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Review Article
- Perioperative Management of Hypertensive Patients
- Helsi Rismiati, Hae-Young Lee
- Cardiovasc Prev Pharmacother. 2021;3(3):54-63. Published online July 31, 2021
- DOI: https://doi.org/10.36011/cpp.2021.3.e7
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- 2 Citations
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Abstract
PDF - Due to the high prevalence of hypertension, hypertensive patients undergo perioperative evaluation and management. Severe hypertension may increase the operative risk. However, hypertension with a diastolic blood pressure of less than 110 mmHg usually does not appear to increase the risk. In general, it is recommended that oral antihypertensive drugs be continued before and after surgery. In particular, sympathetic blockers, such as beta-blockers, should be maintained. It is generally recommended to continue intake of calcium channel blockers, especially for surgeries with a low bleeding risk. However, in the case of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers, it is recommended that they be stopped 24 hours before surgery because they can inhibit excessive compensatory renin-angiotensin activation during surgery. Statin and aspirin medications are often prescribed for patients with hypertension. It is recommended to continue intake of statins in the perioperative period. Aspirins are recommended for low-risk patients undergoing noncardiac surgery.
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Citations
Citations to this article as recorded by
- Fast-Track Protocol for Carotid Surgery
Noemi Baronetto, Stefano Brizzi, Arianna Pignataro, Fulvio Nisi, Enrico Giustiniano, David Barillà, Efrem Civilini
Journal of Clinical Medicine.2025; 14(12): 4294. CrossRef - Comparative Effects of Remimazolam and Propofol on Intraoperative Hypertension and Hypotension During Robot-Assisted Laparoscopic Gynecologic Surgery: A Retrospective Analysis
Jung Min Lee, Joohyun Lee, Se Hee Kang, Kangha Jung, Hyean Yeo, Young Joo
Medicina.2025; 61(9): 1721. CrossRef
- Fast-Track Protocol for Carotid Surgery
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