
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | | | - Ali Gasmi
- Hospital Lariboisière, Paris, France
| | | | | | | | - Lilia Zakhama
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | - Wided Nasraoui
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | | | - Sondes Kraiem
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | | | | | | | | | | | | | | | | | | | - Alifa Kanoun
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | | | | | - Samir Kammoun
- Hôpital Des Forces De Sécurité Intérieure De La Marsa, Tunis, Tunisia
| | | | - Faouzi Addad
- Société Tunisienne De Cardiologie Et De Chirurgie Cardiovasculaire, Tunis, Tunisia
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Borrelli N, Brida M, Cader A, Sabatino J, Czerwińska-Jelonkiewicz K, Shchendrygina A, Wood A, Allouche E, Avesani M, Gok G, Marchenko O, Calvieri C, Baritussio A, Ilardi F, Caglar N, Moscatelli S, Kotlar I, Trêpa M, Rubini MG, Chrysohoou C, Jovovic L, Prokšelj K, Simkova I, Babazade N, Siller-Matula J, Chikhi F, Kovačević-Preradović T, Srbinovska E, Johnson V, Farrero M, Moharem-Elgamal S, Gimelli A. Women leaders in Cardiology. Contemporary profile of the WHO European region. European Heart Journal Open 2021; 1:oeab008. [PMID: 35919091 PMCID: PMC9242062 DOI: 10.1093/ehjopen/oeab008] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 06/02/2021] [Accepted: 07/10/2021] [Indexed: 11/14/2022]
Abstract
Abstract
Aims
Women’s participation is steadily growing in medical schools, but they are still not sufficiently represented in cardiology, particularly in cardiology leadership positions. We present the contemporary distribution of women leaders in cardiology departments in the World Health Organization European region.
Methods and results
Between August and December 2020, we applied purposive sampling to collect data and analyse gender distribution of heads of cardiology department in university/third level hospitals in 23 countries: Austria, Azerbaijan, Belgium, Bosnia-Herzegovina, Croatia, France, Germany, Greece, Italy, North Macedonia, Morocco, Poland, Portugal, Russia, Serbia, Slovakia, Slovenia, Spain, Switzerland, Tunisia, Turkey, Ukraine, and the UK. Age, cardiology subspecialty, and number of scientific publications were recorded for a subgroup of cardiology leaders for whom data were available. A total of 849 cardiology departments were analysed. Women leaders were only 30% (254/849) and were younger than their men counterpart (♀ 52.2 ± 7.7 years old vs. ♂ 58.1 ± 7.6 years old, P = 0.00001). Most women leaders were non-interventional experts (♀ 82% vs. ♂ 46%, P < 0.00001) and had significantly fewer scientific publications than men {♀ 16 [interquartile range (IQR) 2–41] publications vs. ♂ 44 (IQR 9–175) publications, P < 0.00001}.
Conclusion
Across the World Health Organization European region, there is a significant gender disparity in cardiology leadership positions. Fostering a diverse and inclusive workplace is a priority to achieve the full potential and leverage the full talents of both women and men.
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Affiliation(s)
- Nunzia Borrelli
- Adult Congenital Heart Disease Unit, AORN Dei Colli—Monaldi Hospital , Via Leonardo Bianchi, snc, Naples 80131, Italy
| | - Margarita Brida
- Division for Adult Congenital Heart Disease, Department of Cardiovascular Medicine, University Hospital Centre Zagreb, Kišpatićeva ul. 12, 10000, Zagreb , Croatia
- Adult Congenital Heart Centre and National Centre for Pulmonary Hypertension, Royal Brompton Hospital, Sydney St, SW3 6NP, London , United Kingdom
| | - Aaysha Cader
- Ibrahim Cardiac Hospital & Research Institute, 122 Kazi Nazrul Islam Ave, Dhaka 1000 , Bangladesh
| | - Jolanda Sabatino
- Magna Graecia University, Viale Europa, 88100, Catanzaro , Italy
| | - Katarzyna Czerwińska-Jelonkiewicz
- Andrzej Frycz Modrzewski Krakow University, Gustawa Herlinga-Grudzińskiego 1, 30-705 Kraków , Poland
- Harefield Hospital, Hill End Rd, Harefield, Uxbridge UB9 6JH, Royal Brompton & Harefield NHS Foundation Trust, London , United Kingdom
| | - Anastasia Shchendrygina
- Department of Hospital Therapy No. 1, I.M., Sechenov First Moscow State Medical University, Bol'shaya Pirogovskaya Ulitsa, 2, стр. 4, Moscow , Russia
| | - Alice Wood
- University of Leicester, University Rd, Leicester LE1 7RH , United Kingdom
| | - Emna Allouche
- Cardiology Departement, Charles Nicolle Hospital Tunis, Faculté de Médecine, Tunis-El Manar University, Bd du 9 Avril 1938 , Tunisia
| | - Martina Avesani
- University of Padua, Via Giustiniani, 2 - 35128, Padua , Italy
| | - Gulay Gok
- Department of Cardiology, Medipol University hospital, TEM Avrupa Otoyolu Göztepe Çıkışı No:, D:1, 34214, İstanbul , Turkey
| | - Oksana Marchenko
- Ukrainian Children’s Cardiac Center, Clinic for Adults, Shuliavka, 02000, Kyiv , Ukraine
- Shupyk National Healthcare University of Ukraine, 9, Dorohozhytska St, 04112, Kyiv , Ukraine
| | - Camilla Calvieri
- Bambino Gesù Children’s Hospital, Palidoro-Rome, Piazza Sant'Onofrio 4, 00165 Rome , Italy
- Department of Internal Clinical Sciences, Anesthesiology and Cardiology, “La Sapienza” University of Rome, Piazzale Aldo Moro, 5, 00185, Rome , Italy
| | - Anna Baritussio
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Azienda Ospedale Università Padova, Via Giustiniani, 2, 35128, Padua , Italy
| | - Federica Ilardi
- Department of Advanced Biomedical Sciences, Federico II University Hospital, Via Sergio Pansini, 5, 80131, Naples , Italy
