Cardiovascular diseases actually are a real public health concern all over the world and more specifically in the developing countries. The aim of this study was to analyze the causes and factors associated to deaths due to cardiovascular diseases in medicine and medical emergencies departments at the Regional Hospital (RH) of Koudougou to contribute to treatment improvement. This study was a retrospective and descriptive study conducted over a period of 12 months from January 1st 2014 to

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... er 31st, 2014. This study took place in medicine and medical emergencies departments within the Regional Hospital of Koudougou. We have recorded 282 deceased persons. We have selected 275 deceased persons according to our inclusion criteria. Deaths due to cardiovascular pathologies accounted for 73 cases corresponding to 26.55%. Sex ratio was estimated at 1.8. Patients' average age was estimated at 62 ± 17.6 years. Forty patients corresponding to 54.8% were referred and 80% of them came from health and social promotion centers. Strokes representing 32.8% were the hypotheses mentioned upon admission. State of shock represented 32.8% of the immediate causes of death. Sixty-four point four percent of patients had high blood pressure as the most frequent initial death cause (47 cases).Thirty five cases of premature deaths, corresponding to 47.9% were observed. Cardiovascular diseases are a real public health concern in our countries undergoing an epidemiological transition. Mortality related to these diseases in Koudougou RH has been widely dominated by high blood pressure. This mortality can be reduced through preventive actions meant for the population including a reorganization of health system and hospital services to improve care quality.