1
|
Osagie CO, Ogah OS, Aje A, Adebiyi AA, Adeoye AM, Oladapo OO, Adebayo BE. Differential Clubbing and a Triad of Patent Ductus Arteriosus, Ventricular Septal Defect and Supravalvular Ring Mitral Stenosis: A Case Report. West Afr J Med 2024; 41:87-91. [PMID: 38412515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/29/2024]
Abstract
It is not uncommon for congenital heart defects to occur in clusters. Those involving a right to left heart shunt commonly cause cyanosis and finger clubbing. Differential clubbing involving only the lower limb digits is a strong pointer to the presence of patent ductus arteriosus with reversal of shunt. We report a case of 25-year-old man with effort intolerance and differential clubbing. He was found to have the uncommon triad of patent ductus arteriosus, ventricular septal defect and supravalvular ring mitral stenosis. The presence of differential clubbing on a background of patent ductus arteriosus usually indicates a reversal of shunt and negates surgical intervention. This general rule may however not apply with co-existing mitral stenosis as the elevated pulmonary pressure may be predominantly post-capillary. The finding of mitral stenosis in a patient with patent ductus arteriosus and differential limb clubbing may signify a good prognostic surgical outcome.
Collapse
Affiliation(s)
- C O Osagie
- Department of Cardiology, University Hospital Coventry and Warwickshire, Coventry, United Kingdom
| | - O S Ogah
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Nigeria.
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - A Aje
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Nigeria.
| | - A A Adebiyi
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Nigeria.
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - A M Adeoye
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Nigeria.
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - O O Oladapo
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Nigeria.
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - B E Adebayo
- Cardiology Unit, Department of Pediatrics, University College Hospital, Ibadan, Nigeria
| |
Collapse
|
2
|
Eze C, Eguogwu VC, Egbuchulem KI, Ojo IS, Iheme C, Okor M, Alawode S, Ogunleye R, Alozie N, Obiora BC, Olatokun T, Obere C, Awoyomi PO, Onyekweli KK, Nkereuwem PE, Adesina OO, Abulrazaq MJ, Isiaka AA, Magaji AB, Ofoha CE, Mukoro JU, Negedu J, Omoloye AP, Olapade FI, Soyinka EO, Edeh GC, Ugwu UV, Okogu SI, Ogwuike MD, Surakat MO, Adedire AO, Chukwu FC, Babalola OE, Nwoye EO, Nwokolo MC, Chima-Kalu RB, Onwurah C, Adegboyega AT, Oluwalana SO, Ezenwobi CJ, Agbo TN, Afolayan AO, Lawal SO, Obodozie CH, Omitoyin OO, Iwuajoku UA, Sadiku JA, Akintola OO, Ogungbayi PO, Bamigboye OM, Ogundipe HD, Akachuku HE, Akinyemi RO, Mokuolu OA, Ogah OS, Olulana DI, Ilesanmi OS, Adeagbo I. DEMOGRAPHICS OF COLLABORATORS INVESTIGATING THE NIGERIAN MEDICAL AND DENTAL INTERNS: A MEDICAL INTERNSHIP TRAINING IN NIGERIA (MINTING) STUDY COLLABORATION. Ann Ib Postgrad Med 2023; 21:36-43. [PMID: 38298335 PMCID: PMC10811717] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Accepted: 10/30/2023] [Indexed: 02/02/2024] Open
Abstract
Introduction The internship period is a peculiar time in a doctor's career, and some have described it as a "nuisance year" during which the junior doctor assumes many roles at the same time. Junior doctors especially house officers are faced with many unique challenges; this is even more pronounced in poor resource settings like Nigeria. This study aimed to unravel and improve understanding of the challenges faced by medical and dental interns in Nigeria. Methodology A nine-member House officers Research and Statistics Committee (HRSC) was immediately set up to include three senior colleagues - Senior Registrars and Registrar. To carry out her responsibility efficiently the committee created the House Officers Research Collaboration Network (HRCN), a 103- member team comprising medical and dental interns from across Nigeria under a collaborative - Medical INternship Training in Nigeria (MINTING) study. Results Out of a total of the 103 House Officers Research Collaboration Network, 80 of them participated in this survey giving a 78% response rate. Ten of the intern Collaborators had additional qualification and seven of them had BSc as an initial degree. About 66 % of the Collaborators have never authored any publication. Of the 27 that have published an article; three collaborators are said to have published 15, 13, 16 articles respectively. Male collaborators where more likely to have published at least one article in the past. Thirty one of the 80 Collaborators have never been in a research collaborative group prior to this MINTING collaborative. Conclusion This commentary is set out to describe in detail Nigerian House Officers initiative in terms of the structure, functions, operational modalities, and to investigate the demographics of the HRCN collaborators which showed that over two third of collaborators have never authored any publication and about a third of them have never been involved in collaborative research. We also believe the findings will serve as policy guide and benchmark in training the critical medical health force.
Collapse
Affiliation(s)
- C Eze
- Department, University College Hospital, Ibadan, Oyo State
| | - V C Eguogwu
- Department, University College Hospital, Ibadan, Oyo State
| | - K I Egbuchulem
- Division of Paediatric Surgery, Department of Surgery, University College Hospital, Ibadan, Oyo State
| | - I S Ojo
- Department, University College Hospital, Ibadan, Oyo State
| | - C Iheme
- Department, University College Hospital, Ibadan, Oyo State
| | - M Okor
- Department, University College Hospital, Ibadan, Oyo State
| | - S Alawode
- Department, University College Hospital, Ibadan, Oyo State
| | - R Ogunleye
- Department, University College Hospital, Ibadan, Oyo State
| | - N Alozie
- Department, University College Hospital, Ibadan, Oyo State
| | - B C Obiora
- Department, University College Hospital, Ibadan, Oyo State
| | - T Olatokun
- Department, University College Hospital, Ibadan, Oyo State
| | - C Obere
- Department, University College Hospital, Ibadan, Oyo State
| | - P O Awoyomi
- Federal Medical Centre, Abeokuta, Ogun State
| | | | - P E Nkereuwem
- University of Calabar Teaching Hospital, Calabar, Cross River State
| | - O O Adesina
- Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Osun State
| | | | | | - A B Magaji
- Lagos University Teaching Hospital, Idi Araba, Lagos State
| | - C E Ofoha
- Lagos University Teaching Hospital, Idi Araba, Lagos State
| | - J U Mukoro
- Department, University College Hospital, Ibadan, Oyo State
| | - J Negedu
- Lagos University Teaching Hospital, Idi Araba, Lagos State
| | - A P Omoloye
- Federal Teaching Hospital, Ido Ekiti, Ekiti State
| | - F I Olapade
- Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Osun State
| | | | - G C Edeh
- University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu State
| | - U V Ugwu
- University of Uyo Teaching Hospital, Uyo, Akwa Ibom State
| | - S I Okogu
- University of Uyo Teaching Hospital, Uyo, Akwa Ibom State
| | - M D Ogwuike
- Lagos University Teaching Hospital, Idi Araba, Lagos State
| | - M O Surakat
- Department, University College Hospital, Ibadan, Oyo State
| | - A O Adedire
- Lagos University Teaching Hospital, Idi Araba, Lagos State
| | - F C Chukwu
- Bowen University Teaching Hospital, Ogbomoso, Oyo State
| | - O E Babalola
- Department, University College Hospital, Ibadan, Oyo State
| | - E O Nwoye
- Jos University Teaching Hospital, Jos, Plateau State
| | - M C Nwokolo
- Department, University College Hospital, Ibadan, Oyo State
| | - R B Chima-Kalu
- Department, University College Hospital, Ibadan, Oyo State
| | - C Onwurah
- Department, University College Hospital, Ibadan, Oyo State
| | - A T Adegboyega
- Department, University College Hospital, Ibadan, Oyo State
| | - S O Oluwalana
- Department, University College Hospital, Ibadan, Oyo State
| | | | - T N Agbo
- Lagos University Teaching Hospital, Idi Araba, Lagos State
| | | | - S O Lawal
- Federal Medical Centre, Abeokuta, Ogun State
| | | | | | - U A Iwuajoku
- Department, University College Hospital, Ibadan, Oyo State
| | - J A Sadiku
- University of Benin Teaching Hospital, Benin, Edo State
