Orthostatic Hypertension in the Cardiology Department of the University Hospital Gabriel Toure

Introduction: Orthostatic hypertension (OHTN) is an aspect of high blood pressure.It is poorly understood and needs to be targeted.

Objective: To determine the prevalence of OHTNin the cardiology department of the University Hospital Gabriel Touré (UH-GT).

Method: It concerned all outpatients seen in the cardiology department during the study period, consenting to participate in the study and who were also able to last a 5-min stand-up.

Results: Only 1.3% of our patients had systolic OHTN, 20% of patients had a diastolic OHTN from the orthostatism. The sex ratio Male:Female was 1 for systolic OHTN and 0.52 for diastolic OHTN with 65.6%. Males represented about 62.5% of systolic OHTNwhile females predominated in diastolic OHTN with 59.7%. Also the 50-69 age group predominated with 50 and 44.4% respectively for systolic and diastolic orthostatic hypertension.For the diagnosis, hypertension was widely represented with 83.3% during systolic OH and 58% during diastolic OH. High blood pressure (HBP) was largely represented with 75% during systolic OH and 76.4% during diastolic OH. Calcium inhibitor (CCB) + angiotensin converting enzyme Inhibitor (ACE-I) + and diuretic (D) with 3.3% were the most prescribed drugs during OHTN with p = 0.024.

Conclusion: Our study allowed us to affirm that doubt is no longer allowed on the importance of OHTN. Further studies are needed for a better understanding of this phenomenon most often associated with hypertension.

Keywords: O H, HBP, cardiology, Bamako.