Acute coronary syndrome (ACS) is a syndrome consist of several coronary disease such as unstable angina pectoris (UAP), non-ST-elevation myocardial infarction (NSTEMI), and ST-elevation myocardial infarction (STEMI). ACS risk factors are devided into two main categories, the conventional risk factors and recently known atherothrombosisassociated risk factors. Hypertension is one of ACS major risk factors. This study aims to determine the Coherence of the stage of hypertension with the incidence of ACS in the CardiacInpatient Room Dustira Cimahi Hospital in 2018. This study was an analytical study with a cross-sectional method approach, the population in this study were all ACS patients that recorded in medical record, while the respondents were ACS patients with a history of hypertension recorded in medical record and treated at Dustira Cimahi Hospital with total 112 samples, by using systematic random sampling. Based on the research, there were 48 men patients (42.90%), while femen patients were 64 (57.10%). The average age of patients was 61.75 years old. Obtained from 19 people with normal-high blood pressure degree, 10 people (52.63%) were ACS-UAP, from 24 patients with first stage of hypertension as many as 15 people (62.50%) were ACS-UAP, from 29 patients with second stage of hypertension as many as 18 people (62.07%) were ACS NSTEMI, and from 40 patients with third stage of hypertension as many as 29 people (72.50%) were ACS STEMI. A p-value of 0.000 showed a significant Coherence between the stage of hypertension and the incidence of acute coronary syndrome at Dustira Hospital Cimahi in 2018.