Coronary involvement in hypertensive patients. Clinical and imaging correlation

Abstract

Introduction: Hypertention is a long term medical problem in wich the blood pressure is persistently elevated. Usually, high blood pressure does not cause symptoms, but long term hypertension is an important risk factor for coronary artery disease. Materials and methods: A retrospective study was performed regarding to the period between september 2015 and february 2016 at Emergency Institute for Cardiovascular Diseases and Transplantation in Targu Mures, to assess coronary artery involvement in hypertensive patients. The study included a total number of 283 patients, males and females, with hypertension and coronarography intervention. Discussion results: From the total of 283 patients, it can be observed a predomination of male patients (67,1%) and the mean age is 62,41 years and the standard deviation is 9,039. The study reveals that the degree of coronary disease is increased in patients with severe stages of hypertension and diabetes. In patient with stage one of hypertension only 3,18% presented coronary disease, while in patients with second stage of hypertension the percentage is 53% and 15,5% in patients with third stage of hypertension, counting a total of 71,68% hypertensive patients with coronary artery disease. In the study we identified 74 cases of patients with hypertention and diabetes, in wich 89,1% have coronary disease. Conclusion: Patients with hypertention have a higher risk for developing coronary disease and we can say that this risk increases further in the case of patients with diabetes.