- 作者：Thouraya Ben Salem ; bensalemthouraya@yahoo.fr" class="auth_mail" title="E-mail the corresponding author ; Molka Tougorti ; Nabil Belfeki ; Maria Khatib ; Mounir Lamloum ; Imed Ben Ghorbel ; Mohamed Habib Houman
- 刊名：Archives of Cardiovascular Diseases Supplements
- 出版年：2016
- 出版时间：January 2016
- 年：2016
- 卷：8
- 期：1
- 页码：84
- 全文大小：161 K
Patients and Methods
Retrospective study of patients with TA (American College of Rheumatology criteria) admitted in an internal medicine department from 1992 to 2015.
Results
Forty three patients were identified. Sex ratio M/F was 0.16. Mean age of Takayasu first manifestation was 36.2 years. Eleven patients complained of chest pain and 76.74% of intermittent limb claudicating (upper and lower limbs). 35 patients had pulse disturbance mainly radial pulse (n=28) and 23 patients had artery hypertension. Vascular murmur was noted in 62.79% of cases. Aortic murmur was systolic in 6 cases and diastolic in 3 cases (aortic valve regurgitation). Electrocardiogram showed abnormalities in 9 cases: 1 right bundle branch block, 2 complete left bundle branch block, 3 left ventricular hypertrophy, 2 atrial fibrillation and T negative wave from V3 to V6. Biological inflammatory syndrome was found in 32 patients. Aortic arch, its branches (n=33) and left supra clavicular artery (n=24) were the most common involvements. Thirty-three patients received corticosteroids and 13 had immunosuppressant drugs. Eighteen patients received antiplatelet agents and 6 underwent surgery. Angioplasty was performed in 5 patients. Outcome was good in 14% of cases. Three patients died (stroke).
Conclusion
Our study confirmed the female predominance and the frequency of hypertension. These results are common to the North African data previously published and confirm the particularity of TA in our region, which is different from the Asian one.