CLINICAL-FEATURES OF CORONARY HEART-DISEA SE IN PATIENTS WITH ARTERIAL-HYPERTENSION OF VARIOUS GENESIS

To study the clinical picture of coronary heart-disease with concomita nt arterial hypertension of various genesis, 172 patients were examine d, out of them the cause of arterial hypertension was hypertensive dis ease in 54, chronic pyelonephritis in 40, chronic glomerulonephritis i n 37, and stenotic atherosclerosis of renal arteries in 29, endocrine disease in 12 patients. The patients were divided into 2 groups: (1) 1 48 with stenotic atherosclerosis of coronary arteries and (2) 24 patie nts with intact coronary arteries. Comparison of these patient groups revealed no clear-cut correlation between the age and the detection of exercise-induced angina, as well as the duration of arterial hyperten sion. There was no correlation between the detection of the anginal sy ndrome and ECG changes. The incidence of the anginal syndrome was 62.2 % in Group 1 and 47.7 % in Group 2. It was established that the detec tion of the anginal syndrome correlated well with the severity of left ventricular hypertrophy and values of blood pressure, despite nosolog ical entities.