Vol 3, No 1 (1999)
Review paper
Published online: 2000-03-08
Diagnosis of Coronary Artery Disease in Hypertensive Patients
Tomasz Pasierski, Zygmunt Sadowski
Nadciśnienie tętnicze 1999;3(1):59-64.
Vol 3, No 1 (1999)
REVIEV
Published online: 2000-03-08
Abstract
Diagnosis of atherosclerotic coronary artery disease in hypertensive patients is often difficult. In hypertensive patients
angina may occur in the absence of significant coronary
artery stenosis because of coronary microangiopathy and
left ventricular hypertrophy. Results of exercise electrocardiographic stress test and Holter monitoring in hypertensive patients are frequently false positive. Left ventricular
ejection fraction evaluated by radionuclide ventriculography often does not increase during exercise in hypertensive
patients. Tomographic thallium-201 imaging is the excellent method of diagnosis of coronary artery disease, nevertheless in the presence of the left ventricular hypertrophy it
often causes false positive results. In hypertensive patients
with the symptoms of angina stress echocardiography (exercise or pharmacological) is highly accurate and significantly more specific method of diagnosis of coronary artery
disease than exercise electrocardiographic test, independ-
ently from the presence of left ventricular hypertrophy. The
choice of noninvasive method of diagnosis of coronary artery disease according to sex, age and chest pain category is
proposed.
Abstract
Diagnosis of atherosclerotic coronary artery disease in hypertensive patients is often difficult. In hypertensive patients
angina may occur in the absence of significant coronary
artery stenosis because of coronary microangiopathy and
left ventricular hypertrophy. Results of exercise electrocardiographic stress test and Holter monitoring in hypertensive patients are frequently false positive. Left ventricular
ejection fraction evaluated by radionuclide ventriculography often does not increase during exercise in hypertensive
patients. Tomographic thallium-201 imaging is the excellent method of diagnosis of coronary artery disease, nevertheless in the presence of the left ventricular hypertrophy it
often causes false positive results. In hypertensive patients
with the symptoms of angina stress echocardiography (exercise or pharmacological) is highly accurate and significantly more specific method of diagnosis of coronary artery
disease than exercise electrocardiographic test, independ-
ently from the presence of left ventricular hypertrophy. The
choice of noninvasive method of diagnosis of coronary artery disease according to sex, age and chest pain category is
proposed.
Keywords
arterial hypertension; coronary artery disease; stress echocardiography
Title
Diagnosis of Coronary Artery Disease in Hypertensive Patients
Journal
Arterial Hypertension
Issue
Vol 3, No 1 (1999)
Article type
Review paper
Pages
59-64
Published online
2000-03-08
Page views
602
Bibliographic record
Nadciśnienie tętnicze 1999;3(1):59-64.
Keywords
arterial hypertension
coronary artery disease
stress echocardiography
Authors
Tomasz Pasierski
Zygmunt Sadowski
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