Abstract: Abstract Objective: To study the coronary lesion of Left Ventricular Hypertrophy in primary hypertensive patients. Methods: Five hundred and fifty-three patients with primary hypertensive patients were divided into the left ventricular hypertrophy group(LVH), the non- left ventricular hypertrophy group(N-LVH). They were undergone diagnostic coronary angiography. The risk factors included type2 diabetes mellitus, hyperlipidemia, smoking, etc. Uric acid, Sugar, TC, TG, HDL, LDL were measured. The comparison and analyses was done between the LVH group and the N-LVH group. Results: The hypertensive time and the hypertensive degree of the LVH group are longer and higher than those of the N-LVH group(P<0.01). The occurent rate of coronary stenosis in the LVH group is higher than that of N-LVH group. The ratio of the double-branch group and the three-branch group of LVH group is higher than that of N-LVH group, the ratio of the single-branch group is on the contrary(P<0.01). The prevalence of type2 diabetes mellitus, hyperlipidemia, smoking is similar between them. Conclusion: The occurrent rate of coronary heart disease and the degree of coronary stenosis in the hypertensive patients with LVH are higher and more complicated.

Key words: hypertension, left ventricular hypertrophy, coronary lesion