- Mediterranea Cardiocentro, Via Orazio, 2, 80122, Naples , Italy
| | - Nihan Caglar
- Cardiology Department, Bakirkoy Dr Sadi Konuk Training and Research Hospital, Cd No:11, 34147, Istanbul , Turkey
| | - Sara Moscatelli
- Clinic of Cardiovascular Diseases, University of Genoa, Viale Benedetto XV, 6, 16132 , Italy
| | - Irina Kotlar
- University Clinic of Cardiology, Мајка Тереза 17, Mother Teresa 17, Skopje , Republic of North Macedonia
| | - Maria Trêpa
- Cardiology Department, Porto University Hospital Centre, Largo do Prof. Abel Salazar, 4099-001, Porto , Portugal
| | - Maria Gimenez Rubini
- Department of Internal Medicine and Cardiology, Heart Center Leipzig-University Hospital, Strümpellstraße 39, 04289, Leipzig , Germany
- Cardiovascular Research Institute Basel (CRIB) and Department of Cardiology, University Hospital Basel, University of Basel, Petersgraben 4, 4031, Basel , Switzerland
| | - Christina Chrysohoou
- First Cardiology Clinic, Hippokration Hospital, School of Medicine, University of Athens, 114 Vass Sofias Ave, 11527, Athens , Greece
| | - Ljiljana Jovovic
- Faculty of Medicine, University of Belgrade, dr Subotića starijeg 8, 11000, Belgrade , Serbia
| | - Katja Prokšelj
- Department of Cardiology, University Medical Center, Zaloška cesta 7, 1000, Ljubljana , Slovenia
| | - Iveta Simkova
- ACHD Centre, Department of Cardiology and Angiology of Medical Faculty, Slovak Medical University and National Institute of Cardiovascular Diseases, 831 01, Bratislava , Slovakia
| | | | - Jolanta Siller-Matula
- Department of Cardiology, Medical University of Vienna, Spitalgasse 23, 1090, Vienna , Austria
- Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, 02-091, Warsaw , Poland
| | - Fatima Chikhi
- Cardiology “B” Department, Ibn Sina Hospital Med V University, 62, Jbran Khalil Jbran Street, Souissi, Rabat , Morocco
| | - Tamara Kovačević-Preradović
- School of Medicine, University of Banja Luka, Save Mrkalja 14, Banja Luka, 78000, Republic of Srpska , Bosnia and Herzegovina
| | | | - Victoria Johnson
- Medizinische Klinik I, Abteilung für Kardiologie und Angiologie, Universitätsklinikum Gießen, Klinikstraße 33, 35392, Gießen , Germany
| | - Marta Farrero
- Heart Failure and Heart Transplant Unit, Cardiology, Hospital Clínic, C. de Villarroel, 170, 08036, Barcelona , Spain
| | - Sarah Moharem-Elgamal
- Cardiology Department, Liverpool Heart and Chest Hospital, Thomas Dr, Liverpool L14 3PE , United Kingdom
- Cardiology Department, National Heart Institute, 5 Ibn Nafise Square, Mit Akaba, Agouza, Giza , Egypt
| | - Alessia Gimelli
- CNR—Regione Toscana, Fondazione Gabriele Monasterio, Via Giuseppe Moruzzi, 1, 56124, Pisa , Italy
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Daadaa N, Jones M, Allouche E, Khammouma F, Becha T, Litaiem N, Hamdi M, Zeglaoui F. Érythème réticulé télangiectasique associé au défibrillateur cardiaque implantable. Rev Med Interne 2021. [DOI: 10.1016/j.revmed.2021.03.219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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26
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Abid L, Charfeddine S, Kammoun I, Ben Halima M, Ben Slima H, Drissa M, Mzoughi K, Mbarek D, Riahi L, Antit S, Ben Halima A, Ouechtati W, Allouche E, Mechri M, Youssfi C, Khorchani A, Sammoud K, Zaouia K, Tlili R, Ouali S, Triki F, Hamdi S, Boudich S, Chebbi M, Hentati M, Farah A, Triki H, Ghardallou H, Radoui H, Zayed S, Azaiez F, Omri F, Zouari A, Ben Ali Z, Najjar A, Thabet H, Chaker M, Mohammed S, Ben Jmaa A, Tangour H, Kammoun Y, Cheikh Bouhlel M, Azeiz S, Gtaief R, Mashki S, Amri A, Naanea H, Othmani R, Chahbani I, Zargouni H, Abid S, Ayari M, Ben Ameur I, Guesmi A, Ben Halima N, Haouala H, Fehri W, Boughzela E, Zakhama L, Ben Youssef S, Nasraoui W, Boujneh R, Barakett N, Kraiem S, Drissa H, Ben Khalfalah A, Gamra H, Kachboura S, Majdoub Y, Kanoun E, Zannad F, Milouchi S, Mebaza A, Kammoun S, Mourali S, Hezbri K, Addad F. Epidemiology of heart failure and long-term follow-up outcomes in a north-African population: Results from the NAtional TUnisian REgistry of Heart Failure (NATURE-HF). PLoS One 2021; 16:e0251658. [PMID: 34014967 PMCID: PMC8136726 DOI: 10.1371/journal.pone.0251658] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Accepted: 04/29/2021] [Indexed: 12/01/2022] Open
Abstract
The NATURE-HF registry was aimed to describe clinical epidemiology and 1-year outcomes of outpatients and inpatients with heart failure (HF). This is a prospective, multicenter, observational survey conducted in Tunisian Cardiology centers. A total of 2040 patients were included in the study. Of these, 1632 (80%) were outpatients with chronic HF (CHF). The mean hospital stay was 8.7 ± 8.2 days. The mortality rate during the initial hospitalization event for AHF was 7.4%. The all-cause 1-year mortality rate was 22.8% among AHF patients and 10.6% among CHF patients. Among CHF patients, the older age, diabetes, anemia, reduced EF, ischemic etiology, residual congestion and the absence of ACEI/ ARBs treatment were independent predictors of 1-year cumulative rates of rehospitalization and mortality. The female sex and the functional status were independent predictors of 1-year all-cause mortality and rehospitalization in AHF patients. This study confirmed that acute HF is still associated with a poor prognosis, while the mid-term outcomes in patients with chronic HF seems to be improved. Some differences across countries may be due to different clinical characteristics and differences in healthcare systems.
