DOI: 10.36347/sasjm.2020.v06i11.003

Pages: 220-223

High blood pressure or hypertension is a public health problem and a common comorbidity in patients with heart failure. It remains a cause of impaired diastolic function, increased afterload of the left ventricle and the progression of atherosclerotic lesions. In addition to myocardial dysfunction, various aggravating factors favor pulmonary edema. The aim of our work is to study the frequency of these factors in patients with acute heart failure with conserved systolic function. Echocardiography shows hypertrophic cardiomyopathy in 80 patients (40%), ischemic heart disease with a preserved ejection fraction in 40 patients (20%), and valvulopathy in 40 patients (20%). A dilated left atrium is identified in 115 patients (57.5%). The average ejection fraction quantified according to the Simpson biplane method is 60 ± 10%. A diastolic relaxation type defined by an Em / Am ratio of less than one with a deceleration time or TD of more than 150 ms is observed in 92 pts (46%. Hypertensive patients referred for pulmonary edema are often obese, dyslipidemic and smoking. They have echocardiography heart failure with a preserved ejection fraction. Poor prognostic factors are linked to acute renal failure. Rigorous monitoring of these patients with control of blood pressure figures is necessary.