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Case Studies | Anaesthesiology | India | Volume 12 Issue 1, January 2023
Management of Hypertensive Patient Posted for TAH in Secondary Care Institute
Abstract: Hypertension is the commonest avoidable medical cause for postponement of surgery (9). Long standing and uncontrolled hypertension is a major risk factor for causing coronary events, stroke, heart failure, peripheral vascular disease, chronic kidney disease and mortality (1 - 4). Hypertension in the perioperative period increases chances of cardiovascular events, cerebrovascular events, bleeding, mortality and acute kidney injury and should be controlled prior to any major elective surgery (5 - 7). Hypertensive comorbidities associated with adverse perioperative outcomes include occult coronary artery disease (Q waves on the electrocardiogram), heart failure, left ventricular hypertrophy, serum creatinine higher than 2.0 mg/dL, and cerebrovascular disease (10). However, there are no universally accepted guidelines stating the cut off level of blood pressure at which elective surgery should be cancelled (9). Increased rate of complications have been reported if the preoperative diastolic blood pressure is 110 mmHg or higher (11). It is recommended to cancel elective surgery if the systolic blood pressure is 180 mmHg or higher or if the diastolic blood pressure is 110 mmHg or higher (8, 10).
Keywords: Anesthesia, Hypertension, systolic blood pressure, diastolic blood pressure, spinal anesthesia, general anesthesia, fibroid, total abdominal hysterectomy
Edition: Volume 12 Issue 1, January 2023,
Pages: 1090 - 1091
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