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Affiliation(s)
- Leila Abid
- Tunisian Society of Cardiology and Cardiac Surgery, Tunis, Tunisia
- * E-mail:
| | | | - Ikram Kammoun
- Department of cardiology, Abderrahman Mami Hospital, Ariana, Tunisia
| | | | - Hedi Ben Slima
- Department of cardiology, Menzel Bourguiba Hospital, Bizerte, Tunisia
| | - Meriem Drissa
- Department of cardiology, La Rabta Hospital, Tunis, Tunisia
| | - Khadija Mzoughi
- Department of cardiology, Habib Thameur Hospital, Tunis, Tunisia
| | - Dorra Mbarek
- Department of cardiology, Mongi Slim Hospital, La Marsa, Tunisia
| | - Leila Riahi
- Tunisian Society of Cardiology and Cardiac Surgery, Tunis, Tunisia
| | - Saoussen Antit
- Department of cardiology, Hospital of the Internal Security Forces, La Marsa, Tunisia
| | - Afef Ben Halima
- Department of cardiology, Abderrahman Mami Hospital, Ariana, Tunisia
| | | | - Emna Allouche
- Department of cardiology, Charles Nicolle Hospital, Tunis, Tunisia
| | - Mehdi Mechri
- Department of cardiology, La Rabta Hospital, Tunis, Tunisia
| | - Chedi Youssfi
- Department of cardiology, Hedi Chaker Hospital, Sfax, Tunisia
| | - Ali Khorchani
- Department of cardiology, Habib Bourguiba Hospital, Medenine, Tunisia
| | - Kais Sammoud
- Department of cardiology, La Rabta Hospital, Tunis, Tunisia
| | - Khaled Zaouia
- Department of cardiology, Habib Bougatfa Hospital, Bizerte, Tunisia
| | - Rami Tlili
- Department of cardiology, Mongi Slim Hospital, La Marsa, Tunisia
| | - Sana Ouali
- Department of cardiology, La Rabta Hospital, Tunis, Tunisia
| | - Faten Triki
- Department of cardiology, Hedi Chaker Hospital, Sfax, Tunisia
| | - Sonia Hamdi
- Department of cardiology, Principal Military Hospital, Tunis, Tunisia
| | - Selim Boudich
- Department of cardiology, La Rabta Hospital, Tunis, Tunisia
| | - Marwa Chebbi
- Department of cardiology, La Rabta Hospital, Tunis, Tunisia
| | - Mouna Hentati
- Department of cardiology, Habib Thameur Hospital, Tunis, Tunisia
| | - Amani Farah
- Department of cardiology, Fattouma Bourguiba Hospital, Monastir, Tunisia
| | - Habib Triki
- Department of cardiology, Mohamed Taher Al Maamouri Hospial, Nabeul, Tunisia
| | - H. Ghardallou
- Department of cardiology, Sahloul Hospial, Sousse, Tunisia
| | - H. Radoui
- Department of cardiology, Abderrahman Mami Hospital, Ariana, Tunisia
| | - Sofien Zayed
- Department of cardiology, Fattouma Bourguiba Hospital, Monastir, Tunisia
| | - F. Azaiez
- Department of cardiology, La Rabta Hospital, Tunis, Tunisia
| | - Fadoua Omri
- Department of cardiology, Menzel Bourguiba Hospital, Bizerte, Tunisia
| | - Akram Zouari
- Department of cardiology, Hedi Chaker Hospital, Sfax, Tunisia
| | - Zine Ben Ali
- Department of cardiology, Hedi Chaker Hospital, Sfax, Tunisia
| | - A. Najjar
- Department of cardiology, Fattouma Bourguiba Hospital, Monastir, Tunisia
| | - Houssem Thabet
- Department of cardiology, Sahloul Hospial, Sousse, Tunisia
| | - Mouna Chaker
- Department of cardiology, Hedi Chaker Hospital, Sfax, Tunisia
| | - Samar Mohammed
- Department of cardiology, Hospital of the Internal Security Forces, La Marsa, Tunisia
| | | | | | - Yassine Kammoun
- Department of cardiology, Habib Thameur Hospital, Tunis, Tunisia
| | | | - S. Azeiz
- Tunisian Society of Cardiology and Cardiac Surgery, Tunis, Tunisia
| | - R. Gtaief
- Tunisian Society of Cardiology and Cardiac Surgery, Tunis, Tunisia
| | - S. Mashki
- Tunisian Society of Cardiology and Cardiac Surgery, Tunis, Tunisia
| | - Aymen Amri
- Tunisian Society of Cardiology and Cardiac Surgery, Tunis, Tunisia
| | - Hela Naanea
- Tunisian Society of Cardiology and Cardiac Surgery, Tunis, Tunisia
| | - Raoudha Othmani
- Tunisian Society of Cardiology and Cardiac Surgery, Tunis, Tunisia
| | - Iheb Chahbani
- Tunisian Society of Cardiology and Cardiac Surgery, Tunis, Tunisia
| | - Houcine Zargouni
- Tunisian Society of Cardiology and Cardiac Surgery, Tunis, Tunisia
| | - Syrine Abid
- Tunisian Society of Cardiology and Cardiac Surgery, Tunis, Tunisia
| | - Mokded Ayari
- Tunisian Society of Cardiology and Cardiac Surgery, Tunis, Tunisia
| | - Ines Ben Ameur
- Tunisian Society of Cardiology and Cardiac Surgery, Tunis, Tunisia
| | - Ali Guesmi
- Department of cardiology, Mohamed Ben Sassi Hospital, Gabes, Tunisia
| | - Nejeh Ben Halima
- Department of cardiology, Ibn El Jazzar Hospital, Kairouan, Tunisia
| | - Habib Haouala
- Department of cardiology, Principal Military Hospital, Tunis, Tunisia
| | - Wafa Fehri
- Department of cardiology, Principal Military Hospital, Tunis, Tunisia
| | | | - Lilia Zakhama
- Department of cardiology, Hospital of the Internal Security Forces, La Marsa, Tunisia
| | - Soraya Ben Youssef
- Department of cardiology, Hospital of the Internal Security Forces, La Marsa, Tunisia
| | - Wided Nasraoui
- Department of cardiology, Kasserine Hospital, Kasserine, Tunisia
| | - Rachid Boujneh
