Key result
Stress echocardiography provides a highly sensitive and specific tool for identifying coronary stenosis in hypertensive patients, though the long-term benefits of blood pressure lowering in stable CAD remain uncertain.
Population
Patients with stable coronary artery disease and systemic hypertension
Design
Review
Authors
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May refine noninvasive CAD evaluation in hypertension; leaves open optimal BP targets in stable disease.
This review highlights the efficacy of renin-angiotensin system blockers combined with amlodipine for secondary prevention in stable CAD with hypertension, while noting the lack of evidence for routine long-term beta-blocker use in the absence of systolic dysfunction or recent MI.
Pedrinelli et al. (2013) conducted a review in Hypertension and stable coronary artery disease. Antihypertensive treatment and non-invasive stress testing was evaluated. Stress echocardiography provides a highly sensitive and specific tool for identifying coronary stenosis in hypertensive patients, though the long-term benefits of blood pressure lowering in stable CAD remain uncertain.
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