| | | | | | | | - H D Ogundipe
- Division of Paediatric Surgery, Department of Surgery, University College Hospital, Ibadan, Oyo State
| | - H E Akachuku
- Department of Orthopaedics, University College Hospital, Ibadan, Oyo State
| | - R O Akinyemi
- Department of Neurology, University College Hospital, Ibadan, Oyo State
| | - O A Mokuolu
- Department of Paediatrics, University of Ilorin, Ilorin, Kwara State
| | - O S Ogah
- Division of Cardiology, Department of Medicine, University College Hospital, Ibadan, Oyo State
| | - D I Olulana
- Division of Paediatric Surgery, Department of Surgery, University College Hospital, Ibadan, Oyo State
| | - O S Ilesanmi
- Regional Programme Lead, West Africa Centres for Disease Control and Prevention, Abuja, Nigeria
| | - I Adeagbo
- Research Officer, AIPM and MINTING Study Collaborative
| |
Collapse
|
3
|
Osibowale BT, Ogah OS, Adebiyi AA, Obasuyi VA, Adeleke KT, Oresegun OO, Aje A, Adeoye AM. Premature Atherosclerotic Cardiovascular Disease: A Case of Myocardial Infarction Seven Years after Bentall Procedure in a Nigerian Man. West Afr J Med 2023; 40:452-455. [PMID: 37120819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
Abstract
Surgical procedures often carry varying risk of post-procedural complications. The Bentall procedure for managing aortic root diseases has known complications including graft infection, pseudoaneurysm of the aorta or coronary arteries, embolisation and coronary insufficiency. The last three complications can cause myocardial infarction, are evaluated with coronary angiography and have been well described in the literature. Surprisingly, none of these possible complications was found in our patient. This case report describes a young Nigerian man with atherosclerotic coronary artery disease seven years after Bentall procedure.
Collapse
Affiliation(s)
- B T Osibowale
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - O S Ogah
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
- Institute of Advanced Medical Research and Training, College of Medicine, University of Ibadan, Oyo State, Nigeria
| | - A A Adebiyi
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - V A Obasuyi
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - K T Adeleke
- Tristate Cardiovascular Institute, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Oyo State, Nigeria
| | - O O Oresegun
- Tristate Cardiovascular Institute, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Oyo State, Nigeria
| | - A Aje
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - A M Adeoye
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| |
Collapse
|
4
|
Adebayo O, Ogah OS, Adebiyi A, Aje A, Adeoye AM, Oladapo O. Clinical Characteristics, Management, and Six-Month Outcomes after Discharge of Patients Admitted for Acute Heart Failure in Ibadan, Nigeria. West Afr J Med 2023; 40:30-44. [PMID: 36716269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
BACKGROUND The burden of acute heart failure (AHF) is on the increase globally however, there are few studies on AHF in Nigeria and among black populations. OBJECTIVE This study described the clinical profile, conventional management and six-months outcome after discharge of patients admitted for acute heart failure at the University College Hospital, Ibadan, Nigeria. METHODS The study was a prospective study of 160 consecutive AHF patients. Socio-demographic details, clinical history, basic laboratory parameters electrocardiographic and echocardiographic parameters were assessed. They were followed-up for six-months after discharge to ascertain death or readmission. RESULTS The mean ± standard deviation (SD) age of all the patients was 58.0 ±15.1 years. Those aged 60 years and above constituted about half of the participants. Males comprised 59.3% and hypertension was the most common risk factor (77.5%). One hundred and thirty-four subjects (83.8%) were in New York Heart Association functional classes III or IV. The most common AHF type was heart failure with reduced ejection fraction and mostly presented de novo. The mean duration of admission was 11 days while intrahospital mortality and mortality at 6 months after discharge were 6.3% and 25.6% respectively. CONCLUSION This study provided a real-world data of AHF at UCH, Ibadan, Nigeria. It showed AHF was predominantly associated with hypertension. There was high mortality among these AHF subjects. There is a need for more strategy in our environment for preventing AHF and its adverse outcomes.
Collapse
Affiliation(s)
- O Adebayo
- Department of Medicine, Faculty of Clinical Sciences, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - O S Ogah
- Department of Medicine, Faculty of Clinical Sciences, University of Ibadan, Ibadan, Oyo State, Nigeria.,Cardiology Unit, Department of Medicine, Faculty of Clinical Sciences, University College Hospital, Ibadan, Oyo State, Nigeria
| | - A Adebiyi
- Department of Medicine, Faculty of Clinical Sciences, University of Ibadan, Ibadan, Oyo State, Nigeria.,Cardiology Unit, Department of Medicine, Faculty of Clinical Sciences, University College Hospital, Ibadan, Oyo State, Nigeria
| | - A Aje
- Cardiology Unit, Department of Medicine, Faculty of Clinical Sciences, University College Hospital, Ibadan, Oyo State, Nigeria
| | - A M Adeoye
- Department of Medicine, Faculty of Clinical Sciences, University of Ibadan, Ibadan, Oyo State, Nigeria.,Cardiology Unit, Department of Medicine, Faculty of Clinical Sciences, University College Hospital, Ibadan, Oyo State, Nigeria
| | - O Oladapo
- Department of Medicine, Faculty of Clinical Sciences, University of Ibadan, Ibadan, Oyo State, Nigeria.,Cardiology Unit, Department of Medicine, Faculty of Clinical Sciences, University College Hospital, Ibadan, Oyo State, Nigeria
| |
Collapse
|
5
|
Sa'idu H, Balarabe SA, Ishaq NA, Adamu UG, Mohammed IY, Oboirien I, Umuerri EM, Mankwe AC, Shidali VY, Njoku P, Dodiyi-Manuel S, Olunuga T, Josephs V, Mbakwem AC, Okolie H, Talle MA, Isa MS, Adebayo RA, Tukur J, Isezuo SA, Umar H, Shehu MN, Ogah OS, Karaye KM. Influence of systolic blood pressure on outcomes in Nigerians with peripartum cardiomyopathy. Niger J Clin Pract 2022; 25:1963-1968. [PMID: 36537451 DOI: 10.4103/njcp.njcp_2005_21] [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] [Indexed: 06/17/2023]
Abstract
BACKGROUND The relationship between blood pressure (BP) trajectories and outcomes in patients with peripartum cardiomyopathy (PPCM) is not clear. Aim: The study aimed to assess the clinical features and outcomes (all-cause mortality and unrecovered left ventricular [LV] systolic function) of PPCM patients grouped according to their baseline systolic BP (SBP). PATIENTS AND METHODS PPCM patients presenting to 14 tertiary hospitals in Nigeria were consecutively recruited between June 2017 and March 2018 and then followed up till March 2019. SBP at first presentation was used to categorize the patients into seven groups: <90, 90-99, 100-109, 110-119, 120-129, 130-139, and ≥140 mmHg. Unrecovered LV systolic function was defined as echocardiographic LV ejection fraction (LVEF) below 55% at the last profiling. RESULTS Two hundred and twenty-seven patients were recruited and followed up for a median of 18 months. Of these, 4.0% had <90 mmHg, 16.3% had 90-99 mmHg, 24.7% had 100-109 mmHg, 24.7% had 110-119 mmHg, 18.5% had 120-129 mmHg, 7.5% had 130-139 mmHg, and 4.4% had ≥140 mmHg of SBP at presentation. The highest frequency of all-cause mortality was recorded among patients with SBP ≤90 mmHg (30.8%) followed by those with 90-99 mmHg (20.5%) (P = 0.076), while unrecovered LV systolic function did not differ significantly between the groups (P = 0.659). In a Cox proportional regression model for all-cause mortality, SBP <90 mmHg had a hazard ratio (HR) of 4.00 (95% confidence interval [CI] 1.49-10.78, P = 0.006), LVEF had an HR of 0.94 (95% CI 0.91-0.98, P = 0.003, B = 0.06%), and use of angiotensin-converting enzyme or angiotensin receptor and/or β-receptor blockers had an HR of 1.71 (95% CI 0.93-3.16, P = 0.085). However, SBP was not associated with LV function recovery. CONCLUSION In our cohort of PPCM patients, one-fifth was hypotensive at presentation. SBP <90 mmHg at presentation was associated with a four-fold higher risk of all-cause mortality during a median follow-up of 18 months.
