Author(s)

Sidibé Samba^1,2,3*, Toure Mamadou^1,3,4, Konate Massama^3,5, Sankaré Hamma¹, Traoré Ousmane¹, Mahamat Guire Sadik¹, Diall Mahan Ameri¹, Dicko Bahaide², Daffe Sanoussy¹, Keita Asmaou^2,3, Thiam Coumba Adiaratou^1,3, Diarra Soumaila¹, Menta Ichaka^3,4

¹Cardiology Department, CHU-Mère Enfant, Bamako, Mali.
²Cardiology Department, CHU-Point G, Bamako, Mali.
³Faculty of Medicine, University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali.
⁴Cardiology Department, CHU-Gabriel Touré, Bamako, Mali.
⁵Cardiology Department, Mali Hospital, Bamako, Mali.

Introduction: Cardiac catheterisation plays a fundamental role in the management of acute coronary syndrome. These explorations require heavy, complex and costly equipment and a large team of doctors, nurses and technicians with highly specialized training. Aims: To describe epidemiological, clinical and coronary angiography aspects of patients with acute coronary syndrome. Patients and Methods: Descriptive study from September 2019 to December 2023 in the Cardiology Department of the Hôpital Mère-Enfant of Bamako. Inclusion criteria were patients admitted for coronary angiography with the diagnosis of acute coronary syndrome. Results: During the study period, 1253 patients underwent coronary angiography, 596 of whom had acute coronary syndrome as an indication, representing a hospital frequency of 47%. Sex-ratio was 2.10. Mean age of patients was 58.5 ± 11.39 years. ST elevation acute coronary syndrome was the most common indication with 63.92% of cases. High blood pressure was the main cardiovascular risk factor with 58.7% of cases, and radial access approach was used in 98% of cases. Coronary angiography was pathological in 91.70% of cases (n = 548). Patients with lesions of anterior interventricular artery were 73.73% of cases. Tritruncal lesions accounted for 40.63% of cases. Conclusion: ST elevation acute coronary syndrome is the most frequent manifestation of acute coronary syndrome. Anterior interventricular artery is most often the culprit lesion for our patients.

Coronary Angiography, Acute Coronary Syndrome, Bamako, Mali

Samba, S. , Mamadou, T. , Massama, K. , Hamma, S. , Ousmane, T. , Sadik, M. , Ameri, D. , Bahaide, D. , Sanoussy, D. , Asmaou, K. , Adiaratou, T. , Soumaila, D. and Ichaka, M. (2024) Epidemiological, Clinical and Coronary Angiography Aspects of Acute Coronary Syndrome in the Cardiology Department of the Hospital Mother-Child “Le Luxembourg” Mali. World Journal of Cardiovascular Diseases, 14, 228-233. doi: 10.4236/wjcd.2024.144018.