- Department of cardiology, Mongi Slim Hospital, La Marsa, Tunisia
| | - Nedia Barakett
- Department of cardiology, Mohamed Taher Al Maamouri Hospial, Nabeul, Tunisia
| | - Sondos Kraiem
- Department of cardiology, Habib Thameur Hospital, Tunis, Tunisia
| | - Hbiba Drissa
- Department of cardiology, La Rabta Hospital, Tunis, Tunisia
| | - Ali Ben Khalfalah
- Department of cardiology, Menzel Bourguiba Hospital, Bizerte, Tunisia
| | - Habib Gamra
- Department of cardiology, Fattouma Bourguiba Hospital, Monastir, Tunisia
| | - Salem Kachboura
- Department of cardiology, Abderrahman Mami Hospital, Ariana, Tunisia
| | - Yosra Majdoub
- Department of community Medicine, Hedi Chaker Hospital, Sfax, Tunisia
| | - Elifa Kanoun
- Nuclear Biotechnology and Technology Laboratory - National Center for Nuclear Science and Technology of Sidi Thabet, Ariana, Tunisia
| | - Faiez Zannad
- Department of cardiology, Nancy Regional and University Hospital Center, Nancy, France
| | - Sami Milouchi
- Department of cardiology, Habib Bourguiba Hospital, Medenine, Tunisia
| | | | - Samir Kammoun
- Department of cardiology, Hedi Chaker Hospital, Sfax, Tunisia
| | - Sami Mourali
- Department of cardiology, La Rabta Hospital, Tunis, Tunisia
| | - Karima Hezbri
- Molecular and Genomic Bacteriology Laboratory, National Institute of Applied Sciences and Technology, Tunis, Tunisia
| | - Faouzi Addad
- Department of cardiology, Abderrahman Mami Hospital, Ariana, Tunisia
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27
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Abstract
Myocardial perforation is an uncommon but potentially life-threatening complication of pacemaker and implantable cardioverter-defibrillator. Myocardial perforation may be acute, subacute or chronic when it occurs within 24 hours of the device insertion; between 1 day and 30 days; and more than 30 days after implantation. This complication may occur in 1.7%-7% of patients. However, subacute myocardial perforation is rare and affects 0.5%-1.2% of patients. We report the case of an 85-year-old patient with a pacemaker failure 10 days after implantation due to a subacute myocardial perforation caused by an active fixation ventricular lead. Transthoracic echocardiography showed penetration of the ventricular lead through the right ventricular apex into the pericardium without any pericardial effusion. We confirmed myocardial perforation by a CT scan. We referred her to the surgery ward where she was successfully managed.
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Affiliation(s)
- Emna Allouche
- Cardiology Department, Charles Nicolle Hospital, Tunis, Tunisia.,Faculty of Medecine, University of Tunis El Manar, Tunis, Tunisia
| | - Soumaya Chargui
- Internal Medicine, Charles Nicolle Hospital, Tunis, Tunisia .,Research Laboratory of Renal Pathology LR00SP01, Charles Nicolle Hospital, Tunis, Tunisia
| | - Marwa Fathi
- Cardiology Department, Charles Nicolle Hospital, Tunis, Tunisia
| | - Leila Bezdah
- Cardiology Department, Charles Nicolle Hospital, Tunis, Tunisia
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28
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Ouali S, Ben Halima A, Chabrak S, Chettaoui R, Ben Halima M, Haggui A, Krichane S, Noureddine L, Marrakchi S, Charfeddine S, Hassine M, Sayahi K, Abbes Mohamed F, Nasraoui W, Ajmi H, Ben Miled M, Jebbari Z, Meghaieth MA, Allouche E, Mechmeche R, Zakhama L, Sdiri W, Ben Khalfallah A, Gharbi A, Milouchi S, Neji A, Antit S, Battikh K, Drissa M, Kaabachi S, Najar T, Tlili R, Chahbani I, Charfeddine H, Ben MM, Braham S, Maatouk F, Abdesselem S, Ayari M, Garbaa R, Hamrouni N, Mbarek D, Rekik H, Zaghdoudi H, Ayadi W, Baraket F, Ben Brahim K, Ben Romdhane M, Bousadia H, Brahim W, Mezri M, Guesmi A, Ounissi T, Kammoun S, Smati W, Tlili S, Zoughi K, Zemni J, Cheikh Bouhlel M, Islem S, Jemli R, Joulak A, Mzoughi K, Naanea H, Hached L, Hadrich M, Hmem M, Kacem S, Kammoun I, Othmani R, Ouerghi A, Abid S, Ennouri R, Haidar S, Heraiech S, Jammali M, Jarrar M, Riahi L, Trimech B, Azaiez MA, Azzouzi F, Ben Jemaa K, Ben Rejab O, Chrigui R, Wechtati W, Boughzela E, Jridi G, Bezdah L, Kraiem S, Drissa H, Ben Youssef S, Fehri W, Kachboura S, Gamra H, Kammoun S, Mourali MS, Addad F, Abid L. Epidemiological characteristics, management, and outcomes of atrial fibrillation in TUNISIA: Results from the National Tunisian Registry of Atrial Fibrillation (NATURE-AF). Clin Cardiol 2021; 44:501-510. [PMID: 33704830 PMCID: PMC8027580 DOI: 10.1002/clc.23558] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 01/18/2021] [Accepted: 01/27/2021] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Contemporary registries on atrial fibrillation (AF) are scare in North African countries. HYPOTHESIS In the context of the epidemiological transition, prevalence of valvular AF in Tunisia has decreased and the quality of management is still suboptimal. METHODS