Objectives: Determine the prevalence of heart diseases in intensive care and the different risk factors. Material and method : we conducted a retrospective study on a sample of 84 hospitalized patient files from January 2011 to January 2013 at CHU- Sylvanus Olympio de Lomé has been realized. Results: In total, the average age of our patients was 51 years old. The sex ratio was at 1.21. The most common heart diseases were hypertensive and dilated at 38.09% each. Other diagnoses retained focused on: Left heart failure, the PAO cardiogenic on HTA push, decompensated cardiomyopathy and hypertensive. Risk factors were: alcoholism (73.5%), hypertension (61.91%). In our study 54.76% of patients were kept more than two (02) weeks. Among our patients 64.29% came out of their health favorably. Conclusion: Cardiomyopathies meet at all ages. The risk of occurrence was very high in patients and depends on the patient's predisposition and eating habits.