Role of Brown Adipose Tissues/Beige Adipose Tissue (BAT/bAT) relevant genes expression and polymorphism in regulating human body weight

Abstract

Fattah M, Fall AL, Bass I2 Faye PM, Thiongane A, Ba I, Sow A, and Ndiaye O

Introduction: Tetralogy of Fallot is the most common cyanogenic congenital heart disease. In sub-Saharan Africa, the incidence of the disease is unknown. Hospital studies show that it is the most common cyanogenic congenital heart disease. This heart disease, which varies in severity, has benefited from considerable medical progress over the last fifty years. The main objective of the work is to study management modalities of this heart disease in Senegal.

Method: This retrospective study conducted from first January 2010 to thirty-one December 2015 in the pediatric cardiology department of the Albert Royer National Children Hospital of Dakar (CHNEAR), involves 125 children diagnosed with tetralogy of Fallot.

Results: Tetralogy of Fallot accounted for 18.6% of congenital heart disease. Inbreeding and trisomy 21 were the main risk factors. Cyanosis was the main sign of disease discovery (33.2%) followed by anoxic malaise. Pulsed oxygen saturation averaged 70%. Severe acute malnutrition was detected in 21.8% of our patients. Ultrasound showed a regular pattern in 81 patients (64.8%) and an irregular pattern in 44 cases (35.2%). Modified Blalock surgery was performed in 16 patients (12.8%) and a surgical cure in 43 patients (34.4%). We reported 20 (16%) deaths in this series.

Conclusion: The results of our series show an improvement in the management of Fallot tetralogy in Senegal, but the data is insufficient. Effort must be made in the context of disease screening and early surgical management.

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