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Few studies have been conducted on hypertension among youth in Mali hence the interest of our study aimed to clarify certain aspects what are not taken account yet in previous studies. Objective: Determine the clinical and para-clinical characteristics of hypertension among 18 to 35 years old young people. Methods: This cross-sectional and retrospective study of 24 months from January 1st, 2009 to December 31st, 2010 in the cardiology department of the Gabriel Toure UTH. Results: We identified 132 cases during the study period out of 2146 cases of hypertension with a prevalence of 6.1%. The female gender represented 81.8%, with a sex ratio of 45.59, 1% of patients had an unknown family history of hypertension. The age group of 31 to 35 years accounted for 43.9%. The circumstances of discovery were dominated by exertional dyspnea (37.9%). Body mass index was normal in 45.5% of patients. The higher BMI was more common in female patients with 39.39% (p = 0.045). In the sample,53% of patients had a systolic blood pressure between 140 and 159 mmHg and 38.6% had diastolic blood pressure ≥ 110 mmHg with no significant difference (p > 0.5). The high creatinine level was found in 18.18% of our patients. The ECG found 84.6% of left ventricular hypertrophy among cavitary hypertrophies. The echocardiography has found cavitary dilatation in 40.04% of cases; it concerned the left ventricle in 25.71%. Also 18.57% of our patients had impaired left ventricular systolic function. Among the complications found in our patients, kidney failure led with 56%. Conclusion: Hypertension is not a rare event among young population even with a normal body mass index. It is often discovered during complications that can be dreadful.

Hypertension (Htn) among Young People of 18 to 35 Years Old in Cardiology Department of Gabriel Toure University Teaching Hospital