Collapse
Affiliation(s)
- H Sa'idu
- Department of Medicine, Bayero University; Department of Medicine, Murtala Mohammed Specialist Hospital, Kano, Nigeria
| | - S A Balarabe
- Department of Medicine, Muhammad Abdullahi Wase Specialist Hospital, Kano, Nigeria
| | - N A Ishaq
- Department of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria
| | - U G Adamu
- Department of Medicine, Federal Medical Center Bidda, Bidda, Nigeria
| | - I Y Mohammed
- Department of Chemical Pathology, Bayero University/Aminu Kano Teaching Hospital, Kano, Nigeria
| | - I Oboirien
- Department of Medicine, Dalhatu Araf Specialist Hospital, Lafia, Nigeria
| | - E M Umuerri
- Department of Medicine, Delta State University Teaching Hospital, Oghara, Nigeria
| | - A C Mankwe
- Department of Medicine, Federal Medical Center Yenagoa, Yenagoa, Nigeria
| | - V Y Shidali
- Department of Medicine, Federal Medical Center Keffi, Keffi, Nigeria
| | - P Njoku
- Department of Medicine, University of Nigeria Teaching Hospital, Enugu, Nigeria
| | - S Dodiyi-Manuel
- Department of Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
| | - T Olunuga
- Department of Medicine, Federal Medical Center Abeokuta, Abeokuta, Nigeria
| | - V Josephs
- Department of Medicine, University of Benin Teaching Hospital, Benin, Nigeria
| | - A C Mbakwem
- Department of Medicine, University of Lagos Teaching Hospital, Lagos, Nigeria
| | - H Okolie
- Department of Medicine, Federal Teaching Hospital, Gombe, Nigeria
| | - M A Talle
- Department of Medicine, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
| | - M S Isa
- Department of Medicine, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
| | - R A Adebayo
- Department of Medicine, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria
| | - J Tukur
- Department of Medicine, Bayero University, Kano, Nigeria
| | - S A Isezuo
- Department of Medicine, Usman Danfodio University Teaching Hospital, Sokoto, Nigeria
| | - H Umar
- Department of Medicine, Usman Danfodio University Teaching Hospital, Sokoto, Nigeria
| | - M N Shehu
- Department of Medicine, General Ahmadi Kurfi Specialist Hospital, Katsina, Nigeria
| | - O S Ogah
- Department of Medicine, University College Hospital, Ibadan; Institute of Advanced Medical Research and Training, University of Ibadan, Nigeria
| | - K M Karaye
- Department of Medicine, Bayero University; Department of Medicine, Aminu Kano Teaching Hospital, Kano; Department of Public Health and Clinical Medicine, Umea University, Umea, Sweden; Hatter Institute for Cardiovascular Research in Africa, Capetown, South Africa
| |
Collapse
|
6
|
Ogah OS, Ajayi SO, Okeke MF, Ogunniyi A. THE EARLY PHYSICIANS OF IBADAN MEDICAL SCHOOL: PROFESSOR ALEXANDER BROWN. Ann Ib Postgrad Med 2022; 20:179-186. [PMID: 37384348 PMCID: PMC10295093] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/30/2023] Open
Abstract
The paper chronicles the life and times of Professor Alexander Brown, the Foundation Professor and Head of the Department of Medicine at the University of Ibadan. The official opening of the University College Ibadan, Nigeria on 20 November 1957 as well as the graduation of the first set of clinical students in 1960 were glorious moments for Alexander Brown who laboured for 12years to witness these. He was also instrumental to the creation of the Department of Paediatrics (1962), Department of Radiology (1963) and the Medical Illustration unit of the hospital. Paediatrics and Radiology were initially units in the Department of Medicine. He played significant role in the development of postgraduate programmes in Cardiology, neuropsychiatry and nephrology units of the hospital and substantial role in the development of nursing education in the hospital. He was the brain behind the famous Ibarapa Community Health Project.
Collapse
Affiliation(s)
- O S Ogah
- Department of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria
| | - S O Ajayi
- Department of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria
| | - M F Okeke
- Department of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria
| | - A Ogunniyi
- Department of Medicine, University of Ibadan, Ibadan, Nigeria
| |
Collapse
|
7
|
Chukwuonye II, Ogah OS, Onyeonoro UU, Anyabolu EN, Ezeani IU, Ukegbu AU, Onwuchekwa U, Obi EC, Ohagwu KA, Madukwe OO, Okpechi IG. Association between Height and Blood Pressure in Middle Age and Older Adults in Southeast Nigeria. West Afr J Med 2022; 39:127-133. [PMID: 35278048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
BACKGROUND This study was carried out in Abia State, Southeast Nigeria, to determine the association between height and blood pressure in middle age and elderly adults. MATERIALS AND METHODS This was a cross-sectional study carried out in Abia State, Southeast Nigeria, between August 2011 and March 2012. The participants were residents in the state and were recruited from the three senatorial zones of the state. The total number of participants that took part in the study was 2,487 adults. The World Health Organisation STEPwise approach to surveillance of chronic disease risk factors was used. Information collected included blood pressure and anthropometric measurements. The association between height and blood pressure was determined. RESULTS A total of 1,363 participants that took part in the study were >40 years old. Six hundred and fifty-five participants (48.1%) were males and 708 participants (51.9%) were females. There was no significant inverse relationship between height and blood pressure components ( Systolic Blood Pressure Diastolic Blood Pressure, and Pulse Pressure ) among the males. Among the females there was a high inverse relationship between height and blood pressure components. However, this relationship was not statistically significant. In addition, among the males there was no relationship between height and hypertension. Among the females, there was some degree of inverse relationship between height and hypertension, although multivariate regression analysis showed that this was not significant. CONCLUSION There was an inverse but non-significant relationship between height and blood pressure components/ hypertension among males and females in Southeast Nigeria in this study.
