Indian Journal of Anaesthesia  
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REVIEW ARTICLE
Year : 2017  |  Volume : 61  |  Issue : 9  |  Page : 697-704

Systemic hypertension and non-cardiac surgery


Department of Anaesthesiology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India

Correspondence Address:
Satyajeet Misra
Department of Anaesthesiology, All India Institute of Medical Sciences, Bhubaneswar, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ija.IJA_377_17

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Primary systemic hypertension affects 10%–25% of individuals presenting for surgery and anaesthesia and constitutes an important cause of cancellation of elective surgeries. Much of the fear stems from the fact that hypertension may lead to adverse perioperative outcomes. Although long-standing hypertension increases the risk of stroke, renal dysfunction or major adverse cardiovascular events, the same is usually not seen in the perioperative period if blood pressure is <180/110 mmHg and this has been the overriding theme in the recent guidelines on perioperative blood pressure management. Newer concepts include isolated systolic hypertension and pulse pressure hypertension that are increasingly used to stratify risk. The aim of this review is to focus on the adult patient with chronic primary systemic hypertension posted for elective non-cardiac surgery and outline the perioperative concerns.


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