Cardiac multi-slice computed tomography in evaluation of chest pain in hypertensive patients

Background: Hypertension (HTN) is a major risk factor for coronary heart diseases (CHDs) and stroke. Coronary computed tomography (CT) enables physicians to visualize the vascular system with high specificity sensitivity. Aim of work: To evaluate role CT angiography as diagnostic tool in assessment chest pain patients suffering from HTN. Patients Methods: This prospective study was carried out on 30 HTN presented acute pain. Heart rate should be < 70 beat/min bpm spontaneously or beta-blocker induced then subjected multi slice arteries. Results: 17 typical (56.7%). The rest were atypical (43.3%). distribution lesions was: most affected artery left anterior descending followed by right artery. Sixty percent had lesion while 35 % lesion. main 20 patients. circumflex 15 these ramus, D1, D2 least affected. non-coronary were: aortic aneurysm (1 patient), pulmonary embolism dissection patient).Conclusions: Computed (CTA) good fast reliable non-invasive aid hypertensive