Abstract
Introduction: The objective of this study was to evaluate the epidemiological, diagnostic and therapeutic aspects of cardiogenic shock in children at the Albert Royer Children’s Hospital in Dakar. Methods: This was a retrospective, descriptive and analytical study from January 2020 to February 2021, including all children aged 2 months to 16 years hospitalised for cardiogenic shock diagnosed on the basis of clinical and ultrasound criteria. Results: During the study, 38 patients were hospitalised for cardiogenic shock. The hospital prevalence was 4.2%. The mean age of onset of shock was 64 months, and there was a predominance of females with a sex ratio of 1.92. Consanguinity was found in 42% of the patients. Consanguinity was found in 42% of patients. Infection was identified as a trigger for cardiogenic shock in 18 (52.9%) of our patients. The most common type of heart disease was rheumatic heart disease in 12 (32%) of the patients. The mortality rate was 65.8%. Conclusion: Cardiogenic shock is a diagnostic and therapeutic emergency. Its prevalence and mortality are still high in developing countries.
Highlights
The objective of this study was to evaluate the epidemiological, diagnostic and therapeutic aspects of cardiogenic shock in children at the Albert Royer Children’s Hospital in Dakar. This was a retrospective, descriptive and analytical study from January 2020 to February 2021, including all children aged 2 months to 16 years hospitalised for cardiogenic shock diagnosed on the basis of clinical and ultrasound criteria
We included all children aged 2 months to 16 years hospitalised for cardiogenic shock confirmed on the basis of clinical criteria such as: tachycardia, prolonged skin recolouration time, arterial hypotension associated with signs of heart failure and echographic criteria: alteration of the RF
Cardiogenic shock occurred in 23% of patients hospitalised for heart disease
Summary
The objective of this study was to evaluate the epidemiological, diagnostic and therapeutic aspects of cardiogenic shock in children at the Albert Royer Children’s Hospital in Dakar. Results: During the study, 38 patients were hospitalised for cardiogenic shock. In whom it represents the main cause of mortality of patients hospitalised for myocardial infarction, cardiogenic shock is much rarer in children [2]. Heart failure in paediatric populations is a major public health problem It is associated with high rates of hospitalisation, disability and mortality in high-income countries, but its burden is poorly documented in developing countries [4]. It is in this context that we conducted this study to evaluate the epidemiological, diagnostic and therapeutic aspects of cardiogenic shock in children
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