RESUMEN
OBJECTIVE: To determine the pattern of non-communicable diseases in the medical wards of the University of Port Harcourt Teaching Hospital (UPTH), over four consecutive years (June 2000 to June 2004). METHODS: The study was retrospective and data were obtained from the medical registers in the medical wards and the records department of the UPTH. Medical admissions due to non-communicable diseases were carefully selected and analyzed. RESULTS: There were 1853 cases of various non-communicable diseases out of a total medical admission of 3294 constituting 56.2% of total medical admissions. Diseases of the cardiovascular, endocrine and renal systems were the most prevalent constituting 35.7%, 18.5% and 16.8% respectively. Hypertension, diabetes mellitus, and chronic renal failure were the most common cardiovascular, endocrine and renal disorders respectively CONCLUSION: Non-communicable diseases are a major cause of morbidity in Port Harcourt. There is need for adequate health education and lifestyle modification to reduce the burden of non-communicable diseases in Nigeria.
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Enfermedades Cardiovasculares/epidemiología , Enfermedades del Sistema Endocrino/epidemiología , Registros de Hospitales/estadística & datos numéricos , Hospitales Universitarios/estadística & datos numéricos , Enfermedades Renales/epidemiología , Admisión del Paciente/estadística & datos numéricos , Adolescente , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Morbilidad/tendencias , Nigeria/epidemiología , Estudios RetrospectivosRESUMEN
Objective: The aim of the study was to document the pattern of EGG abnormalities in the hypertensive patients in Port Harcourt and to compare their prevalence with what obtains in the apparently normal population as documented in previous studies. Methods: The electrocardiographic profile of one hundred and thirty two consecutive hypertensive patients seen at the consultant medical clinic of the University of Port Harcourt Teaching Hospital were studied prospectively. All patients were above 15 years of age with blood pressures above 140/90 mmHg taken at more than two visits. As part of their investigations, twelve lead surface electrocardiograms were recorded. They were interpreted by either of the authors and data were analyzed by simple statistical methods. P value was taken as significant if up to or below 0.5. Results: The abnormalities identified were left ventricular hypertrophy(LVH)in37.1%, left axis deviation(LAD) in 30.3%, sinus tachycardia 25.0%,left atrial enlargement(LAE) in 21.2%, atrial fibrillation(AF) in 3.8%, right bundle branch block (RBBB) in 1.5% and left anterior hemi block (LAH) in 0.8%. There were no cases of myocardial infarction nor pathological Q waves. Conclusion: The study concluded that ECG abnormalities are prevalent in our hypertensive patients and given their prognostic significance, the surface ECG remains relevant as one of the first line investigations in these patients
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Anomalías Congénitas , Electrocardiografía , Hipertensión , Nigeria , PrevalenciaRESUMEN
BACKGROUND: Echocardiography is a cheap and non-invasive technique for the investigation of cardiac diseases with reliable levels of accuracy. Echocardiography services commenced in the Cardiac unit of the University of Port Harcourt Teaching Hospital (UPTH) in April 2000. There is a need to establish an accurate pattern of cardiac diseases seen in the centre based on echocardiography assessment. The aim of the study was to review the pattern of cardiac diseases diagnosed by echocardiography in the cardiology unit of the University of Port Harcourt Teaching hospital. METHOD: A prospective descriptive study of patients referred to the cardiology unit of UPTH for echocardiography for a variety of cardiac complain was done. Subjects had two dimensional and M-mode echocardiography assessment using a Siemens Sonoline SL 1 machine with a 3.5 MHz sector probe. RESULTS: One hundred and forty one subjects aged between 16-84 years with a mean age of 44.2 +/- 11.5 years had echocardiography assessment over the three year period. Eighty two (58.2%) of the subjects were males while 59 (41.8%) were females. Fourty eight (34.0%) of subjects had hypertensive heart disease, 28 (19.9%) had Cardiomyopathies, 13 (9.2%) had rheumatic heart disease. Pericardial disease, congenital heart disease and cor pulmonale was found in 6 (4.3%), 2 (1.4%) and 1 (0.7%) respectively. Fourty three (30.5%) of subjects had normal findings on echocardiography. CONCLUSION: Hypertensive heart disease was found to be the most prevalent cardiac condition followed by the cardiomyopathies and rheumatic heart disease in that order. This trend is very similar to what obtains in sub Saharan Africa as documented by similar studies.
