Comparing Echocardiograms of Haitian and non-Haitian Stroke Patients

J Health Care Poor Underserved. 2022;33(1):349-355. doi: 10.1353/hpu.2022.0025.

Abstract

Introduction: Haitian stroke patients had higher diastolic and mean arterial blood pressures, compared with non-Haitian controls. Therefore, we hypothesized that Haitians would have a higher prevalence of left ventricular hypertrophy and decreased ejection fraction.

Methods: Using the Haitian Stroke Database, a cohort study was conducted. The following transthoracic echocardiographic parameters of 52 Haitians and 111 non-Haitians were compared: left ventricular hypertrophy; ejection fraction; right and left ventricular internal dimension at diastole; and left atrial size.

Results: Left ventricular hypertrophy and decreased ejection fraction were more prevalent among Haitians (78% vs. 63%; p=.062 and 21% vs. 13%; p=.173, respectively). Neither reached statistical significance. Left atrial enlargement was significantly more prevalent among non-Haitians (36% vs 15%; p=.007).

Conclusions: Left ventricular hypertrophy and decreased ejection fraction were more prevalent in Haitians, but neither finding reached statistical significance. Larger samples are needed for further understanding of stroke comorbidities in Haitians.

MeSH terms

  • Cohort Studies
  • Echocardiography* / methods
  • Haiti / epidemiology
  • Humans
  • Stroke Volume / physiology
  • Stroke* / diagnostic imaging
  • Stroke* / epidemiology