DOI: 10.36347/sasjm.2020.v06i01.006

Pages: 15-19

High blood pressure (hypertension) is a major cardiovascular risk factor and a public health problem in our country. Its implication in the occurrence of coronary disease is well established. However, there is a lack of recommendations that specify which patients should be screened for coronary artery disease. The aim of our study is to determine the predictive factors for the occurrence of coronary disease in the hypertensive population. This study took place over a 12-months period from November 2016 to November 2017, at the ERRAZI hospital in the CHU MOHAMMED VI cardiology department. The recruitment of patients was done from the volunteers of the patients of the service and the consultation. During this period, we identified 300 hypertensive patients, including 200 non-coronary patients and 100 coronary patients. For each patient, an interrogation, a clinical examination and an ECG were performed. Our data were studied first by a bivariate analysis and then the significant variables were finalized by a multivariate analysis. The results of our study showed a significant correlation between the occurrences of coronary disease in hypertensive patients: positive urine test strip, smoking, diabetes, male sex, hypertension duration and non-compliance therapeutic. Thus, we propose screening for coronary heart disease in mostly sedentary and / or smoking hypertensive patients and supplementing this work with other studies to establish a score to calculate the risk of occurrence of coronary heart disease in patients with high blood pressure.