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Ecocardiografía/estadística & datos numéricos , Cardiopatías/epidemiología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Instituciones Cardiológicas/estadística & datos numéricos , Estudios Transversales , Femenino , Cardiopatías/diagnóstico por imagen , Hospitales de Enseñanza/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Nigeria/epidemiología , Estudios Prospectivos , Revisión de Utilización de RecursosRESUMEN
Background: Global and regional estimates show that non-communicable diseases are rising in importance relative to other causes of ill health as populations age and the fight continues against communicable diseases. However; communicable diseases remain a major cause of mortality and morbidity in the developing world.Aim: The study was carried out to determine the pattern of communicable diseases in the medical wards of the University of Port Harcourt Teaching Hospital; (UPTH) over four consecutive years (June2000 June 2004). Methods: The study was retrospective and data were obtained from the medical registers in the medical wards and the records department of the University of Port Harcourt Teaching Hospital. Medical admissions due to communicable diseases were carefully selected and analyzed.Results: There were 1441 cases of various communicable diseases out of a total of 3294 medical admissions constituting 43.8; while non-communicable diseases accounted for 56.2.The top ten communicable diseases identified were tuberculosis; HIV/AIDS; septicaemia; lobar pneumonia; acute viral hepatitis; chronic liver disease(viral); enteric fever; malaria; urinary tract infections and amoebic liver disease. Conclusion: Communicable diseases still remain a major cause of morbidity in Port Harcourt hence the double burden of disease. There is need for improvement in housing; provision of portable water; immunization; health education and improved sanitation amongst other social amenities to reduce the scourge of communicable diseases in Nigeria
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Causas de Muerte , Enfermedades Transmisibles , Medio Ambiente y Salud Pública , NigeriaRESUMEN
Background: Echocardiography is a cheap and non-invasive technique for the investigation of cardiac diseases with reliable levels of accuracy. Echocardiography services commenced in the Cardiac unit of the University of Port Harcourt Teaching Hospital (UPTH) in April 2000. There is a need to establish an accurate pattern of cardiac diseases seen in the centre based on echocardiography assessment. The aim of the study was to review the pattern of cardiac diseases diagnosed by echocardiography in the cardiology unit of the University of Port Harcourt Teaching hospital. Method: A prospective descriptive study of patients referred to the cardiology unit of UPTH for echocardiography for a variety of cardiac complain was done. Subjects had two dimensional and M-mode echocardiography assessment using a Siemens Sonoline SL 1 machine with a 3.5 MHz sector probe. Results: One hundred and forty one subjects aged between 16-84 years with a mean age of 44.2 ± 11.5 years had echocardiography assessment over the three year period. Eighty two (58.2%) of the subjects were males while 59(41.8%) were females. Fourty eight (34.0%) of subjects had hypertensive heart disease, 28(19.9%) had Cardiomyopathies, 13(9.2%) had rheumatic heart disease. Pericardial disease, congenital heart disease and cor pulmonale was found in 6(4.3%), 2(1.4%) and 1(0.7%) respectively. Fourty three (30.5%) of subjects had normal findings on echocardiography. Conclusion: Hypertensive heart disease was found to be the most prevalent cardiac condition followed by the cardiomyopathies and rheumatic heart disease in that order. This trend is very similar to what obtains in sub Saharan Africa as documented by similar studies
Asunto(s)
Ecocardiografía , Cardiopatías , Hipertensión , NigeriaRESUMEN
BACKGROUND: Hypertension contributes significantly to cardiovascular morbidity and mortality. Adequate blood pressure control would therefore reduce cardiovascular morbidity and mortality, however adequate blood pressure control requires good treatment compliance. METHODS: One hundred consecutive patients aged 30-79 years attending the cardiac clinic of the medical out-patients clinic of the University of Port Harcourt Teaching Hospital were directly questioned about compliance with their antihypertensive drugs and results entered into the questionnaire designed for the study. RESULTS: Compliance was good in sixty percent (60%) of respondents, fair in twenty nine percent (29%) and poor in eleven percent (11%). Compliance was also found to be good in sixty-seven percent (67%) of patients with tertiary education, good in forty one percent (41%) of those with primary education. Compliance was good in seventy four percent (74%) of those taking one drug, good in only thirty three percent (33%) of those taking four drugs. Patients taking single daily dose drugs had good compliance in seventy percent (70%), twice daily dosing had good compliance in fifty five percent (55%) and among those taking thrice daily dosage, compliance was good in only seventeen percent (17%). CONCLUSION: The study shows that good compliance with anti-hypertensive therapy is best achieved with monotherapy given as single dosage. It also shows the role of education in the level of compliance.