NATURE-AF is a prospective Tunisian registry, involving consecutive patients with AF from March 1, 2017 to May 31, 2017, with a one-year follow-up period. All the patients with an Electrocardiogram-documented AF, confirmed in the year prior to enrolment were eligible. The epidemiological characteristics and outcomes were described. RESULTS A total of 915 patients were included in this study, with a mean age of 64.3 ± 22 years and a male/female sex ratio of 0.93. Valvular AF was identified in 22.4% of the patients. The mean CHA2 DS2 VASC score in nonvalvular AF was 2.4 ± 1.6. Monotherapy with antiplatelet agents was prescribed for 13.8% of the patients. However, 21.7% of the subjects did not receive any antithrombotic agent. Oral anticoagulants were prescribed for half of the patients with a low embolic risk score. In 341 patients, the mean time in therapeutic range was 48.87 ± 28.69%. Amiodarone was the most common antiarrhythmic agent used (52.6%). During a 12-month follow-up period, 15 patients (1.64%) had thromboembolism, 53 patients (5.8%) had major hemorrhage, and 52 patients (5.7%) died. CONCLUSIONS NATURE-AF has provided systematic collection of contemporary data regarding the epidemiological and clinical characteristics as well as the management of AF by cardiologists in Tunisia. Valvular AF is still prevalent and the quality of anticoagulation was suboptimal.
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Affiliation(s)
| | - Afef Ben Halima
- Abderrahman Mami Pneumology and Phthisiology Hospital, Ariana, Tunisia
| | | | | | | | | | | | | | - Sonia Marrakchi
- Abderrahman Mami Pneumology and Phthisiology Hospital, Ariana, Tunisia
| | | | - Majed Hassine
- Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | | | | | | | | | | | | | | | | | | | - Lilia Zakhama
- La Marsa Internal Security Forces Hospital, La Marsa, Tunisia
| | | | | | | | | | - Ali Neji
- Ben Guerdane Hospital, Medenine, Tunisia
| | - Saoussen Antit
- La Marsa Internal Security Forces Hospital, La Marsa, Tunisia
| | | | | | | | | | - Rami Tlili
- University Hospital Center Mongi Slim, La Marsa, Tunisia
| | | | | | | | | | - Faouzi Maatouk
- Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | | | | | | | | | - Dorra Mbarek
- University Hospital Center Mongi Slim, La Marsa, Tunisia
| | | | | | | | | | | | | | | | | | | | - Ali Guesmi
- Mohamed Ben Sassi Hospital, Gabes, Tunisia
| | - Taha Ounissi
- Mohamed Taher Al Maamouri Hospital, Nabeul, Tunisia
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Ikram Kammoun
- Abderrahman Mami Pneumology and Phthisiology Hospital, Ariana, Tunisia
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Wafa Fehri
- Hôpital Militaire Principal d'instruction de Tunis, Tunis, Tunisia
| | - Salem Kachboura
- Abderrahman Mami Pneumology and Phthisiology Hospital, Ariana, Tunisia
| | - Habib Gamra
- Fattouma Bourguiba University Hospital, Monastir, Tunisia
| | | | | | - Faouzi Addad
- Abderrahman Mami Pneumology and Phthisiology Hospital, Ariana, Tunisia
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Ben Ahmed H, Allouche E, Bouzid K, Zrelli S, Hmaidi W, Molahedh Y, Ouechtati W, Bezdah L. Impact of Ramadan fasting on lipid profile and cardiovascular risk factors in patients with stable coronary artery disease. Ann Cardiol Angeiol (Paris) 2021; 71:36-40. [PMID: 33642044 DOI: 10.1016/j.ancard.2020.11.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Accepted: 11/04/2020] [Indexed: 11/26/2022]
Abstract
BACKGROUND The effects of Ramadan fasting (RF) on cardiometabolic risk factors in patients with stable ischemic heart disease are not well known. AIM The aim of this study was to evaluate the impact of RF on lipid profile and cardiovascular risk factors in patients with a stable coronary heart disease. METHODS A prospective observational study carried out in the Cardiology department of Charles Nicolle Hospital (Tunisia). Eighty-four patients with a stable ischemic heart disease who intended to fast were enrolled during May 2020. Detailed clinical and biochemical assessments were performed before and after the holy month. Parameters of glycemic control, lipid profile, ultrasensitive C-reactive protein concentration (us-CRP) and homocysteine were performed before- and after- Ramadan (BR and AR, respectively). RESULTS Eighty-four patients including 79 males and 5 females, with a mean age of 57±7 years completed the study. Levels of cholesterol, triglycerides, low-density lipoprotein-cholesterol and apoprotein A were significantly improved AR fasting in comparison with their BR values. There was a significant decrease in blood fasting glucose, insulin level, Homeostasis model assessment of insulin resistance index and in us-CRP level. CONCLUSION In patients with stable ischemic heart disease, RF may be accompanied by an improvement of lipid profile and glycemic parameters without increase in coronary events.