Collapse
Affiliation(s)
- I I Chukwuonye
- Division of Nephrology, Department of Internal Medicine, Federal Medical Centre Umuahia, Abia State, Nigeria
| | - O S Ogah
- Division of Cardiovascular Medicine, Department of Medicine, University College Hospital, Oyo State, Nigeria
| | - U U Onyeonoro
- Department of Community Medicine, Federal Medical Centre Umuahia, Abia State, Nigeria
| | - E N Anyabolu
- Division of Nephrology, Department of Internal Medicine, Chukwuemeka Odumegwu Ojukwu University, Awka, Nigeria
| | - I U Ezeani
- Division of Endocrinology, Department of Internal Medicine, Federal Medical Centre, Umuahia, Abia State, Nigeria
| | - A U Ukegbu
- Department of Community Medicine, Federal Medical Centre Umuahia, Abia State, Nigeria
| | - U Onwuchekwa
- Division of Nephrology, Department of Internal Medicine, Abia State University Teaching Hospital, Aba, Abia State, Nigeria
| | - E C Obi
- Division of Nephrology, Department of Internal Medicine, Federal Medical Centre Umuahia, Abia State, Nigeria
| | - K A Ohagwu
- Division of Nephrology, Department of Internal Medicine, Federal Medical Centre Umuahia, Abia State, Nigeria
| | - O O Madukwe
- Abia State Ministry of Health, Umuahia, Abia State, Nigeria
| | - I G Okpechi
- Division of Nephrology and Hypertension, Groote Schuur Hospital and University of Cape Town, South Africa
| |
Collapse
|
8
|
Ogah OS, Osibowale BT, Adebayo O, Adeyanju AT, Okorie CE, Adeoye AM, Aje A, Adebiyi AA. Pregnancy-associated Acute Myocardial Infarction (PAMI): Case Report. West Afr J Med 2021; 38:596-598. [PMID: 34180213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Cardiovascular diseases are recognised complications of pregnancy, however, pregnancy-associated acute myocardial infarction (PAMI) is uncommon. Pregnancy is known to increase risk of myocardial infarction even in the absence of traditional risk factors for atherosclerotic vascular disease. Our patient presented with acute chest pain two weeks after delivery and her electrocardiogram was in keeping with STelevation myocardial infarction (STEMI). Coronary angiography revealed coronary artery dissection and she was managed conservatively. Various pathophysiological mechanisms of PAMI have been described in literature including spontaneous coronary artery dissection (SCAD) found in our case. The diagnosis is often missed and earlier reported cases were diagnosed at autopsy. Therefore, we report this case as a learning tool. Also, there is a need for a high index of suspicion in pregnant patients presenting with features suggestive of aortic dissection, and its diagnosis should be thought of in peripartum women presenting with acute chest pain.
Collapse
Affiliation(s)
- O S Ogah
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - B T Osibowale
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - O Adebayo
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - A T Adeyanju
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - C E Okorie
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - A M Adeoye
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - A Aje
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
| | - A A Adebiyi
- Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
- Cardiology Unit, Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| |
Collapse
|
9
|
Okwuonu CG, Chukwuonye II, Ogah OS, Chima EI, Onyeonoro U, Oviasu E. Impaired Renal Function and its Predictors among Treatment-Naive HIV-seropositive Patients in a Tertiary Institution in South-East Nigeria. West Afr J Med 2020; 37:499-506. [PMID: 33058125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
BACKGROUND Renal impairment is a significant independent risk factor for mortality among HIV-infected patients. Some antiretroviral drugs are nephrotoxic, especially to the tubules, and their dosage need to be modified in the presence of renal impairment to avoid progression to chronic kidney disease. AIM To determine the prevalence and predictors of renal impairment among treatment-naïve HIV sero-positive patients seen at Federal Medical Centre, Umuahia, Abia state. MATERIALS AND METHODS This was a cross-sectional study involving 115 HIV-seropositive treatment-naïve cases and 115 seronegative controls. Questionnaires were administered and history regarding health status was obtained. Participants had biophysical profile measured. Blood and urine specimens were analyzed in the laboratory. The re-expressed modification of diet in renal disease (MDRD) was used to determine estimated Glomerular Filtration Rate (eGFR). Factors found to be associated with renal impairment were subjected to binary logistic regression analysis to determine the predictors of renal impairment. RESULTS The prevalence of renal impairment among the cases was 27.8%. Factors associated with renal impairment included duration of HIV diagnosis of 12 months and above, significant intake of herbal remedies, hypertension, significant proteinuria, WHO clinical stage 3 or 4, anaemia and CD4 count less than 350cells/µL. Predictors of renal impairment were hypertension, WHO clinical stage 3 or 4 disease, significant proteinuria and significant intake of herbal remedies. CONCLUSION Renal impairment was prevalent in this sample. Concerted efforts should be directed to early diagnosis of renal impairment among these patients. Reno-protective measures need to be instituted early to avoid deleterious outcomes.
Collapse
Affiliation(s)
- C G Okwuonu
- Nephrology Unit, Department of Internal Medicine, Federal Medical Centre, Umuahia Abia State, Nigeria
| | - I I Chukwuonye
- Nephrology Unit, Department of Internal Medicine, Federal Medical Centre, Umuahia, Abia State, Nigeria
| | - O S Ogah
- Division of Cardiology, Department of Internal Medicine, University College Hospital Ibadan, Oyo State Nigeria
| | - E I Chima
- Division of Pulmonology, Department of Internal Medicine, Federal Medical Centre, Umuahia Abia State Nigeria
| | - U Onyeonoro
- Department of Public Health, Federal Medical Centre, Umuahia Abia State Nigeria
| | - E Oviasu
- Nephrology Unit, Department of Internal Medicine, University of Benin Teaching Hospital, Benin City, Edo State Nigeria
| |
Collapse
|
10
|
Ibiyemi O, Ogunbodede O, Gbolahan OO, Ogah OS. Knowledge and practices of blood pressure measurement among final year students, house officers, and resident dental surgeons in a dental hospital, South West Nigeria. Niger J Clin Pract 2020; 23:848-856. [PMID: 32525122 DOI: 10.4103/njcp.njcp_416_19] [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] [Indexed: 11/04/2022]
Abstract
Objectives To assess the knowledge and practices of blood pressure measurement (BPM) among final year students, house officers, and resident dental surgeons. Materials and Methods A cross-sectional study consisting of a convenience sample of all final year students, house officers, and resident dental surgeons in a dental hospital in South West Nigeria was conducted. All participants were requested to complete a 16-item questionnaire about their knowledge of accurate BPM. After completing the questionnaire, the participants were observed by a single research associate as they measured the blood pressure (BP) of patients using a checklist prepared according to the World Health Organization and the American Heart Association (AHA) guidelines for measuring BP. The performance score was based on a 25-element skillset on BP measurement. Data were entered into Statistical Package for the Social Sciences (SPSS) Version 22. Frequencies and means were generated and independent Student's t-tests and Pearson's Chi-square tests were used to test the association between continuous and categorical variables, respectively at P value < 0.05. Results In total, 139 questionnaires were returned by 59 final year dental nursing students, 29 final year dental students, 14 house officers, 18 registrars, and 19 senior registrars. Overall, 46.0% of the participants had poor knowledge of accurate BPM. The mean [standard deviation (SD)] BPM knowledge score was 5.8 (2.0), dental nursing students had the least 4.8 (1.5) score, and dental students had the highest 6.9 (2.0) score (P < 0.0001). Overall, the mean (SD) BPM knowledge scores for students and dentists were 5.5 (1.9) and 6.4 (1.9), respectively (P = 0.01). One-hundred and thirty-seven (98.6%) participants performed BPM inaccurately. There was a weak positive non-statistically significant correlation between knowledge and performance scores (r = 0.03; P = 0.75). Conclusions Overall, 46.0% of participants had poor knowledge of accurate BPM while 98.6% performed BPM inadequately. These findings suggest the need for curriculum review on accurate BPM.
