Noninvasive recognition of asymptomatic left anterior descending coronary artery stenosis in hypertensive left ventricular hypertrophy by conventional transthoracic Doppler echocardiography.

The noninvasive determination of the blood flow velocity in the left anterior descending coronary artery (LAD) at color Doppler echocardiography may provide useful clinical information. In this report, the authors describe the case of a patient with left ventricular hypertrophy secondary to hypertension in whom a critical but asymptomatic LAD stenosis was diagnosed at conventional echocardiography without resorting to pharmacological stress.