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Affiliation(s)
- Habib Ben Ahmed
- Service de Cardiologie, Hôpital Charles Nicolle, Tunis, Tunisie.
| | - Emna Allouche
- Service de Cardiologie, Hôpital Charles Nicolle, Tunis, Tunisie
| | - Kahena Bouzid
- Service de Biochimie clinique, Hôpital Charles Nicolle, Tunis, Tunisie
| | - Sabrine Zrelli
- Service de Biochimie clinique, Hôpital Charles Nicolle, Tunis, Tunisie
| | - Wided Hmaidi
- Service de Biochimie clinique, Hôpital Charles Nicolle, Tunis, Tunisie
| | - Yosra Molahedh
- Service de Biochimie clinique, Hôpital Charles Nicolle, Tunis, Tunisie
| | | | - Leila Bezdah
- Service de Cardiologie, Hôpital Charles Nicolle, Tunis, Tunisie
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Ouechtati ben Attia W, Allouche E, Elarbi M, Bejar M, Alayech F, Ben Ahmed H, Bezdah L. Right sided infective endocarditis: About 13 cases, review of literature. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Ouechtati Ben Attia W, Ben Ahmed H, Allouche E, Elayech F, Bouzid K, Bezdah L. Correlations between Gatectin 3 and clinical echocardiographic parameters during ST elevation myocardial infarction. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Aouina M, Chebbi M, Ouechtati Ben Attia W, Beji M, Allouche E, Benahmed H, Bezdah L. Clinical profile of patients with chronic constrictive pericarditis about a Tunisian serie. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Ben Ahmed H, Allouche E, Chetoui A, Beji M, Boudiche F, Ouechtati W, Bazdeh L. [Relationship between arterial stiffness and the severity of coronary artery disease in acute coronary syndrome]. Ann Cardiol Angeiol (Paris) 2020; 70:33-40. [PMID: 33256951 DOI: 10.1016/j.ancard.2020.11.006] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2020] [Accepted: 11/04/2020] [Indexed: 11/16/2022]
Abstract
BACKGROUND The association between arterial stiffness (AS) and stable coronary artery disease (CAD) has been previously demonstrated. Whether increased arterial stiffness is associated with severe CAD in patients with acute coronary syndrome (ACS) is less explored. AIM We aim to investigate the relationship between AS parameters and the extent and severity of CAD in patients with ACS. METHODS The study population consisted of 275 patients with ACS. We measured various AS parameters including pulse wave velocity (PWV), augmentation index (AIx), and central pulse pressure (cPP). CAD extent and severity was evaluated by the number of vessels with greater than 70% stenosis. RESULTS The study population was predominantly men (77, 5%) with an average age of 56, 4±10, 6 years. One hundred and fifteen patients were diabetic and 97 were hypertensive. One hundred fifty patients were admitted for ST elevation myocardial infarction (54, 5%) and 37, 5% for non ST elevation myocardial infarction. Thirty six percent of patients had single vessel disease and 47, 6% of the study population had multivessel disease. At the multivariate analysis, a positive correlation was observed between the number of coronary vessels disease and PWV. PWV (OR=1,272; IC95% [1,090; 1,483]; p=0,002) and cPP (OR=1,071; IC95% [1,024; 1,121]; p=0,003) were also independent predictors of multivessel disease. CONCLUSION In patient with ACS, PWV is correlated with the extent of coronary artery disease, as measured by the number of vessels disease. PWV and cPP were also independent predictors of multivessel disease.
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Affiliation(s)
- H Ben Ahmed
- Department of cardiology, Charles Nicolle Hospital, Tunis, Tunisie; Faculty of Medicine, University of Tunis El Manar, 2092 Tunis, Tunisie.
| | - E Allouche
- Department of cardiology, Charles Nicolle Hospital, Tunis, Tunisie; Faculty of Medicine, University of Tunis El Manar, 2092 Tunis, Tunisie
| | - A Chetoui
- Department of cardiology, Charles Nicolle Hospital, Tunis, Tunisie; Faculty of Medicine, University of Tunis El Manar, 2092 Tunis, Tunisie
| | - M Beji
- Department of cardiology, Charles Nicolle Hospital, Tunis, Tunisie; Faculty of Medicine, University of Tunis El Manar, 2092 Tunis, Tunisie
| | - F Boudiche
- Department of cardiology, Charles Nicolle Hospital, Tunis, Tunisie; Faculty of Medicine, University of Tunis El Manar, 2092 Tunis, Tunisie
| | - W Ouechtati
- Department of cardiology, Charles Nicolle Hospital, Tunis, Tunisie; Faculty of Medicine, University of Tunis El Manar, 2092 Tunis, Tunisie
| | - L Bazdeh
- Department of cardiology, Charles Nicolle Hospital, Tunis, Tunisie; Faculty of Medicine, University of Tunis El Manar, 2092 Tunis, Tunisie
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Ben Ahmed H, Ben Khelil M, Bellali M, Shimi M, Belhaj A, Allouche M, Allouche E, Razghallah R, Banasr A, Benzarti A, Hamdoun M. [Sudden cardiac death in women, data from the northern Tunisian sudden cardiac-death registry]. Ann Cardiol Angeiol (Paris) 2020; 70:1-6. [PMID: 33109353 DOI: 10.1016/j.ancard.2020.10.005] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Accepted: 10/04/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND Sudden cardiac death is a major public health problem. Epidemiological and clinical differences according to gender have been described in sudden cardiac death. The aim of this study was to examine the gender differences between autopsy findings and circumstance of occurrence associated with sudden cardiac death. METHODS We prospectively collected epidemiological and autopsy data of victims of sudden cardiac death occurring in the northern governorates of Tunisia between January 2013 and December 2019. Symptoms preceding death, circadian, weekly and seasonal variations of sudden death were also analyzed. RESULTS The study population included 1834 men and 468 women with a mean age of 56.5±14.2 years. All cardiovascular risk factors except smoking were significantly more frequent among women but ischemic heart disease was the most common cause of death in men (51.3 %, versus 28 %, P<0.001). Women were more likely to have a negative macroscopic autopsy than men (34 % versus 23.6 %, P<0.001). Chest pain preceding sudden death was more frequent in male (24 % versus 13.2 %, P<0.001). In contrast, women were more likely to have dyspnea (8.1 % versus 15.6 %, P<0.001). Sudden death in women occurred indoors more often than in men (63.9 % versus 54.5 %, P<0.001) and also more often during night (midnight to 6 am). We also recorded an excess cardiac mortality in winter in both sexes. CONCLUSIONS Women had considerably more cardiovascular risk factors and more commonly negative macroscopic autopsy. Death occurred indoors and during night more often than in men.
