Description

ABSTRACT

Introduction: The cardio-renal syndrome (CRS) is a complex pathophysiological entity affecting the heart and kidneys in which acute or chronic dysfunction of one organ may induce acute or chronic dysfunction of the other organ [1]. In Africa, in general, the prevalence of CRS is poorly known, in Senegal the hospital prevalence of CRS is 3.7% in cardiology [2]; In Mali this prevalence is poorly known. The objective of this work was to study the CRS in the cardiology department CHU Gabriel Toure.

Methods: The Study is a retrospective cross-sectional about 31 patients with cardio-renal syndrome hospitalized from January 01, 2015 to December 31, 2018. The data was analyzed on the SPSS 20 for Windows software.

Results: We included 31 patients. The prevalence was 4% with a male predominance (sex ratio at 1:21) and a mean age at 59.51 years [60-74]. Risk factors were dominated by high blood pressure (71 .1%) and diabetes (16,1%). The symptomatology was dominated by dyspnea (800.06%) and tachycardia (77.4%). The average clearance (MDRD) at 24.61 ml/min doppler ultrasound was predominantly LV systolic (90.32) dysfunction. A death (3.22%) was noted.

Conclusion: The cardio-renal syndrome remains a frequent complication in the evolution of all cardiopathies, the elderly being the most affected with a male predominance. The major FDR observed in this work was arterial hypertension with a frequency of 71%. The diagnosis is essentially based on cardiac ultrasound and measurement of serum creatinine. Management is difficult in our context and requires a close multidisciplinary collaboration: general practitioner-cardiologist and nephrologist. Prevention relies on the control of cardiovascular risk factor (CRF).

 Keywords: Cardio-renal syndrome, cardiology department, GABRIEL TOURE University Hospital, Mali