[Hypertensive coronary angiopathy].
METHODS
A 66-year old woman reported non-radiating anginal symptoms, at first only on physical stress and without dyspnea. A raised blood pressure of 180/95 mmHg was the only significant abnormality on admission.


METHODS
Coronary angiography merely showed slight plaque formation and marked twisting of the coronary arteries.


METHODS
The patient became symptoms-free on optimal antihypertensive medication.


CONCLUSIONS
This case demonstrates that a coronary microangiopathy may be associated with hypertensive heart disease, perhaps as a separate entity.
Walenta
K
K
Medizinische Klinik und Poliklinik-Innere Medizin III, Universitätskliniken des Saarlandes, Homburg/Saar.
Böhm
M
M
D000368:Aged; D000787:Angina Pectoris / Q000209:etiology; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging* / Q000209:etiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000188:drug therapy
D000959:Antihypertensive Agents