Key result
Obstructive CAD most commonly affects the LAD in ~46% of symptomatic hypertensive patients undergoing angiography.
Why the study?
The angiographic patterns among symptomatic patients with essential hypertension were not well characterized.
Observational (n=100)
No
In symptomatic patients with essential hypertension undergoing coronary angiography, the left anterior descending artery is the most commonly involved vessel (58%), with 19% having triple vessel disease.
Essential hypertension is a common risk factor for ischemic heart disease. So the Objective of the present study was to find the different angiographic pattern among the symptomatic patients having essential hypertension. A total of 100 symptomatic patients with essential hypertension were evaluated in a one year period by coronary angiography (CAG) in a tertiary care hospital of Chittagong, Bangladesh. Standard protocol and procedure were followed during doing CAG. All data were compiled and were analyzed by SPSS-20. Among 95 patients evaluated male were more 76 (80%) and male to female ratio was 4:1. Most of the patients were involved in service 55(57%). Among all 77(81%) patients were at age group <60 years. Regarding risk factor analysis 39 (41%) patients had DM, 18 (19%) patients had different kinds of dyslipidemia, 66 (69%) patients had hypertension and 25(26.5%) were smoker. Angiographic study revealed 9(9.2%) had involvement of LMCA, 56(58%) had LAD, 29(30%) had LCX, 31(32%) RCA and 18(19%) patients had triple vessel disease. ETT is be a valuable screening tool before doing invasive CAG in our setting.Medicine Today 2017 Vol.29(1): 32-34
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Ikbal et al. (2017) conducted an observational in Essential hypertension with ischemic heart disease symptoms (n=100). Essential hypertension was evaluated on Coronary angiographic findings (vessel involvement). Among symptomatic patients with essential hypertension undergoing coronary angiography, obstructive coronary artery disease was most common in the left anterior descending artery (46%).
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