[Proteinuria in hypertensive patients in the cardiology department of the Gabriel TOURE University Hospital].

OBJECTIVE

This study aimed to describe epidemiological, clinical, and biological aspects of proteinuria in hypertensive patients in the cardiology department of the Gabriel Touré University Hospital in Bamako.

METHODS

A cross-sectional descriptive study conducted from January to December 2007 in the cardiology department of the Gabriel Touré University Hospital.

RESULTS

A total of 114 subjects were included (60 men and 54 women) with a mean age of 57 years, the sex ratio was 1.11. In the hypertensive population, stage 1 to 2 chronic renal failure was found in 12.9% (114/880). Patients under 60 years of age were more frequently affected with 61.5%. Proteinuria was found in 37 among 114 patients in chronic renal failure (32.5%). Proteinuria frequency in the general hypertensive population was 4.2% (37/880). Microalbuminuria was predominant compared to macro-albuminuria: 25.5% versus 7%. Dyspnea (38.6%) and headache (36.8%) were the main symptoms of hypertension. Renal ultrasound was abnormal in 14.1% with a predominance of stage 0 (76%), stages 1 and 2 each accounted for 7%.

CONCLUSIONS

Proteinuria is a biological anomaly frequently associated with hypertension. His research is required when renal impairment is associated with hypertension. Its discovery in hypertension significantly changes the management strategy of this affection.