Research Article
Cardiovascular Risk Factors Among Secondary School Adolescents in the City of Garoua, Cameroon
Issue:
Volume 9, Issue 2, June 2025
Pages:
39-46
Received:
25 February 2025
Accepted:
8 March 2025
Published:
26 March 2025
Abstract: While traditionally considered as a period of good health, adolescence with contemporary lifestyles and environmental factors is facing an alarming rise in cardiovascular risk factors. This was a school based cross sectional study including adolescents aged 10 to 19 years old in the city of Garoua. Physical activity, smoking, overweight, obesity, elevated blood pressure, hypertension, prediabetes and diabetes were evaluated. We included 938 participants (68.8% female) with a mean age of 16 ± 2 years. The most frequent risk factor was physical inactivity (52.8%). Overweight/obesity was more frequent in private schools (ORa = 2.76 [1.80 – 4.22], p < 0.001). Prediabetes/diabetes was significantly more frequent in the [10-15[ age category, in female participants, and in private schools (ORa = 2.16 [1.53 – 3.07]; p < 0.001, ORa = 1.50 [1.01 – 2.22]; p = 0.045, and ORa = 2,56 [1.79 – 3.66]; p < 0,001 respectively). Physical inactivity was significantly more frequent in female students and in the [10-15[ age category (ORa = 2.22 [1.68 – 2.95]; p < 0.001 and ORa = 1.37 [1.04 – 1.82]; p = 0.026 respectively). Male adolescents had 7-fold higher risk of smoking. There was no significant difference in the proportions of elevated blood pressure/hypertension, and abdominal obesity. Cardiovascular risk factors are present among secondary school adolescents in the city of Garoua. Public health policies should be implemented for the prevention and early management of these risk factors.
Abstract: While traditionally considered as a period of good health, adolescence with contemporary lifestyles and environmental factors is facing an alarming rise in cardiovascular risk factors. This was a school based cross sectional study including adolescents aged 10 to 19 years old in the city of Garoua. Physical activity, smoking, overweight, obesity, e...
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Research Article
In-Hospital Mortality of Acute Coronary Syndromes Undergoing Coronary Angiography: A Multicenter Study in Dakar, Senegal
Ngone Diaba Gaye*
,
Aliou Alassane Ngaide,
Pierre-Adley Ngoulla,
Joseph Mingou,
Momar Dioum,
Mouhamed Chérif Mboup,
Fatou Aw,
Alassane Mbaye,
Bamba Ndiaye,
Maboury Diaw,
Abdoul Kane
Issue:
Volume 9, Issue 2, June 2025
Pages:
47-53
Received:
1 April 2025
Accepted:
1 May 2025
Published:
14 May 2025
Abstract: Acute Coronary Syndrome (ACS) significantly contributes to cardiovascular mortality worldwide, with an increasing prevalence in Africa due to rising cardiovascular risk factors. Despite advances in reperfusion therapies like percutaneous coronary intervention (PCI), many African countries, including Senegal, face substantial barriers to optimal care. This study aimed to assess in-hospital mortality among ACS patients undergoing coronary angiography in Dakar, Senegal, and to describe clinical features associated with mortality. We conducted a retrospective, multicenter, cross-sectional study involving patients hospitalized with ACS who underwent coronary angiography between January 2020 and June 2023 in three tertiary cardiology centers in Dakar. Demographic data, clinical presentation, cardiovascular risk factors, angiographic findings, and therapeutic interventions were collected. Statistical analysis included descriptive statistics and bivariate comparisons, with significance defined at p<0.05. Out of 2573 ACS patients undergoing coronary angiography, 30 died, resulting in an in-hospital mortality rate of 1.16%. The mean age was 61.2 ± 10.8 years, predominantly male (76.7%). Hypertension (53.3%) and sedentary lifestyle (83.3%) were common risk factors. Most patients presented with atypical chest pain (76.7%) and delayed hospital admission beyond 12 hours (43.3%). STEMI accounted for 70% of cases, with the left anterior descending artery frequently involved (80%). PCI using drug-eluting stents was performed in 56.7% of deceased patients. Cardiogenic shock was the leading complication (46.7%). In-hospital mortality following coronary angiography for ACS in urban Senegal is relatively low but delayed presentations and atypical symptoms remain significant barriers. Enhanced public awareness, reduced delays to intervention, and overcoming socioeconomic obstacles are essential to improve outcomes.
Abstract: Acute Coronary Syndrome (ACS) significantly contributes to cardiovascular mortality worldwide, with an increasing prevalence in Africa due to rising cardiovascular risk factors. Despite advances in reperfusion therapies like percutaneous coronary intervention (PCI), many African countries, including Senegal, face substantial barriers to optimal car...
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