Hypertension is an independent predictor of coronary artery disease progression and restenosis following percutaneous coronary intervention (PCI). Drug-eluting stents (DES) have significantly reduced restenosis rates compared to bare-metal stents (BMS), yet their specific clinical benefits among hypertensive patients remain underexplored. This study assesses major adverse cardiac events (MACE), target lesion revascularization (TLR), and stent patency among hypertensive individuals receiving DES. A prospective cohort of 320 hypertensive patients was evaluated over 24 months. Results demonstrated a significant reduction in restenosis (7.4%), lower MACE incidence (11.2%), and improved late lumen loss (0.32 ± 0.08 mm) compared to historical BMS rates. These findings support DES as a superior intervention for hypertensive patients undergoing PCI.