Prevalence of Renal Artery Stenosis in Hypertensive patients on Treatment Undergoing Coronary Angiography; In Multi Cardiac Centers

Abstract

Objective: To determine the prevalence of renal artery stenosis.

Study Design: The cross-sectional study
Place and Duration of Study: This study was conducted at the Iraqi Center of Heart Diseases and Baghdad Cardiac Center Iraq from 1st August 2023 to 30th June 2024.

Methods: Sixty hypertensive patients who experience elective coronary angiography were enrolled. They were divided into two groups, controlled and uncontrolled hypertension.

Results: The mean age was 61.4 years and 53.3% males. The majority of them had uncontrolled hypertension (70%), diabetes (60%), and dyslipidemia (65%). Abnormalities were observed in 41.7 percent of patients on coronary angiography and the severe coronary disease was present in 25 percent. RAS was identified in 15 per cent and had a strong correlation with the abnormal angiography coronary findings (P = 0.002) and ineffective control of hypertension (P = 0.033). There was no significant correlation with diabetes, dyslipidemia, smoking, and echocardiographic outcomes.

Conclusion: Renal artery stenosis is one of the frequent observations in hypertensive patients with coronary artery disease, which requires effective blood pressure management and multidisciplinary approach to minimize
cardiovascular and kidney problems. Key Words: Hypertension, Renal artery stenosis, Coronary artery disease, Atherosclerotic.