051 The epidemiological and therapeutic profile of Moroccan woman coronary disease (Series of 264 Patients)

Abstract

The cardiovascular risk in women increases with age to join the cardiovascular risk in men; it is the leading cause of mortality. In Morocco as in developing countries the coronary artery disease in women is increasing and its management remains inadequate. We report a retrospective study conducted at the cardiology center at the University Hospital IBN Rochd of Casablanca in Morocco from January 1, 2008 to January 1, 2010, this study concerned 264 patients. Women represent 31.8% of all coronary managed in the service, their mean age was 62.3 years, 70% postmenopausal, 46% hypertensive, 30% diabetic, 14% had renal failure at the stage of hemodialysis, and 10% have already done an ischemic stroke. 67% of our patients had an LV EF ≥50%. 48.97% were thrombolysis H12 before the pain. 16% had complete revascularization with 4.77% in the acute phase, 78 angioplasty were performed with 15-eluting stents. The female population coronary presents real differences with the male population with a poorer prognosis even after an invasive procedure. Several reasons are advanced to explain this difference: higher average age, the higher proportion of diabetics and the diameter of coronary vessels smaller in the female population. In our Moroccan context the coronary artery disease in women is indeed very common but remains under diagnosed and under treated because of the non-Public Education and interventional cardiology centers that do not cover the entire territory of Morocco.