Diagnosis, Prevention, and Treatment of Hypertensive Heart Disease

Sorrentino, Matthew J.; Bakris, George L.

doi:10.1007/978-1-4471-4441-0_4

Cited by 1 publication

(1 citation statement)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…HTN is an important risk factor for the development of coronary artery disease; therefore, the development of chest pain in a patient with HTN is commonly ascribed to coronary atherosclerosis . As many as two thirds of individuals with HTN in the United States have suboptimal BP control either because of undertreatment or absence of treatment .…”

Section: Discussionmentioning

confidence: 99%

Inadequate Blood Pressure Control in Hypertensive Patients Referred for Cardiac Stress Test

Mousa¹,

Akinseye

Kerwin

2015

J of Clinical Hypertension

View full text Add to dashboard Cite

The current study examined the degree of blood pressure (BP) control and incidence of myocardial ischemia in hypertensive patients (n=2039) referred for cardiac stress test. Patients were categorized into well‐controlled (<140/90 mm Hg), poorly controlled (140–160/90–100 mm Hg), and very poorly controlled (>160/100 mm Hg) groups according to their resting BP. The mean age[±standard error of the mean] of the patients was 68±13 years, and 885 (43.4%) were men. The prevalence of well‐controlled hypertension (HTN) was 47.2%, poorly controlled HTN was 29.5%, and very poorly controlled HTN was 23.3%. Evidence of ischemia was seen in 19.8% and 19.3% of the well‐controlled and poorly controlled groups, respectively. The very poorly controlled group had the lowest incidence of ischemia (14.3%) (P<.05) compared with the other two groups. Symptoms that mimic ischemic heart disease in hypertensive patients may be partly explained by poorly controlled BP. Quality of care might be improved by optimally controlling BP in patients with angina symptoms prior to ordering diagnostic testing associated with radiation exposure and cost.

show abstract

Section: Discussionmentioning

confidence: 99%