Lack of increased left main coronary artery dimensions in hypertensive patients with left ventricular hypertrophy and coronary artery disease. An intracoronary ultrasound study

被引:0
作者
Vavuranakis, M [1 ]
Rigopoulos, A [1 ]
Vaina, S [1 ]
Chrysohoou, C [1 ]
Toutouzas, K [1 ]
Stamatopoulos, I [1 ]
Stefanadis, C [1 ]
机构
[1] Univ Athens, Hippokration Hosp, Dept Cardiol, Athens, Greece
关键词
intracoronary ultrasound; arterial hypertension; left ventriculor hypertrophy; left coronary main trunk;
D O I
10.2143/AC.59.4.2005205
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives - Left main coronary artery dimensions were evaluated in patients with and without arterial hypertension, in the presence of coronary artery disease, and correlated to left ventricular mass. Methods and results - Intracoronary ultrasound was performed in 25 patients (pts) with coronary artery disease and hypertension (+HTN) and in 25 pts; with coronary artery disease only (-HTN). Maximal left main dimensions and left ventricular mass index (LVMI) were measured. +HTN pts had greater LVMI compared to -HTN, (+HTN = 183 +/- 17 g/m(2) vs. -HTN = 82 +/- 22 g/m(2), p < 0.0001), while maximal left main vessel area was similar (25.99 +/- 5.01 mm(2) vs. 25.62 +/- 3.3 mm(2), p = 0.8). No correlation was found between LVMI and left main vessel area in +HTN. Conclusions - Pts with +HTN despite the increased LVMI do not manifest increased LM dimensions. This may affect mid-term clinical outcome.
引用
收藏
页码:397 / 403
页数:7
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