Cardio-Renal Syndrome: Experience of A Nephrology and Cardiology Department in Senegal In West Africa

Abstract

Kane Yaya, BA AW Mamadou, Faye Maria, DIENG Ameth, BA Bacary, KEITA Niakhaleene2, NDIAYE Babacar, NDONGO Modou, SY Abou, SARR Ibrahima, FAYE Moustapha, LEMRABOTT Ahmed Tall and KA EL Hadji Fary

Introduction: Cardio-renal syndrome (CRS) is a complex physio pathological entity affecting the heart and kidneys in which acute or chronic dysfunction of one organ can lead to acute or chronic dysfunction of the other organ. The objective of this work was to evaluate the profiles of patients with cardio-renal syndrome in the nephrology and cardiology departments of the Aristide Le Dantec Hospital (HALD) in Dakar.

Patients and Methods: This were a prospective descriptive and analytical study over a period of 6 months. This study included any patient seen in consultation or hospitalized in the nephrology and cardiology departments and presenting with cardio-renal syndrome.

Results: The hospital prevalence of CRS was 19.18%. The average age of the patients was 62.128 ± 16.27 years with a sex ratio of 1.54. Forty-three patients (37%) had type 1 CRS; 30 patients (26%) had type 5 CRS; 28 patients (23%) had type 2 CRS; 8 patients had type 3 and type 4 CRS (7% each). The etiologies were dominated by decompensated heart failure (42%) for type 1, ischemic heart disease for type 2, acute lung edema (50%) for type3, nephroangiosclerosis (62%) for type 4 and hypertension (66%) for type 5.

Conclusion: Cardio renal syndromes are common in cardiological and nephrological hospitalizations and remain underdiagnosed.

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