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Objective: To evaluate the 24-hour Holter ECG recording in hypertensive heart disease. Methods: This was a descriptive and analytical cross-sectional study on files of patients with hypertensive heart disease, carried out from October 2016 to October 2019, in two health facilities in Lome (TOGO). Electrical left ventricular hypertrophy (LVH) was defined by the Sokolow-Lyon and Cornell indices. On echocardiography, the HVG according to the criteria of the American Society of Echocardiography, was the characteristic retained for a CH. Holter-ECG recordings were carried out over 24 hours by two Holter devices. Results: 107 patients were included, with a sex ratio of 1.89 (M / F). The mean age was 62.2 ± 12 years. The mean duration of the evolution of hypertension was 10.8 ± 9.1 years. On standard ECG, arrhythmias were more frequent (32.6%) with ACFA in 5.6% of cases. The prevalence of echocardiographic HVG was 74.8%, predominantly concentric, and was significantly found in hypertensive patients over 10 years of age. During the 24-hour Holter ECG recording, ACFA was the common arrhythmia (30%), episodic in 90.6% of cases and permanent 9.4% and was statistically associated with OG size, sex and age. The Holter ECG detected sustained ventricular tachycardia in 7 patients (6.5%). The Recording was normal 12.1% of the time. Conclusion: Hypertensive heart disease is the first of the cardiac complications of hypertension. The Holter ECG is a tool for the detection of fatal severe paroxysmal events that go unnoticed on the surface ECG such as AC/AF, sustained ventricular tachycardias.

Objectifs : Analyser les resultats a cours et moyen termes, identifier les problemes de prise en charge de l’hypertendu et proposer des mesures de prevention. Methode : Il s’est agi d’une etude prospective longitudinale effectuee dans l’unite de cardiologie de l’hopital secondaire de Be du 1er octobre au 30 septembre 2006. Ont ete inclus dans cette etude les malades hypertendus selon les nouvelles normes (JNCVII). Le traitement des donnees a ete informatise. Resultat : Notre etude nous avait permis de recenser 147 patients hypertendus sur 164 enregistres soit une prevalence de 89,63%. La prevalence en fonction du sexe donnait une predominance feminine avec un sex-ratio de 0,27. Les cephalees (65,39%), les palpitations (55,78%), les douleurs thoraciques (53,06%) ont ete les principaux motifs de consultation. L’alcoolisme (34%), la prise de cafe (29,9%) et l’obesite (29,3% etaient les facteurs de risques predominants ; 36,7% des patients etaient de pere hypertendu et 31,3% de mere hypertendue. 73,5% de nos patients etaient au stade 2 de la classification JNCVII, 72,8% avaient une pression pulsee superieure a 60 mmHg. Les patients obeses representaient de 36,7% et 38,1% avaient un surpoids. Tous les patients etaient mis sous regime demi-sale et 74,82% sous regime amaigrissant. Les medicaments essentiellement utilises ont ete les diuretiques (83,67%), les inhibiteurs de l’enzyme de conversion (75,51%), les beta bloquants (55,10%), les inhibiteurs calciques (37,41%), les antihypertenseurs centraux (9,52%). Le taux de participation etait de 93,88% a trois mois et de 63,27% a six mois. Les principales complications ont ete : cardiaques (49,5%), oculaires (12,9%), neurologiques (9,7%) et renales (6,5%). L’evolution etait favorable chez 39,9% des patients. Nous avions note 2,15% de deces. Conclusion : L’HTA est un reel probleme de sante publique au Togo. Le respect des mesures hygienodietetiques et la prise reguliere des medicaments antihypertenseurs pourraient reduire ce taux de letalite qui demeure eleve. Mais la prevention demeure l’arme la plus efficace. Mots cles : Hypertension arterielle, prise en charge, Togo. Objective: To analyse the results at short and long terms. To identify the problems of the take over of the hypertensive patients and to propose preventive measures. Methods: Il is about a retrospective study done in the cariological unit at (Hospital Secondaire Be). From 1st October 2006 to 30th September 2006; have been included in this study the hypertensive patients according to the new gages (JNCVII). The treatment of the out come is delta processed. Results: Our study have permitted us to gather 147 hypertensive patients on 164 registered or a prevalence of 89.63%. The prevalence in function of sex gave female predominance with a sex ratio of 0.27. The headache (65.39%), palpitation (55.78%) chest pains (53.06%) have been the principal reasons of consultation. The alcoholism (34%) the use of coffee (29.9%) and obesity (29.3%) were the predominance risk of factories, 36.7% of the patients were of a hypertensive fathers and 31,3% of hypertensive mothers. 73.5% of our patients were in 2 stage as classified by the JNCVII, 72.8% were having pulse pressure wore than 60 mmgh. The patients with obesity were representing 36.7% and 38.1% were having over weight. All the patients were on low salted diet and 74.82% on the essential medicines used have been the diuretics (83.67%), the inhibitors of conversion enzyme (75.51%), the beta - bloquants (55.10%), the central antihypertensive 9.52%. The level of participation were of 93.88% at 3 months and of 63.27% at six months. The principal complications have been cardiac (49.5%), sight (12.9%) neurological (9.7%) and renal (6.5%). The evolution was favourable with 39.9% of the patients. We have noted 2.15% of death. Conclussion: the arterial hypertensive is a real public health problem in Togo. The prevention is still the more efficient means. The obedience of the hygieno dietetic measures and the regular use of the antihypertensive drugs may reduce this level of letality which is still higt. Key words: Hypertensive, take over, Togo.

High blood pressure is a public health problem for which the assumption of responsibility remains especially difficult in older subjects. Generally, it is associated with other cardiovascular risk factors. The objective of this study is to determine the prevalence of high blood pressure in older subjects in a particular environment and to evaluate the cardiovascular risk among these patients.This is a longitudinal exploratory study undertaken on 1485 hypertensive subjects of 50 years of age or older, selected from 1999 patients received in three health professional training centers of the community of Lomé, between June 1, 2004 and June 30, 2007. Information had been collected using a card of investigation. Classifications of high blood pressure were those of the JVCVII and the European Society of Cardiology. The data analysis had been made by computer tools.The prevalence high blood pressure was of 74.29%. We had noted a female prevalence (63.8%) with a sex ratio of 0,57 and one middle age of 62.08±9.3 years. Dyspnea (45.9%), chest pains (16.2%) and palpitations (13.2%) were the principal found symptoms. The various listed risk factors were: dyslipidemia (58.1%), obesity (36.12%), alcoholism (16.7%) and diabetes (10.6%). The complications were cardiac (87.81%), ocular (79.8%), renal (19.86%), neurological (4.92%) and arterial (0.99%). The cardiovascular risk was very high at 58.05% of the patients. The mortality rate was of 1.9%.High blood pressure is the most frequent cardiovascular risk factor in our country from 50 years of age. Assumption of responsibility for it is by information, education of the population and requires the mobilization of all the social components.