NGHIÊN CỨU MỐI LIÊN QUAN GIỮA TUỔI ĐỘNG MẠCH, VẬN TỐC SÓNG MẠCH CẢNH - ĐÙI VÀ MỨC ĐỘ TỔN THƯƠNG ĐỘNG MẠCH VÀNH Ở BỆNH NHÂN TĂNG HUYẾT ÁP NGUYÊN PHÁT NGHI NGỜ BỆNH MẠCH VÀNH TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ NĂM 2024 - 2025

Abstract

Objectives: To determine arterial age, carotid–femoral pulse wave velocity (cfPWV), and their relationship with the severity of coronary artery lesions in patients with primary hypertension suspected of having coronary artery disease. Subjects and Methods: A cross-sectional descriptive study was conducted on 61 patients at Can Tho Central General Hospital from June 2024 to January 2025. All patients underwent clinical examination, arterial age estimation, cfPWV measurement, and coronary angiography to assess coronary lesions. Results: The mean age was 62.31 ± 9.31 years, with males accounting for 47.5%. The mean arterial age and cfPWV were 76.85 ± 7.19 years and 11.35 ± 2.26 m/s, respectively. Diabetes mellitus was a significant risk factor for increased cfPWV (OR = 4.14). Patients with severe coronary artery stenosis had a higher mean cfPWV than those with non-severe stenosis (12.11 ± 1.83 m/s vs. 10.19 ± 2.39 m/s). In multivariate logistic regression, elevated cfPWV was identified as an independent risk factor for severe coronary stenosis (OR = 4.33). Conclusions: In patients with primary hypertension suspected of coronary artery disease, arterial age exceeded chronological age. Increased carotid–femoral pulse wave velocity was associated with a higher risk of severe coronary artery stenosis.