Abstract
Hypertension is the most common cardiovascular disease, affecting approximatively 10% of adults. It may be defined as systolic arterial pressure greater than or equal to 160 mmHg and/or diastolic arterial pressure greater than 95 mmHg measured in quiet conditions at least on two occasions (WHO). Hypertension is a risk factor for ischaemic heart disease, congestive heart failure and stroke. Even borderline isolated systolic hypertension predicts a possible though more modest risk [1].
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O’Donnell CJ, Ridker PM, Glynn RJ et al (1997) Hypertension and borderline isolated systolic hypertension increase risks of cardiovascular disease and mortality in male physicians. Circulation 95: 1132–1137
Farnet L, Mulrow CD, Linn WD et al (1991) The J-curve phenomenon and the treatment of hypertension: is there a point beyond which pressure reduction is dangerous? JAMA 265: 489–495
Messerli FH (1991) Left ventricular hypertrophy: impact of calcium channel blocker therapy. Am J Med 90: S27–S31
Hemming AE, Howell S, Sear JW et al (1993) Admission blood pressure is predictive of silent myocardial ischaemia in treated hypertension. Br J Anaesth 71: 760P
Allman KG, Muir A, Howell SJ et al (1994) Resistant hypertension and preoperative silent myocardial ischaemia in surgical patients. Br J Anaesth 73: 574–578
Prys-Roberts C, Meloche R, Foëx P (1971) Studies of anaesthesia in relation to hypertension-I: Cardiovascular responses of treated and untreated patients. Br J Anaesth 43: 122–137
Mc Hugh P, Gill NP, Wyld R et al (1991) Continuous ambulatory ECG monitoring in the perioperative period: relationship of preoperative status and outcome. Br J Anaesth 66: 285–291
Howell SJ, Hemming AE, Allman KG et al (1997) Predictors of postoperative myocardial ischaemia. The role of intercurrent arterial hypertension and other cardiovascular risk factors. Anaesthesia 52: 107–111
Goldman L, Caldera DL (1979) Risks of general anesthesia and elective operation in the hypertensive patient. Anesthesiology 50: 285–292
Cooperman M, Plug B, Martin EW et al (1978) Cardiovascular risk factors in patients with peripheral vascular disease. Surgery 84: 505–509
Charlson ME, Mac Kenzie R, Gold JP et al (1990) Preoperative characteristics predicting intraoperative hypotension and hypertension among hypertensives and diabetics undergoing noncardiac surgery. Ann Chir 212: 66–81
Bedford RF, Feinstein B (1980) Hospital admission blood pressure, a predictor for hypertension following endotracheal intubation. Anesth Analg 59: 357–370
Sear JW, Jewkes C, Tellez JC et al (1994) Does the choice of antihypertensive therapy influence haemodynamic responses to induction, laryngoscopy and intubation? Br J Anaesth 73: 303–308
Flacke JW, Bloor BC, Flacke WE et al (1987) Reduced narcotic requirements by clonidine with improved hemodynamic and adrenergic stability in patients undergoing coronary bypass surgery. Anesthesiology 67: 11–19
McSPI-Europe Research Group (1997) Perioperative sympatholysis. Beneficial effects of the alpha-2 adrenoceptor agonist mivazerol on hemodynamic stability and myocardial ischemia. Anesthesiology 86: 346–363
Kulka PJ, Tryba M, Zenz M (1996) Preoperative α2-adrenergic receptor agonists prevent the deterioration of renal function after cardiac surgery: results of a randomized controlled trial. Crit Care Med 24: 947–952
Parlow J, Viale JP, Annat G et al (1995) Spontaneous cardiac baroreflex in humans. Comparison with drug-induced responses. Hypertension 25: 1058–1068
Inomata S, Nishikawa T, Kihara S et al (1995) Enhancement of pressor response to intravenous phenylephrine following oral clonidine medication in awake and anaesthetized patients. Can J Anaesth 42: 119–125
Tanaka M, Nishikawa T (1996) Enhancement of pressor response to ephedrine following clonidine medication. Anaesthesia 51: 123–127