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Affiliation(s)
- H Ben Ahmed
- Service de cardiologie, hôpital Charles-Nicolle, faculté de médecine, université Tunis-El-Manar, 2092 Tunis, Tunisie.
| | - M Ben Khelil
- Service de médecine légale, hôpital Charles-Nicolle, faculté de médecine, université Tunis-El-Manar, 2092 Tunis, Tunisie
| | - M Bellali
- Service de médecine légale, hôpital Charles-Nicolle, faculté de médecine, université Tunis-El-Manar, 2092 Tunis, Tunisie
| | - M Shimi
- Service de médecine légale, hôpital Charles-Nicolle, faculté de médecine, université Tunis-El-Manar, 2092 Tunis, Tunisie
| | - A Belhaj
- Service de médecine légale, hôpital Charles-Nicolle, faculté de médecine, université Tunis-El-Manar, 2092 Tunis, Tunisie
| | - M Allouche
- Service de médecine légale, hôpital Charles-Nicolle, faculté de médecine, université Tunis-El-Manar, 2092 Tunis, Tunisie
| | - E Allouche
- Service de cardiologie, hôpital Charles-Nicolle, faculté de médecine, université Tunis-El-Manar, 2092 Tunis, Tunisie
| | - R Razghallah
- Service de cardiologie, hôpital Charles-Nicolle, faculté de médecine, université Tunis-El-Manar, 2092 Tunis, Tunisie
| | - A Banasr
- Service de médecine légale, hôpital Charles-Nicolle, faculté de médecine, université Tunis-El-Manar, 2092 Tunis, Tunisie
| | - A Benzarti
- Service de médecine légale, hôpital Charles-Nicolle, faculté de médecine, université Tunis-El-Manar, 2092 Tunis, Tunisie
| | - M Hamdoun
- Service de médecine légale, hôpital Charles-Nicolle, faculté de médecine, université Tunis-El-Manar, 2092 Tunis, Tunisie
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Ben Ahmed H, Bouzid K, Allouche E, Boussaid H, Kamoun M, Lahiani S, Bartkiz A, Ouechtati W, Bezdah L. Relationship between Galectin-3 levels and severity of coronary artery disease in ST elevation myocardial infarction. Tunis Med 2020; 98:567-572. [PMID: 33479955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
BACKGROUND Galectin-3 is a new biomarker assumed to reflect fibrogenesis and inflammation. We aimed to investigate the relation of Gal-3 with the severity of coronary artery disease in patients with ST elevation myocardial infarction. METHODS The prospective study enrolled 62 patients with ST elevation myocardial infarction who underwent coronary angiography. The burden of atherosclerosis was assessed by the number of involved vessels, the number of coronary lesions with a stenosis diameter more than 50% and the Gensini score. Gal-3 levels were measured on admission on miniVIDAS (BioMérieux). RESULTS The mean age of the patients was 56±11 years old; 93.5% were males. Diabetes, hypertension and hyperlipidemia were respectively 29%, 35.5% and 24.2%. Among patients, 80.6% were active smokers. Mean level of Gal-3was 17±11 ng/ml and didn't differ significantly from the number of involved coronary vessels (p=0.82) and the Gensini score (p=0.4). There was a positive correlation between the number of coronary lesions with a stenosis diameter greater than 50% and Gal-3 (p=0.04). CONCLUSION In patient with ST elevation myocardial infarction we found a positive correlation between the number of coronary stenosis and Gal-3 level.
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Bun SS, Squara F, Scarlatti D, Theodore G, Latcu DG, Hasni K, Benaich FA, Enache B, Saooudi N, Allouche E, Diakite M, Ferrari E. 848Ultrasound-guided axillary vein puncture feasibility for complex cardiac devices implantation. Europace 2020. [DOI: 10.1093/europace/euaa162.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The axillary route use for cardiac devices implantation has recently expanded either with fluoroscopy or ultrasounds guidance. Few studies included defibrillators (ICD), cardiac resynchronization therapy (CRT) and upgrade procedures for ultrasound-guided axillary vein puncture (UGVP).
Puropose
To assess the feasibility/safety of UGVP for complex cardiac devices implantation including CRT/ICD.
Methods
Consecutive patients eligible for a pacemaker or ICD implantation were included.
All procedures were performed by three operators (one experienced and two fellows). Guidewires insertion time (from lidocaïne administration), and complications were systematically studied. A group of patients implanted with alternative techniques was used for comparison (cephalic, subclavian).
Results
In 176 consecutive patients in whom UGVP was used, a total of 68 complex procedures were analyzed (74 ± 8 y, male 61 %) with 138 leads implanted including 42 ICD, 48 CRT and 16 upgrade procedures. A majority (83 %) was under anti-thrombotic therapy. UGVP was successful in 96.8 %. Mean insertion time for 1.78 guidewires per patient was 4.4 ± 4.4 min. Guidewires insertion time reached its plateau after 10 patients. One pocket hematoma (1.4 %) was drained during a mean follow-up of 12 ± 5 months. The control group included 28 patients (12 subclavian, 16 cephalic; 15 ICD, 18 CRT, 4 upgrade procedures), with a mean insertion time of 10 ± 8 min, for 1.95 guidewires per patient (p < 0.0005).
Conclusion
UGVP is feasible and safe even for complex device implantations including CRT/ICD and upgrade procedures.
