PROGNOSIS OF ESSENTIAL-HYPERTENSION RUNNING WITH CORONARY INSUFFICIENCY

The analysis of 3-year follow-up and treatment of 33 and 113 hypertensive subjects without and with coronary insufficiency, respectively, suggested the conclusion on an independent role of left ventricular hypertrophy as a risk factor of cardiac complications in hypertensive patients either with or without coronary insufficiency. A high risk of cardial complications can be expected in hypertensive patients without coronary insufficiency, but with systolic pressure above 200 mm Hg, thickness of the left ventricular posterior wall more than 1.3 cm, % DELTAS under 40. In the presence of coronary insufficiency hypertensive subjects have a high risk of the complications in case of stroke output over 50 ml, sigma(max) over 340 10(3) din/cm2, left ventricular myocardial mass over 220 g, history of myocardial infarction. No significant correlation was found between arterial pressure reduction due to antihypertensive treatment and development of cardial complications.