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  • Ischemic Evaluation in Patients Presenting with Hypertensive Emergency / Urgency and Acute Systolic Heart Failure: Is Coronary Angiography Required for all?

    • Posted: 06/03/2019
    • Author:

      Jared W. Davis, Muhannad Almubarak, Amrita Mukherjee, Samuel K. McElwee, Massoud A. Leesar and Arka Chatterjee

    • CRM2019

    Highlights

    • Patients with newly diagnosed systolic heart failure and accompanying hypertensive urgency or emergency often undergo coronary angiography.
    • Our study shows that only a minority of these patients have obstructive coronary disease.
    • A simple risk score can predict risk of having obstructive CAD in this population and prevent a large number of needless coronary angiographies, decreasing an invasive test for the patient and also make care more cost-effective.

    Abstract

    Background

    Patients presenting with hypertensive urgency / emergency (HUE) often have systolic heart failure(SHF). Coronary angiography is routinely done for these patients to rule out obstructive coronary artery disease (Obs-CAD). We performed a retrospective study to investigate predictors of ObsCAD in this population.

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