Systemic hypertension increasingly used to stratify risk in non-cardiac surgery : IJA

A recent review article on Systemic hypertension and non-cardiac surgery by Satyajeet Misra from Department of Anesthesiology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India has been published in September 2017 issue of the Indian Journal of Anaesthesia the official journal of the Indian Society of Anaesthesiologists with the aim to to focus on the adult patient with chronic primary systemic hypertension posted for elective non-cardiac surgery and outline the perioperative concerns.

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.

Articles used as references in this review were searched using a combination of the following terms in the MEDLINE: systemic hypertension and non-cardiac surgery; systemic hypertension and perioperative complications OR outcomes; systemic hypertension and anaesthesia OR anesthesia; hypertensive emergencies and anaesthesia OR anesthesia.

To read full article click on the link given below:

Misra S. Systemic hypertension and non-cardiac surgery. Indian J Anaesth [serial online] 2017 [cited 2017 Oct 10];61:697-704. Available from: http://www.ijaweb.org/text.asp?2017/61/9/697/214502