Arterial hypertension (HTN) is a major risk factors for the development of myocardial ischemia
and infarction. The aim of this work Is to study & compare the distribution and severity of coronary
obstructive lesions in hypertensive compared to normotensive patients (pts with established coronary
artery disease CAD) documented by coronary angiography.
Results:
Both groups were similar as regard the age. Incidence of diabetes, of dyslipidemia. Single vessel
disease was common in Group I (66%) than in Group II (43%) NO.05. While two & three vessels
diseases were more encountered in Group II. Both•Groups were similar as regard anatomic vascular
affection (e.g., LAD, CX &RCA proximal and mid lesions). However, significant lesions affecting distal
coronary vessels were more common in Group 11 (11%) than In Group 1(2%) NO.05. TIMI flow collateral
flow grading, % stenosis and left ventricular EF were not different in both groups.
•
Conclusions:
The association between HTN and C increases the likelihood of muldvessels disease as well as dIstalsoronary affection. However, it has little if any impaction on the severity of stenosis. TIM! flow.
Collateral flow grading or left ventricular EF.
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