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What is the relationship between hypertension and coronary artery disease as described in the chapter?

Hypertension is a significant risk factor for coronary artery disease (CAD) as it disrupts the coronary artery endothelium, leading to a rigid arterial wall and narrowed lumen. This process contributes to a higher incidence of CAD, angina, and myocardial infarction (MI). Additionally, sustained high blood pressure can cause left ventricular hypertrophy, which may progress to heart failure, further complicating CAD.

Key points

  • Hypertension disrupts coronary artery endothelium, increasing CAD risk.
  • It leads to rigid arterial walls and narrowed lumens.
  • Sustained high blood pressure can cause left ventricular hypertrophy.
  • Progressive left ventricular hypertrophy may result in heart failure.
Source:Lew is' s Medical-Surgical Nursing: Assessment and Management of Clinical Problems· Coronary Artery Disease and Acute Coronary Syndrome· p. 838–858
Cover of Lew is' s Medical-Surgical Nursing: Assessment and Management of Clinical Problems

Lew is' s Medical-Surgical Nursing: Assessment and Management of Clinical Problems

Mariann M. Harding Jeffrey Kwong Debra Hagler

12TH EDITION · Elsevier Inc.

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