Collapse
Affiliation(s)
- O Ibiyemi
- Department of Periodontology and Community Dentistry, University of Ibadan, Ibadan, Nigeria
| | - O Ogunbodede
- Department of Periodontology and Community Dentistry, University College Hospital, Ibadan, Nigeria
| | - O O Gbolahan
- Department of Oral and Maxillofacial Surgery, University of Ibadan, Ibadan, Nigeria
| | - O S Ogah
- Cardiology Unit Department of Internal Medicine, University College Hospital, Ibadan, Nigeria
| |
Collapse
|
11
|
Karaye KM, Ishaq NA, Sa'idu H, Balarabe SA, Talle MA, Isa MS, Adamu UG, Umar H, Okolie HI, Shehu MN, Mohammed IY, Sanni B, Ogah OS, Oboirien I, Umuerri EM, Mankwe AC, Shidali VY, Njoku P, Dodiyi-Manuel S, Shogade TT, Olunuga T, Ojji D, Josephs V, Mbakwem AC, Tukur J, Isezuo SA. Incidence, clinical characteristics, and risk factors of peripartum cardiomyopathy in Nigeria: results from the PEACE Registry. ESC Heart Fail 2020; 7:235-243. [PMID: 31990449 PMCID: PMC7083508 DOI: 10.1002/ehf2.12562] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [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: 07/23/2019] [Revised: 10/25/2019] [Accepted: 10/29/2019] [Indexed: 11/12/2022] Open
Abstract
Aims The aim of this study was to describe the incidence, clinical characteristics and risk factors of peripartum cardiomyopathy (PPCM) in Nigeria. Methods and Results The study was conducted in 22 hospitals in Nigeria, and PPCM patients were consecutively recruited between June 2017 and March 2018. To determine factors associated with PPCM, the patients were compared with apparently healthy women who recently delivered, as controls. Four hundred six patients were compared with 99 controls. The incidence and disease burden (based on the rate of consecutive recruitment of subjects) varied widely between the six geographical zones of Nigeria. From the North–West zone, 72.3% of the patients was recruited, where an incidence as high as 1 per 96 live births was obtained in a centre, while the disease was uncommon (7.6% of all recruited patients) in the South. Majority of the patients (76.6%) and controls (74.8%) (p = 0.694) were of Hausa–Fulani ethnic group. Atrial fibrillation, intracardiac thrombus, stroke, and right ventricular systolic dysfunction were found in 1.7%, 6.4%, 2.2%, and 54.9% of the patients, respectively. Lack of formal education (odds ratio [OR] 3.08, 95% confidence interval [1.71, 5.53]; P < 0.001), unemployment (OR: 3.28 [2.05, 5.24]; P < 0.001), underweight (OR: 13.43 [4.17, 43.21]; P < 0.001) and history of pre‐eclampsia (OR: 9.01 [2.18, 37.75]; P = 0.002) emerged as independent PPCM risk factors using regression models. Customary hot baths (OR: 1.24 [0.80, 1.93]; P = 0.344), pap enriched with dried lake salt (OR: 1.20 [0.74, 1.94]; P = 0.451), and Hausa–Fulani ethnicity (OR: 1.11 [0.67, 1.84]; P = 0.698) did not achieve significance as PPCM risk factors. Conclusions In Nigeria, the burden of PPCM was greatest in the North–West zone, which has the highest known incidence. PPCM was predicted by sociodemographic factors and pre‐eclampsia, which should be considered in its control at population level. Postpartum customary birth practices and Hausa–Fulani ethnicity were not associated with PPCM in Nigeria.
Collapse
Affiliation(s)
- K M Karaye
- Department of Medicine, Bayero University, Kano, Nigeria.,Department of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.,Department of Public Health and Clinical Medicine, Umea University, Umea, Sweden
| | - N A Ishaq
- Department of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria
| | - H Sa'idu
- Department of Medicine, Bayero University, Kano, Nigeria
| | - S A Balarabe
- Department of Medicine, Muhammad Abdullahi Wase Specialist Hospital, Kano, Nigeria
| | - M A Talle
- Department of Medicine, University of Maiduguri Teaching Hospital/University of Maiduguri, Maiduguri, Nigeria
| | - M S Isa
- Department of Medicine, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
| | - U G Adamu
- Department of Medicine, Federal Medical Centre Bida, Bida, Nigeria
| | - H Umar
- Department of Medicine, Usman Dan-Fodio University Teaching Hospital, Sokoto, Nigeria
| | - H I Okolie
- Department of Medicine, Federal Teaching Hospital Gombe, Gombe, Nigeria
| | - M N Shehu
- Department of Medicine, General Ahmadi Kurfi Specialist Hospital, Katsina, Nigeria.,Department of Medicine, Federal Medical Centre, Katsina, Nigeria
| | - I Y Mohammed
- Department of Chemical Pathology, Bayero University, Kano, Nigeria.,Department of Chemical Pathology, Aminu Kano Teaching Hospital, Kano, Nigeria
| | - B Sanni
- Department of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria
| | - O S Ogah
- Department of Medicine, University College Hospital, Ibadan, Nigeria
| | - I Oboirien
- Department of Medicine, Dalhatu Araf Specialist Hospital, Lafia, Nigeria
| | - E M Umuerri
- Department of Medicine, Delta State University Teaching Hospital, Oghara, Nigeria
| | - A C Mankwe
- Department of Medicine, Federal Medical Centre Yenagoa, Yenagoa, Nigeria
| | - V Y Shidali
- Department of Medicine, Federal Medical Centre Makurdi, Makurdi, Nigeria
| | - P Njoku
- Department of Medicine, University of Nigeria Teaching Hospital, Enugu, Nigeria
| | - S Dodiyi-Manuel
- Department of Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
| | - T T Shogade
- Department of Medicine, University of Uyo Teaching Hospital, Uyo, Nigeria
| | - T Olunuga
- Department of Medicine, University of Benin Teaching Hospital, Benin City, Nigeria
| | - D Ojji
- Department of Medicine, University of Abuja Teaching Hospital, Gwagwalada, Nigeria
| | - V Josephs
- Department of Medicine, University of Benin Teaching Hospital, Benin City, Nigeria
| | - A C Mbakwem
- Department of Medicine, University of Lagos Teaching Hospital, Lagos, Nigeria
| | - J Tukur
- Department of Obstetrics and Gynaecology, Bayero University, Kano, Nigeria.,Department of Obstetrics and Gynaecology, Aminu Kano Teaching Hospital, Kano, Nigeria
| | - S A Isezuo
- Department of Medicine, Usman Dan-Fodio University Teaching Hospital, Sokoto, Nigeria
