DOI: 10.36347/sasjm.2020.v06i02.010

Pages: 67-75

Coronary artery disease is one of the main causes of morbidity and mortality in our country; it is a cardiovascular emergency that must be globally and early managed. Goals: evaluate diastolic function in acute coronary syndrome. Analyze the modifying factors of its alteration, comparing two groups’ one with altered diastolic function and the other with normal diastolic function. Material and methods: Prospective descriptive analytic study on a number of 50 patients admitted for acute coronary syndrome to the cardiology department of Mohammed VI Hospital in Marrakech. Results: The age of patients is between 40 and 85 years old with an average of 62.02 years. 66% of the patients are men. 54% of patients are smokers, 46% are diabetic, 42% are obese, 26% are hypertensive and 24% have dyslipidemia. At admission 92% of patients had chest pain. At echocardiography, diastolic dysfunction was reported in 68% with elevated filling pressure of the left ventricle in 10%. We found an association between diastolic dysfunction and dyslipidemia, the number of arteries with coronary angiography and the timing of the admission. Conclusion: Diastolic dysfunction was common in our population of coronary acute syndrome, hence the interest of an early echocardiographic assessment adapted to any coronary patient.