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Affiliation(s)
- S-S Bun
- University Hospital Pasteur of Nice, Nice, France
| | - F Squara
- University Hospital Pasteur of Nice, Nice, France
| | - D Scarlatti
- University Hospital Pasteur of Nice, Nice, France
| | - G Theodore
- University Hospital Pasteur of Nice, Nice, France
| | - D G Latcu
- The Princess Grace Hospital Centre, Monaco, Monaco
| | - K Hasni
- The Princess Grace Hospital Centre, Monaco, Monaco
| | - F A Benaich
- The Princess Grace Hospital Centre, Monaco, Monaco
| | - B Enache
- The Princess Grace Hospital Centre, Monaco, Monaco
| | - N Saooudi
- The Princess Grace Hospital Centre, Monaco, Monaco
| | - E Allouche
- Charles Nicolle Hospital, Tunis, Tunisia
| | | | - E Ferrari
- University Hospital Pasteur of Nice, Nice, France
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Ben Ahmed H, Ouanes I, Allouche E, Chetoui A, Ouechtati W, Bazdeh L. Assessement of stress induced by high-fidelity simulation sessions among medical students. Tunis Med 2020; 98:363-369. [PMID: 32548839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
INTRODUCTION Simulation is a growing pedagogical method in training health professionals. The use of high-fidelity simulators may be associated with significant stress. OBJECTIVE to measure self-assessed intensity of stress before and after a planned simulation training session of a third degree atrio-ventricular block among medical students. METHODS A sample of 30 students participating in a high-fidelity simulation training course (10 playing the role of team leader and 20 in the role of medical intern) was studied. Stress was evaluated by self-assessment using a numerical scale before and after the session. The peri-traumatic distress inventory was used to measure the level of distress experienced by the participants. RESULTS The median stress score was 3, 5±2, 4 before and 6, 2±2, 4 after the simulation session (p<0.001). Stress intensity increased significantly after the session in students playing the role of the team leader than those playing the role of medical intern (8, 4±0, 8 versus 5, 2±2, 3 p<0.001).The average score for peri-traumatic distress inventory was also significantly higher in the team leaders (18, 8±10, 4 Vs 9, 2±3, 7 p=0,022). CONCLUSION Simulation-induced stress, as measured by self-assessment, increased significantly after the session and was influenced by the role to be played during the scenario. Stress should be taken into account before debriefing.
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Allouche E, Ben Attia W, Abid O, Bezdah L, Ben Halima M, Mzoughi K, Sammoud K, Sdiri W, Ezzaouia K, Korchani A, Mechri M, Zanned F, Kammoun I, Abid L, Addad F. Real-life data on heart failure and implantation of resynchronization devices in Tunisia. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Bezdah L, Allouche E, Oumaya Z, Chabchoub S, Ben Ahmed H, Ouchtati W. Functional mitral regurgitation determinants in dilated cardiomyopathy. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Chetoui A, Benahmed H, Allouche E, Bezdah L. The predictive value of arterial stiffness for multivessel disease after acute coronary syndrome. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Bun S, Latcu D, Squara F, Hasni K, Benaich F, Gatto P, Enache B, Diakite M, Allouche E, Scarlatti D, Saoudi N, Ferrari E. Ultrasound-guided axillary vein puncture feasibility for complex cardiac devices implantation. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Ouechtati Ben Attia W, Allouche E, Oumaya Z, Ben Salem A, Ben Ahmed H, Bezdah L. Epidemiology of surgical valvular heart diseases in a north african tertiary referral hospital. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Bezdah L, Allouche E, Ouaghlani K, Oumaya Z, El Ayech Boudiche F, Ben Ahmed H, Ouchtati W. Predictors of functional tricuspid regurgitation after successful left-sided valve surgery. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Bezdah L, Allouche E, Chebbi M, Ben Salem A, Ben Ahmed H, Ouchtati W. Cardiac remodeling and factors determining occurrence of atrial arrhythmia after surgical closure of atrial septal defect in adults. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Ben Halima A, Ouali S, Chabrak S, Chettaoui R, Allouche E, Marrakchi S, Ben Halima M, Hassine M, Charfeddine S, Haggui A, Milouchi S, Kacem S, Krichen S, Sayahi K, Ben Miled M, Zakhama L, Addad F, Abid L. National Tunisian Registry of Atrial Fibrillation (NATURE-AF): Baseline results. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Allouche E, Chabtri B, Ouechtati Ben Attia W, Yahiyaoui A, Ben Salem A, Ezzaouia K, Habboubi S, Chaker M, Ben Ahmed H, Bezdah L. Acute myocardial infarction associated with cannabis use. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Bezdah L, Allouche E, Sidhom S, Ben Ahmed H, Ouechtati W, Baccar H. Impact of commissural calcification on the immediate result of percutaneous mitral commissurotomy. Archives of Cardiovascular Diseases Supplements 2019. [DOI: 10.1016/j.acvdsp.2018.10.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Ben Halima M, Guermazi O, Ben Halima A, Marrakchi S, Haggui A, Larbi N, Allouche E, Charfeddine S, Hssine M, sayahi K, Milouchi S, Addad F, Mourali M, Ouali S. Treatment strategies in geriatric patients with atrial fibrillation: Results from the NATURE AF registry. Archives of Cardiovascular Diseases Supplements 2019. [DOI: 10.1016/j.acvdsp.2018.10.185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Chabchoub S, Bezdah L, Allouche E, Sidhom S, Ben Ahmed H, Ouchtati W, Baccar H. Functional mitral regurgitation determinants in dilated cardiomyopathy. Archives of Cardiovascular Diseases Supplements 2019. [DOI: 10.1016/j.acvdsp.2018.10.108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Allouche E, Ouechtati Ben Attia W, Chettoui A, Bezdah L, Sidhom S, Ben Ahmed H, Baccar H. Determinants of pacemaker dependency after cardiac surgery. Archives of Cardiovascular Diseases Supplements 2019. [DOI: 10.1016/j.acvdsp.2018.10.209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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