Wpływ nadciśnienia tętniczego na przebieg angioplastyki tętnic wieńcowych Impact of arterial hypertension on the coronary angioplasty procedure

Content Provider	Semantic Scholar
Author	Cardiol, Folia Sukiennik, Adam Bojarski, Grzegorz Jachalska, Anna Kubica, Aldona Bogdan, Maria Kopaczewski, Jerzy Raczak, Grzegorz Kubica, Jacek
Copyright Year	2005
Abstract	Background: The aim of the study was to comparatively analyse of two populations of patients with and without arterial hypertension, suffering from coronary artery disease, treated with percutaneous coronary interventions (PCI). A number of factors which may determine the difficulty of the procedure were assessed in both analyzed groups. Material and methods: Results of percutaneous coronary interventions in a group of 1000 patients were analysed. We investigated: the technique of coronary angioplasty, balloon and stent expenditure, revascularization range, time of exposure to X-rays and contrast agent use. Results: No statistically significant differences were found between the two analyzed groups of patients treated with classical balloon angioplasty. However such differences were observed between percentage of normotensives vs. hypertensives, which were subjected to coronary angioplasty with one stent implantation (67.99% and 77.16% respectively) and multiple proce- dure with implantation of at least 2 stents (2.48% and 0.76% respectively). Significantly higher number of balloons used in the hypertensive group than in a group with normal blood pressure was found (1.099 and 0.985 respectively). Stent expenditure in both analyzed patient groups was similar. Percentage of anatomically complete coronary revascularization was sig- nificantly higher in the normotensive group in comparison to hypertensive patients (30.71% and 24.75% respectively). Longer exposure to ionizing radiation was observed in hypertensive patients than in the other group (mean ± standard deviation, 10.29 ± 6.69 min and 9.29 ± ± 6.17 min respectively). Similarly, the volumes of contrast agent used during procedure was significantly higher in the hypertensive group (mean ± standard deviation, 157.26 ± 80.03 ml and 143.27 ± 74.54 ml). Conclusions: In the group of hypertensive patients, angioplasty with at least two stents was significantly more common. In contrast, anatomically complete coronary revascularization
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Language	English
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