Fitzgibbon DR, Rapp SE, Butler SH (1996) Rebound hypertension and acute withdrawal associated with discontinuation of an infusion of epidural clonidine. Anesthesiology 84: 729–731
Stoelting RK, Dierdorf SF, Mc Cammon RL (eds) (1988) Anesthesia and co-existing disease. Churchill Livingstone, New York
Hill AJ, Feneck RO, Walesby RK (1993) A comparison of fenoldopam and nitroprusside in the control of hypertension following coronary artery surgery. J Cardiothorac Vasc Anesth 7: 279–284
Stone JG, Foëx P, Sear JW et al (1988) Myocardial ischemia in untreated hypertensive patients: effect of a single small oral dose of a beta-adrenergic blocking agent. Anesthesiology 68: 494–500
Pasternack PF, Grossi EA, Baumann G et al (1989) Beta blockade to decrease silent myocardial ischemia during peripheral vascular surgery. Am J Surg 158: 113–116
Mangano DT, Layug EL, Wallace A et al (1996) Effect of atenolol on mortality and cardiovascular morbidity after noncardiac surgery. NEJM 335: 1713–20
Mangano DT (1990) Perioperative cardiac morbidity. Anesthesiology 72: 153–184
Alexander R, Binns J, Hetreed M (1997) A controlled trial of the effects of esmolol on cardiac function. Br J Anaesth 72: 594–595
Herschman ZVI, Dimich I, Pal Singh P (1993) Sudden death in a young postoperative patient given esmolol. Crit Care Med 12: 1975–1976
Lydiatt CA, Fee MP, Hill GE (1993) Severe hypotension during epidural anesthesia in a prazosin-treated patient. Anesth Analg 76: 1152–1153
Hess W, Schulte-Sasse U, Tarnow J et al (1985) Comparison of phentolamine and urapidil in controlling acute intra-operative hypertension in patients subjected to coronary artery bypass surgery. Eur J Anaesthesiol 2: 21–27
Späh F, Kottman R, Schmidt U (1994) Effects of single intravenous administration of urapidil and diltiazem in patients with nonfixed pulmonary hypertension secondary to chronic obstructive lung disease. J Cardiovasc Pharmacol 23: 517–524
Möllhoff T, Van Aken H, Mulier JP et al (1990) Effects of urapidil, ketanserin and sodium nitroprusside on venous admixture and arterial oxygenation following coronary artery bypass grafting. Br J Anaesth 64: 493–497
Adnot S, Defouilloy Ch, Brun-Buisson Ch et al (1987) Hemodynamic effects of urapidil in patients with pulmonary hypertension. Am Rev Resir Dis 135: 288–293
Lehot JJ, Durand PG, George M et al (1992) Effets vasulaires de l’urapidil administré en cours de circulation extracorporelle. Ann Fr Anesth Réanim 11: 619–622
Pittet JF, Lacroix JS, Gunning K et al (1990) Prostacyclin but not phentolamine increases oxygen consumption and skin microvascular blood flow in patients with sepsis and respiratory failure. Chest 98: 1467–1472
Dodds TM, Stone JG, Coromilas J et al (1993) Prophylactic nitroglycerin infusion during non-cardiac surgery does not reduce perioperative ischemia. Anesth Analg 76: 705–713
Van Hemelrijck J, Waets P, Van Aken H et al (1993) Blood pressure management during aortic surgery: urapidil compared to isosorbide dinitrate. J Cardiothorac Vasc Anesth 7: 273–278
Van der Starre PJA, Reneman RS (1997) The role of serotonin blockers in cardiac anesthesia. J Cardiothorac Vasc Anesth 8: 455–462
Owall A, Ehrenberg J, Brodin LA et al (1993) Effects of low-dose adenosine on myocardial performance after coronary artery bypass surgery. Acta Anaesthesiol Scan 37: 140–148
Alderman MH, Cohen H, Roqué R et al (1997) Effect of long-acting and short-acting antagonists on cardiovascular outcomes in hypertensive patients. Lancet 349: 594–598
Messing M, Van Essen H, Smith TL et al (1991) Microvascular actions of calcium antagonists. Eur J Pharmacol 198: 189–195
Cappucio FP, Markandu ND, Sagnella GA et al (1991) Acute and sustained changes in sodium balance during nifedipine treatment in essential hypertension. Am J Med 91: 233–238
Weinberger MH (1991) The relationship of sodium balance and concomitant diuretic therapy to blood pressure response with calcium channel entry blockers. Am J Med 90[Suppl 5A]: 15S–20S
