Abstract
Peri operative blood pressure variation are common phenomenon during elective and emergency surgical interventions. Hypertension may be diagnosed, for the first time, during peri operative period. Risk factors like anxiety, stress, medications, smoking and alcohol can produce fluctuations in BP readings. During, Peri operative period, BP reading can reach, alarmingly high, causing acute target organ dysfunction and complications. A thorough assessment and timely medications can influence good prognostic outcome in this group. Also this group, require periodic follow up for possible, transformation to Essential hypertension.
References
- Vineet Chopra, MD; Scott A. Flanders, MD; James B. Froehlich, MD, MPH; et al. ‘Perioperative Practice: Time to Throttle Back’.Annals of Internal medicine. February 2, 2010, 152 (3)
- Joseph Varon1 and Paul E Marik. Perioperative hypertension management. Vasc Health Risk Manag. 2008 Jun; 4(3): 615–627. Published online 2008 Jun.
- Levy JH . The ideal agent for perioperative hypertension and potential cytoprotective effects. Acta Anaesthesiol Scand Suppl. 1993;99:20-5
- P Foëx, JW Sear. The surgical hypertensive patient. Oxford Journals Medicine & Health .BJA: CEACCP, Volume 4, Issue 5.Pp. 139-143.
- Harrison’s principles of medicine.19 edit . chapter on Hypertensive Vascular Disease. Theodore A. Kotchen.pgs 1611-1627
- RANDY WEXLER, M.D., M.P.H., and GLEN AUKERMAN, M.D., Ohio State University College of Medicine, Columbus, Ohio. ‘Nonpharmacologic Strategies for Managing Hypertension’. Am Fam Physician. 2006 Jun 1;73(11):1953-1956.
- LAWRENCE J. APPEL, M.D., Nonpharmacologic Therapies that Reduce Blood Pressure: A Fresh Perspective .Clin. Cardiol. 22, (Suppl. III), 111-1-111-5 (1999)
- Simon James Howell. Preoperative Hypertension: Current Anesthesiology Reports. March 2018, Volume 8, Issue 1, pp 25–31
- Renu Bala, Naveen Malhotra, Divyansh Singh, Kulsaurabh Kaushik: Perioperative concerns in patients with ‘white coat hypertension’. Anaesthesia, Pain & Intensive Care ISSN 1607-8322, ISSN (Online) 2220-5799.
- V Nadella, MBBS DA FCAI SJ Howell, MA(Cantab) MRCP FRCA MSc MD. ’Hypertension: pathophysiology and perioperative implications’ Continuing Education in Anaesthesia Critical Care & Pain, Volume 15, Issue 6, 1 December 2015, Pages 275–279
- Silva RP, Sousa NRP, Costa PSC, Rocha MG (2016) Who is the Patient with Suspected White Coat Hypertension? . J Clin Exp Cardiolog 7:428. doi:10.4172/2155-9880.1000428
- Whelton PK, et al. 2017. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults . High Blood Pressure Clinical Practice Guidelines (Hypertension. 2017;00:e000-e000.) © 2017 by the American College of Cardiology Foundation and the American Heart Association, Inc. Hypertension is available at http://hyper.ahajournals.org.Pgs 35-36.
Corresponding Author
Dr Nataraj .G
Dept of General Medicine, Shridevi Institute of Medical Sciences and Research
Sira Road, NH-4, Tumakuru.572105, Karnataka, India
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