Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 1 de 1
Filtrar
Adicionar filtros








Intervalo de ano
1.
Medical Journal of Cairo University [The]. 2004; 72 (1 Suppl.): 145-152
em Inglês | IMEMR | ID: emr-204544

RESUMO

Background: Epidemiological evidence suggests that hypertensive patients with LVH are at risk of all manifestations of CAD. Recent interest focused on symptom-free hypertensive patients with LVH, since silent myocardial ischemia [SMI] perse, comprises an increased risk for cardiovascular morbidity and mortality


Aim of the Study: To assess the inicdnece of silent myocardial ischemia in hypertensive patients with LVH


Patients and Methods: Seventy five patients with systemic hypertension had been subdivided into two main groups: Group I [hypertensive with LVH 52/75] and group II [hypertensive without LVH 23/75]. All patients were subjected to: clinical assessment, non-invasive assessment [resting. ECG, ambulatory holter, exercise thallium] and invasive assessment [coronary angiography]


Results: Group I revealed two main subgroups: one subgroup with no evidence of myocardial ischemia by etither non-invasive or invasive tests [11/52] [group IA] and second group [IB] with positive non-invasive tests for myocardial ischemia [41/52]. However, 6/41 cases showed normal coronaries [IB1] and 35/41 showed CAD [IB2]. On the other hand, group II revealed negative both noninvasive and invasive tests for ischemia


Conclusion: Positive stress thallium test in hypertensive patients with LVH is an indication of myocardial ischemia even with normal coronary angiography. Patients of group IB1 explains ECG findings with strain

SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA