Document 2607
 DOCN  M94A2607
 TI    Clinical outline of AIDS patients with cardiac manifestations in Africa.
 DT    9412
 AU    Mouanodji M; Mbaigonro D; Bredon P; Central Hospital - CHAD.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):266 (abstract no. PB0495). Unique
       Identifier : AIDSLINE ICA10/94369968
 AB    OBJECTIVE: From clinical and electrocardiogramm (ECG) data, we aim to
       find out profile of AIDS patient with cardiac manifestations in order to
       minimize complementary tests cost in these patients. METHODS: This is a
       retrospective study of 55 Aids inward patients at the Central Hospital
       with positive ELISA TEST from 1992-93. We analyse sex, age, cardiac
       symptoms and ECG findings. RESULTS: There were 55 patients (27 males and
       28 female), mean age 32 years (range 11-56). The 3 main cardiac symptoms
       (19/55) were respectively: chest pain (31.5%), palpitations (26%),
       dyspnee (5%). Relating to the stade of AIDS, these cardiac symptoms were
       frequent in stade I and II CDC (42% respectively). The pericardium is
       the most frequent tunic involved in this study. In fact, there were an
       increasing frequency of pericarditis in these patients compared to
       others heart desease patients (20% VS 1.87%) and tuberculosis is the
       most common etiology (81.8%). There were only 2 cases of congestive
       heart failure and 1 case of fatal cardiovascular collapse. ECG was
       abnormal in 86% cases and the main ECG findings were: sinus tachycardia
       (31%); low voltage of QRS complexes and abnormalities of T waves (31%
       and 38% respectively). CONCLUSION: Our results suggest that the clinical
       outline of African AIDS patients with cardiac manifestations are as
       follow: male or female, age 32, presenting pericardium tuberculosis with
       sinus tachycardia and abnormalitees of T waves. We consider such
       patients as a high risk group among our cardiac patients. And the policy
       implications of the study's findings is to hierarchize and minimize
       complementary tests cost wich are not routine tests at our hospital.
 DE    Acquired Immunodeficiency Syndrome/DIAGNOSIS/*PHYSIOPATHOLOGY
       Adolescence  Adult  Arrhythmia/DIAGNOSIS/*PHYSIOPATHOLOGY  AIDS-Related
       Opportunistic Infections/DIAGNOSIS/*PHYSIOPATHOLOGY  Child  Diagnosis,
       Differential  Electrocardiography  Female  Human  Male  Middle Age
       *Pericardium  Retrospective Studies  Tuberculosis,
       Cardiovascular/DIAGNOSIS/*PHYSIOPATHOLOGY  MEETING ABSTRACT

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