| | | |
Collapse
|
12
|
Okonko IO, Adebiyi AA, Ogah OS, Adu FD. Enteroviruses as a possible cause of hypertension, dilated cardiomyopathy (DCM) and hypertensive heart failure (HHF) in South western Nigeria. Afr Health Sci 2013; 13:1098-106. [PMID: 24940338 DOI: 10.4314/ahs.v13i4.34] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [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] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND Human enteroviruses have long been associated with various diseases of man resulting into a wide range of acute symptoms involving the cardiac and skeletal muscles, central nervous system, pancreas, skin and mucous membranes. OBJECTIVE To assess the role of enteroviruses in the etiology of hypertension, DCM and HHF. METHODS We obtained stool specimens from 70 subjects comprising 65 patients and 5 controls and isolation was carried out on RD, L20B, HEp-2C and Vero cell lines and identified by neutralization with standard antisera (RIVM). Thirty-six enteroviruses were isolated and identified to be Coxsackieviruses-B5, A9, Echoviruses 1, 6, 7, 9, 11, 12, 22, 30 and Poliovirus type 1 and 3. RESULTS Three most frequently occurring enterovirus serotypes which constitute 60.0% of the 30 NPEV typed and 50.0% of all the isolates were Echoviruses, Coxsackie-B5-virus and Coxsackievirus-A9. Echoviruses constituted 50.0% of all the serotypes while Coxsackieviruses-B5 and A9 accounts for the 27.8 % and 5.6% respectively. Enteroviral isolation rate was higher in age groups 51 years and above. The percentage of study subjects who had Coxsackie-B5-viruses and echoviruses was significantly (P<0.05) higher in cases of hypertension, HHF and DCM than in control subjects. Coxackie-B5-virus, Echovirus-6 and Echovirus-11 were found in both study locations. CONCLUSION The findings of this study showed that Enteroviruses may likely be involved in the etiology of hypertension, DCM and HHF. Further studies would therefore be necessary for the prevention and control of these diseases.
Collapse
Affiliation(s)
- I O Okonko
- Medical Microbiology & Virology Unit, Department of Microbiology, University of Port Harcourt, East-West Road, P.M.B. 5323, Choba, Port Harcourt, Rivers State, Nigeria
| | - A A Adebiyi
- Cardiology Unit, Department of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - O S Ogah
- Division of Cardiology, Department of Medicine, University College Hospital, Ibadan, Nigeria
| | - F D Adu
- Department of Virology, College of Medicine, University of Ibadan, Ibadan, Nigeria
| |
Collapse
|
13
|
Sliwa K, Davison BA, Mayosi BM, Damasceno A, Sani M, Ogah OS, Mondo C, Ojji D, Dzudie A, Kouam Kouam C, Suliman A, Schrueder N, Yonga G, Ba SA, Maru F, Alemayehu B, Edwards C, Cotter G. Readmission and death after an acute heart failure event: predictors and outcomes in sub-Saharan Africa: results from the THESUS-HF registry. Eur Heart J 2013; 34:3151-9. [DOI: 10.1093/eurheartj/eht393] [Citation(s) in RCA: 67] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
14
|
Abstract
Abstract A review of heart diseases in Africa shows that the cardiomyopathies continue to be important causes of morbidity and mortality in the population. Hypertension remains the commonest cause of myocardial disease, followed by the cardiomyopathies. Ischaemic heart disease continues to be rare. Of the cardiomyopathies, dilated cardiomyopathy (DCM) is still the commonest. A large proportion of patients diagnosed with DCM in Africa have been shown to be cases of hypertensive heart failure, with varying degrees of myocardial dysfunction. Hypertrophic cardiomyopathy, which in the past was thought to be rare among Africans, has been shown to have the same prevalence as in other parts of the world. Moreover it is now known to be a genetic disorder. Endomyocardial fibrosis has become rare in communities where it used to be common. Its aetiology continues to be elusive. Arrhythmogenic right ventricular cardiomyopathy has been reported among Africans but there are no reports of left ventricular non-compaction or the ion channelopathies from Africa. Lenegre disease and the long-QT syndromes are well-known entities in clinical practice in Africa although long-QT in Africa is associated with potassium deficiency arising from prolonged treatment with diuretics. Left ventricular non-ischaemic aneurysms still occur but are rare. In view of these, a new classification of myocardial disorders was proposed for Africa.
Collapse
Affiliation(s)
- A O Falase
- Division of Cardiovascular Medicine, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria.
| | | |
Collapse
|
15
|
Abstract
A review of heart diseases in Africa shows that the cardiomyopathies continue to be important causes of morbidity and mortality in the population. Hypertension remains the commonest cause of myocardial disease, followed by the cardiomyopathies. Ischaemic heart disease continues to be rare. Of the cardiomyopathies, dilated cardiomyopathy (DCM) is still the commonest. A large proportion of patients diagnosed with DCM in Africa have been shown to be cases of hypertensive heart failure, with varying degrees of myocardial dysfunction. Hypertrophic cardiomyopathy, which in the past was thought to be rare among Africans, has been shown to have the same prevalence as in other parts of the world. Moreover it is now known to be a genetic disorder. Endomyocardial fibrosis has become rare in communities where it used to be common. Its aetiology continues to be elusive. Arrhythmogenic right ventricular cardiomyopathy has been reported among Africans but there are no reports of left ventricular non-compaction or the ion channelopathies from Africa. Lenegre disease and the long-QT syndromes are well-known entities in clinical practice in Africa although long-QT in Africa is associated with potassium deficiency arising from prolonged treatment with diuretics. Left ventricular non-ischaemic aneurysms still occur but are rare. In view of these, a new classification of myocardial disorders was proposed for Africa.
