%0 Journal Article
%T Contribution of Stress Testing to the Management of Ischemic Heart Disease in Mali
%A Youssouf Camara
%A Hamidou Oumar Ba
%A Ibrahima Sangar¨¦
%A Boubacar Sonfo
%A Coumba Adiaratou Thiam
%A Mahamadou S¨¦kou Diakit¨¦
%A Koniba Diarra
%A Karamba Tour¨¦
%A Massama Konat¨¦
%A Ichaka Menta
%J World Journal of Cardiovascular Diseases
%P 77-87
%@ 2164-5337
%D 2024
%I Scientific Research Publishing
%R 10.4236/wjcd.2024.142007
%X <strong>Introduction:</strong> <span><span><span style=\"font-family:;\" \"=\"\">Exercise stress testing (on </span></span></span><span><span><span style=\"font-family:;\" \"=\"\">a </span></span></span><span><span><span style=\"font-family:;\" \"=\"\">treadmill
or ergometer bicycle) is an important test in cardiology for diagnosing
myocardial ischemia. This test in Mali is still in its beginning compared to
other countries in the sub</span></span></span><span><span><span style=\"font-family:;\" \"=\"\">-</span></span></span><span><span><span style=\"font-family:;\" \"=\"\">region. The lack of data in Mali prompted this study, which aimed to
evaluate the indications of this activity and its diagnostic contribution to
cardiology in Mali.<b> Materials and Methods:</b> This was a retrospective,
descriptive study. The study was conducted at the ˇ°TOUCAMˇ± medical clinic in
Kati based on the analysis of stress test reports between January 2016 and
August 2022.<b> Result:</b> During the study period, we documented 73 patients
who underwent exercise testing on a bicycle ergometer for suspected coronary
heart disease. The mean age of our patients was 47.5 ˇŔ 13.8 years (14 and 79
years). Males accounted for the majority (78.1%). The sex ratio is 3.5. More
than half of our patients were overweight or obese (77.1%). Hypertension and
diabetes affected 52.1% and 25.8% of patients, respectively. 20.8% of patients
had coronary artery disease. renin-angiotensin-aldosterone system blockers
(56.8%) and beta-<span>blockers (51.3%). The main
indications were chest pain (63.0%) and ische</span>mia detection (15.1%). A
modified STEEP protocol was used. The majority of our patients (71.2%) achieved
at least 85% of their maximum theoretical heart rate. The main reason for</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> the</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> termination of the study was fatigue (57.3%). The average duration was
11.3 </span></span></span><span><span><span style=\"font-family:;\" \"=\"\">ˇŔ<span> 4.2 minutes. 24.7% thought the stress tests
were positive and 17.8% thought they were controversial.<b> Conclusion:</b> This study demonstrates the importance of stress testing in the diagnosis and
treatment of ischemic heart disease, especially in settings where we have very
limited access to coronary angiography.</span></span></span></span>
%K Stress Test
%K Ischemic Heart Disease
%K Mali
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=131499