Hypertension is commonly encountered in the preoperative evaluation. It is associated with intraoperative blood pressure lability and the risk of myocardial ischemia. Additionally, the risk of major perioperative cardiac events increases when patients have hypertension-related end-organ damage, such as congestive heart failure or renal impairment. Preoperative evaluation to assess risk and thoughtful perioperative medication management can help avoid unnecessary surgical cancellations for uncontrolled hypertension and optimize perioperative blood pressure control.
KeywordsPerioperative Hypertension Blood pressure
G. Alec Rooke, MD, Professor, Department of Anesthesiology and Pain Medicine, University of Washington.
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