Collapse
Affiliation(s)
- A O Falase
- Division of Cardiovascular Medicine, Department of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria.
| | | |
Collapse
|
16
|
Adeoye AM, Adebiyi AA, Oladapo OO, Ogah OS, Aje A, Ojji DB, Adebayo AK, Ochulor KC, Enakpene EO, Falase AO. Early diastolic functional abnormalities in normotensive offspring of Nigerian hypertensives. Cardiovasc J Afr 2013; 23:255-9. [PMID: 22732892 PMCID: PMC3721905 DOI: 10.5830/cvja-2011-030] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2009] [Accepted: 06/06/2011] [Indexed: 01/20/2023] Open
Abstract
Background Some studies have suggested that diastolic dysfunction precedes the clinical manifestation of hypertension. Whether changes in cardiac structure and function predate the clinical manifestation of hypertension later in life is now being investigated. The aim of this study was to assess the differences in cardiac structure and function between the offspring of hypertensive and normotensive parents. Methods Eighty normotensive offspring of hypertensive parents (OHyp) (41 females and 39 males) and 62 normotensive offspring of normotensive parents (ONorm) (31 males and 31 females) were recruited for echocardiography. Results The mean age was 25.0 (5.31) and 24.3 (3.60) years in the OHyp and ONorm participants, respectively (p = 0.369). Other baseline parameters were comparable between the two groups. Septal wall thickness in systole was higher in the OHyp than the ONorm subjects [1.3 (0.35) vs 1.1 (0.25), p = 0.0173]. Indexed left ventricular mass [28.1 (7.33) vs 27.5 (7.23), p = 0.631] and relative wall thickness [(0.3 (0.10) vs 0.3 (0.90), p = 0.280] were similar in the two groups. The offspring of hypertensives had lower deceleration time [149.9 (38.89) vs 169.0 (50.08) ms, p = 0.012], prolonged duration of pulmonary A reverse flow [113.5 (70.69) vs 81.7 (38.31) ms, p = 0.024], increased myocardial isovolumic relaxation time [173.4 (47.98) vs 156.1 (46.74) ms, p = 0.033] and a lower myocardial Em [0.2 (0.05) vs 0.3 (1.38), p = 0.037] and myocardial Em/Am ratio [1.6 (0.01) vs 2.1 (0.01), p = 0.019] than the offspring of normotensives. Conclusion This study showed that offspring of OHyp subjects had early diastolic functional abnormalities when compared with offspring of ONorm participants. Longitudinal studies are needed to determine the implications of this finding in this African population.
Collapse
Affiliation(s)
- A M Adeoye
- Department of Medicine, University College Hospital, Ibadan, Nigeria.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
17
|
Lasisi GT, Adebola AP, Ogah OS, Daniel FA. Prevalence of ventricular arrhythmias and heart rate variability pattern in chronic heart failure. Niger Postgrad Med J 2012; 19:157-162. [PMID: 23064172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
AIMS AND OBJECTIVES This study was carried out to determine the prevalence of ventricular arrhythmias and heart rate variability pattern in patients on treatment for chronic heart failure. PATIENTS AND METHODS Twenty four hour ambulatory electrocardiograms were recorded in 60 patients with chronic heart failure and echocardiography left ventricular ejection fraction of less than 45%.Sixty age and sex- matched individuals with no obvious evidence of underlying cardiac disease were also evaluated for comparison. RESULTS Premature ventricular complexes (PVCs) were evident in all subjects being infrequent [ < 30 PVCs per hour], in 21 (35%) and frequent [ > 30 PVCs per hour] in 39 (65%).Multiform extra systoles were recorded in 44 (73.3%) subjects, ventricular couplets in 50 (83.4%), and non-sustained ventricular tachycardia (NSVT) in 28 (46.7%) of the 60 subjects. Among the controls, PVCs were seen in 27(45%) and were all infrequent. None of the controls had multiform extra systole, ventricular couplets or NSVT. Significant inverse relationships were found between ejection fraction and PVC per h ( P-value < 0.001), ventricular couplet per 24h (P-value < 0.001) and NSVT per hour (P-value 0.002).Time domain heart rate variability measures i.eMean Standard Deviation of Normal to Normal RR Interval (SDNN), mean Percentage of Adjacent NN Intervals in a 24 hour recording which differ by at least 50ms (pNN550) , mean Root Mean Square Successive Difference in RR Interval (rMSSD) were significantly lower in the subjects compared to the controls. The corresponding P-values were < 0.001, < 0.001, < 0.001 respectively. A significant positive correlation was found between EF and SDNN ( P-value < 0.001), pNN50 (P-value 0.044) and rMSSD (P-value < 0.001). CONCLUSION This study showed that ambulant out patients with chronic heart failure, have significantly higher prevalence of ventricular arrhythmias and narrow heart rate variability compared to healthy individuals of comparable age and gender.
Collapse
Affiliation(s)
- G T Lasisi
- Department of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.
| | | | | | | |
Collapse
|
18
|
Ogah OS, Akinyemi RO, Adegbite GD, Udofia OI, Udoh SB, Adesina JO, Ojo OS, Alabi AA, Majekodunmi T, Osinfade JK, Ogundipe RF, Falase AO. Prevalence of asymptomatic left ventricular systolic dysfunction in hypertensive Nigerians: echocardiographic study of 832 subjects. Cardiovasc J Afr 2011; 22:297-302. [PMID: 22159315 PMCID: PMC3721806 DOI: 10.5830/cvja-2010-063] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [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: 09/19/2009] [Accepted: 08/16/2010] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND We sought to determine the prevalence of echocardiographically determined left ventricular systolic dysfunction in asymptomatic hypertensive subjects seen in Abeokuta, Nigeria. METHODS Echocardiography was performed in 832 consecutive hypertensive subjects referred for cardiac evaluation over a three-year period. RESULTS Data were obtained in 832 subjects (50.1% women) aged 56.0 ± 12.7 years (men 56.9 ± 13.3 years, women 55.0 ± 12.0 years, range 15-88). The prevalence of left ventricular systolic dysfunction (LVSD) was 18.1% in the study population (mild LVSD = 9.6%, moderate LVSD = 3.7% and severe LVSD = 4.8%). In a multivariate analysis, male gender, body mass index and LV mass were the predictors of LVSD. CONCLUSION Significant numbers of hypertensive subjects in this study had varying degrees of left ventricular systolic dysfunction. Early introduction of disease-modifying drugs in these patients, such as angiotensin converting enzyme inhibitors or angiotensin receptor blockers may retard or prevent the progression to overt heart failure.
Collapse
Affiliation(s)
- O S Ogah
- Department of Medicine, Federal Medical Centre, Idi-Aba, Abeokuta, Ogun State, Nigeria
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
19
|
Akinyemi RO, Ogah OS, Ogundipe RF, Oyesola OA, Oyadoke AA, Ogunlana MO, Otubogun FM, Odeyinka TF, Alabi BS, Akinyemi JO, Osinfade JK, Kalaria RN. Knowledge and perception of stroke amongst hospital workers in an African community. Eur J Neurol 2009; 16:998-1003. [DOI: 10.1111/j.1468-1331.2009.02666.x] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
20
|
Ogah OS, Akisanya CO, Timeyin AO, Adebiyi AA, Adebo OA. A large pericardial cyst presenting with severe chest pain: a case report and review of literature. Afr J Med Med Sci 2009; 38:83-86. [PMID: 19722433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Primary cysts of the pericardium are uncommon, benign developmental anomaly. Most are asymptomatic and a common incidental finding on routine chest radiograph. We report a case of large pericardial cyst presenting with severe excruciating chest pain in a Nigerian man. To the best of our knowledge, no such report has emanated from the country.
