Spectrum of Heart Diseases at a referral tertiary care hospital in
Somalia, Mogadishu: An echocardiographic study
Abstract
Objective: To investigate the frequencies and patterns of cardiovascular
diseases (CVD), assessed by echocardiographic examinations in Mogadishu,
the capital of Somalia. Material and Methods: This retrospective,
descriptive registry reviewed the pathological echocardiographic
findings of 1140 patients aged 0-100 years who were admitted to the
cardiology outpatient clinic in a tertiary training hospital in
Mogadishu. Results: Out of the 6782 patients reviewed, 1140 patients who
met the inclusion criteria were enrolled in the study. Hypertensive
heart disease (HHD) (39.8%) and degenerative valvular disease (34.6%)
were the most common comorbidities. Congenital heart diseases (CHD)were
detected in 13.2% of the patients, with the most common ones including
atrial septal defect (ASD) (3.2%) and ventricular septal defect (VSD)
(2.3%). Rheumatic heart disease (RHD) was detected in 84 (7.4%)
patients, among whom the most common age range was 21-30 years (28.6%),
followed by 31-40 years (25%) and 11-20 years (19.1%). Conclusion: In
the present study, we found that HHD was the most common comorbidity
(39.8%), followed by degenerative valvular disease (34.6%), HFrEF
(%30.8), and IHD (24.4%). Moreover, the most common valvular disease
was mitral insufficiency (47.5%) and the most common CHD was
ASD(3.2%).