This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Prisant, L. M. Articles by Abdulla, A. M. Search for Related Content PubMed PubMed Citation Articles by Prisant, L. M. Articles by Abdulla, A. M.

Hypertension, Vol 10, 467-472, Copyright © 1987 by American Heart Association

ARTICLES

How can we diagnose coronary heart disease in hypertensive patients?

LM Prisant, MJ Frank, AA Carr, TW von Dohlen and AM Abdulla
Department of Medicine, Medical College of Georgia, Augusta.

Chest pain is a common complaint among hypertensive patients. Hypertension and coronary heart disease each may present with symptoms and signs that are clinically indistinguishable. Noninvasive testing by routine exercise stress testing and stress radionuclide angiography are not reliably predictive of ischemia resulting from obstructive epicardial coronary artery disease and should be abandoned for that diagnostic purpose. Noninvasive thallium-201 myocardial perfusion imaging for this purpose may prove to be a valuable tool, avoiding the risk and expense of coronary arteriography. However, carefully performed prospective studies are not available. Because of the high prevalence of both diseases, a high priority must be given to obtaining these data and evaluating other noninvasive methods (especially positron emission tomography) if they appear promising.

This article has been cited by other articles:

				T. D. Miller, T. F. Christian, T. G. Allison, R. W. Squires, D. O. Hodge, and R. J. Gibbons Is Rest or Exercise Hypertension a Cause of a False-Positive Exercise Test?* Chest, January 1, 2000; 117(1): 226 - 232. [Abstract] [Full Text] [PDF]

				G. Fragasso, C. Lu, P. Dabrowski, P. Pagnotta, I. Sheiban, and S. L. Chierchia Comparison of stress/rest myocardial perfusion tomography, dipyridamole and dobutamine stress echocardiography for the detection of coronary disease in hypertensive patients with chest pain and positive exercise test J. Am. Coll. Cardiol., August 1, 1999; 34(2): 441 - 447. [Abstract] [Full Text] [PDF]

				P. M. Okin, M. J. Roman, J. E. Schwartz, T. G. Pickering, and R. B. Devereux Relation of Exercise-Induced Myocardial Ischemia to Cardiac and Carotid Structure Hypertension, December 1, 1997; 30(6): 1382 - 1388. [Abstract] [Full Text]