Collapse
Affiliation(s)
- O S Ogah
- Department of Medicine, Federal Medical Centre, Idiaba, Abeokuta, Ogun State, Nigeria.
| | | | | | | | | |
Collapse
|
21
|
Aje A, Adebiyi AA, Oladapo OO, Ogah OS, Dada A, Ojji DB, Adebayo AK, Adeoye AM, Enakpene EO, Falase AO. Audit of Echocardiographic Services at the University College Hospital Ibadan. Niger J Med 2009; 18:32-34. [PMID: 19485144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
BACKGROUND Echocardiography is useful in the diagnosis of cardiovascular diseases and it influences management. It is becoming widely available in our Teaching Hospitals though expensive. It is therefore important to know the value of echocardiography in patients' diagnosis. METHODS One thousand five hundred and forty four patients referred for transthoracic echocardiography over 19-month period (March 2003 to September 2004) were studied. M mode, two dimensional and Doppler studies were out using ALOKA SSD 1700. RESULTS One thousand five hundred and forty four patients (778 males and 766 females) had echocardiography. Mean age was 51.4 +/- 15.5. Minimal age was 15 years while maximum was 100 years. The commonest indication for echocardiography include Hypertension 727 (47.1%), Pre-Chemotherapy assessment 127 (8.2%), Heart failure 117 (7.6%) and Routine Medical Check Up 99 (6.4%). The highest source of referral came from Cardiology unit 746 (48.3%). Staff Clinic 128 (8.3%), Surgery 127 (8.2%) and Nephrology 88 (5.7%). Six hundred and eighty seven (44.6%) were diagnosed as Hypertensive Heart Disease, 674 (36.5%) were Normal Study and 54 (3.5%) had Valvular Heart Disease. CONCLUSION The study showed the different indications for echocardiography, source of referral and diagnosis. There is an emerging need for echocardiography in our patients so as to improve their management.
Collapse
Affiliation(s)
- A Aje
- Department of Medicine, Cardiology Unit, University College Hospital, Ibadan, Nigeria
| | | | | | | | | | | | | | | | | | | |
Collapse
|
22
|
Adeniyi AEO, Akisanya CO, Ogah OS, Akinremi TO, Erinle CA. Appendicitis and situs inversus viscerum in a 32-year-old female nigerian: a case report. Ann Ib Postgrad Med 2008; 6:84-6. [PMID: 25161447 PMCID: PMC4111014 DOI: 10.4314/aipm.v6i1.64045] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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] [Indexed: 11/17/2022] Open
Abstract
Situs inversus is a relatively rare congenital abnormality in which the internal organs are disposed in a mirror image of the normal. It is said to be an autosomal recessive genetic condition. Its prevalence varies with population. In the United States, Situs inversus is found in 0.01% of the population. The incidence in Nigeria is unknown. We present the case of a young lady with situs inversus discovered during management for appendicitis. As is often the case in situs situations, there was initial confusion and some significant delay in offering needed treatment due to the unusual disposition of the organs.
Collapse
Affiliation(s)
- A E O Adeniyi
- Department of Surgery, (Federal Medical Centre, Abeokuta, Ogun State, Nigeria)
| | - Cynthia O Akisanya
- Departments of Radiology, (Federal Medical Centre, Abeokuta, Ogun State, Nigeria)
| | - O S Ogah
- Departments of Medicine, (Federal Medical Centre, Abeokuta, Ogun State, Nigeria)
| | - Titilola O Akinremi
- Department of Family Medicine, (Federal Medical Centre, Abeokuta, Ogun State, Nigeria)
| | - Charles A Erinle
- Department of Pathology, (Federal Medical Centre, Abeokuta, Ogun State, Nigeria)
| |
Collapse
|
23
|
Salako BL, Ogah OS, Adebiyi AA, Adedapo KS, Bekibele CO, Oluleye TS, Okpechi I. Unexpectedly high prevalence of target-organ damage in newly diagnosed Nigerians with hypertension. Cardiovasc J Afr 2007; 18:77-83. [PMID: 17497043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/15/2023] Open
Abstract
INTRODUCTION Hypertension remains a formidable cardiovascular problem in the entire world. Untreated or poorly controlled hypertension predisposes to target-organ damage and is often followed by serious cardiovascular events. Knowledge of the type and distribution of endorgan damage in newly diagnosed hypertensive patients would help to determine the interventions or preventative measures needed in such patients. OBJECTIVE To assess target-organ involvement in newly diagnosed, untreated hypertensive patients presenting at the University College Hospital, Ibadan, Nigeria. METHODS Newly diagnosed hypertensive men and women were recruited consecutively into the study. Target-organ damage was assessed using electroctrocardiography, echocardiography, renal function assessment (including tests for albuminuria) and fundoscopy. RESULTS A total of 68 subjects were recruited, but only 54 (79.4%), with a mean age of 59.1 ( +/- 12.4) years, completed the study. There were 29 ( +/- 53.7%) men, mean age 63.5 ( +/- 12.6) years, and 25 (46.3%) women, mean age 54.1 ( +/- 10.4) years. Fifty per cent of the subjects had no symptoms. Some form of albuminuria was found in about 40.7%. Seventy-one per cent (71%) had between grade 1 and 2 hypertensive retinopathy. Only six (11.1%) had glomerular filtration rate greater than 90 ml/min. Systolic function was impaired in three (5.6%) of the subjects. Diastolic dysfunction was present in 36 (66.7%) subjects. CONCLUSION Target-organ damage already exists in newly diagnosed hypertensive subjects before presentation. We suggest early screening for cardiovascular risk factors and possibly a reduction in the criteria for the definition of hypertension in black Africans.
Collapse
Affiliation(s)
- B L Salako
- Department of Medicine, University College Hospital, Ibadan, Nigeria
| | | | | | | | | | | | | |
Collapse
|
24
|
Ogah OS, Aikhuele EH, Oyebola BT. Ashman phenomenon. Ann Ib Postgrad Med 2007. [DOI: 10.4314/aipm.v3i2.39069] [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] Open
|
25
|
Ogah OS, Adebiyi AA, Oladapo OO, Aje A, Ojji DB, Adebayo AK, Salako BL, Falase AO. Association between electrocardiographic left ventricular hypertrophy with strain pattern and left ventricular structure and function. Cardiology 2006; 106:14-21. [PMID: 16601328 DOI: 10.1159/000092478] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2005] [Accepted: 01/17/2006] [Indexed: 11/19/2022]
Abstract
BACKGROUND AND PURPOSE Electrocardiographic left ventricular hypertrophy (LVH) with strain pattern has been documented as a marker for LVH. Its presence on the ECG of hypertensive patients is associated with poor prognosis. The study was carried out to assess the association of the electrocardiographic strain with left ventricular mass (LVM) and function in hypertensive Nigerians. MATERIAL AND METHODS ECG as well as echocardiograms were performed in 64 hypertensive patients with ECG-LVH and strain pattern, 65 patients with ECG-LVH by Sokolow-Lyon (SL) voltage criteria and 62 normal controls. RESULTS The study showed that electrocardiographic left ventricular (LV) strain pattern is associated with dilated left atrium, larger LV internal dimensions and greater absolute and indexed LVM in hypertensive Nigerians compared with ECG-LVH by SL voltage criteria alone or normal controls. CONCLUSION The findings of this study support the fact that the ECG strain pattern is associated with increased LVM and an increased risk of developing abnormal LV geometry.
Collapse
Affiliation(s)
- O S Ogah
- Department of Medicine, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria.
| | | | | | | | | | | | | | | |
Collapse
|