Cardiogenic Shock: Epidemiological, Clinical and Management Aspects in the Cardiology Department of Chu Ignace Deen

Introduction: Cardiogenic shock is a frequent complication in cardiology, particularly in ischemic cardiomyopathy and advanced heart failure. The aim of our study was to describe the epidemiological, clinical and therapeutic aspects of cardiogenic shock at the Ignace Deen University Hospital in Conakry. Material and Method: This was a longitudinal descriptive study lasting 06 months, from December 1, 2023 to May 31, 2024, in the cardiology department of Ignace Deen Hospital, Conakry. Results: During the study period, 346 patients were admitted to the department, including 31 cases of cardiogenic shock (8.96%). The mean age of our patients was 65.6 ± 18.9 years. The sex ratio was 0.55. The most frequent underlying cardiopathies were ischemic heart disease (38.7%), hypertensive heart disease (22.58%) and dilated cardiomyopathy (16%). Treatment was based on dobutamine (94%) and noradrenaline (6%), while treatment of underlying heart disease was dominated by diuretics (56.3%) and anticoagulants (37.6%). Short-term prognosis was good in 83.87% of cases, and poor (death) in 16.12%. Conclusion: Cardiogenic shock is a frequent emergency in the cardiology department of the Hospital National Ignace Deen. Prevention requires screening and treatment of etiologies, in particular hypertension and coronary artery disease.