Kirchengast M, Hergenroder S (1991) Reperfusion arrhythmias in closed-chest rats: the effect of myocardial noradrenaline depletion and Ca++-antagonism. Clin Exp Pharmacol Physiol 18: 217–222
Nishikawa T, Namiki A (1989) Attenuation of the pressor response to laryngoscopy and tracheal intubation with intravenous verapamil. Acta Anaesthesiol Scand 33: 232–235
Puri GD, Batra YK (1998) Effect of nifedipine on cardiovascular responses to laryngoscopy and intubation. Br J Anaesth 60: 579–581
Kale SC, Mahajan RP, Jayalakshami TS et al (1988) Nifedipine prevents the pressor response to laryngoscopy and tracheal intubation in patients with coronary artery disease. Anaesthesia 43: 495–497
Mikawa K, Nishina K, Maekawa N et al (1996) Comparison of nicardipine, diltiazem and verapamil for controlling the cardiovascular responses to tracheal intubation. Br J Anaesth 76: 221–226
Fuji Y, Tanaka H, Saitoh Y et al (1995) Effects of calcium channel blockers on circulatory response to tracheal intubation in hypertensive patients: nicardipine versus diltiazem. Can J Anaesth 42: 785–788
Kishi Y, Okumura F, Furuya H (1984) Haemodynamic effects of nicardipine hydrochloride. Studies during its use to control acute hypertension in anaesthetized patients. Br J Anaesth 56: 1003–1006
Van Wezel HB, Bovill JG, Schuller J et al (1986) Comparison of nitroglycerine, verapamil and nifedipine in the management of arterial pressure during coronary artery surgery. Br J Anaesth 58: 267–273
Delhumeau A, Granry JC, Cottineau C et al (1995) Comparaison des effets vasculaires du sulfate de magnésium et de la nicardipine pendant la circulation extracorporelle. Ann Fr Anesth Réanim 14: 149–153
Lehot JJ, Durand PG, Villard J et al (1992) Is nicardipine a venodilator during fentanyl-midazolam anaesthesia? Eur J Anaesthesiol 9: 154–155
Arai T, Hatano Y, Ishida H et al (1986) Use of nicardipine in the anesthetic management of pheochromocytoma. Anesth Analg 65: 706–708
Proye C, Thevenin D, Cecat P et al (1989) Exclusive use of calcium channel blockers in preoperative and intraoperative control of pheochromocytomas: hemodynamics and free catecholamine assays in ten consecutive patients. Surgery 106: 1149–1154
Munro J, Huribert BJ, Hill GE (1995) Calcium channel blockage and uncontrolled blood pressure during pheochromocytoma surgery. Can J Anaesth 42: 228–230
Lehot JJ, Durand PG, Girard C (1991) Nouveaux vasodilatateurs et bêta-bloqueurs. In: Masson (ed) Congrès National d’Anesthésie et Réanimation (SFAR). Paris, pp 117-129
Mullen JC, Miller DR, Weisel RD et al (1988) Postoperative hypertension: a comparison of diltiazem, nifedipine and nitroprusside. J Thorac Cardiovasc Surg 96: 122–132
Brister NW, Barnette RE, Schartel SA et al (1991) Isradipine for treatment of acute hypertension after myocardial revascularisation. Crit Care Med 19: 334–338
Underwood SM, Davies SW, Feneck RO et al (1991) Comparison of isradipine with nitroprusside for control of blood pressure following myocardial revascularization: effects on hemodynamics, cardiac metabolism, and coronary blood flow. J Cardiothorac Anesth 5: 348–356
Zimpfer M, Fitzal S, Tonczar L (1981) Verapamil as a hypotensive agent during neuroleptanaesthesia. Br J Anaesth 53: 885–889
Böttcher M, Behrens JK, Moller EA et al (1994) ACE inhibitor premedication attenuates sympathetic responses during surgery. Br J Anaesth 72: 633–637
Gringlinger GA, Vegas AM, Williams GH et al (1981) Independence of renin production and hypertension in abdominal aortic aneurysmectomy. Am J Surg 141: 472–477
Mirenda JV, Grissom TE (1991) Anesthetic implications of the renin-angiotensin system and angiotensin-converting enzyme inhibitors. Anesth Analg 72: 667–683
Tuman KJ, Mc Carthy RJ, O’Connor CJ et al (1995) Angiotensin-converting enzyme inhibitors increase vasoconstrictor requirements after cardiopulmonary bypass. Anesth Analg 80: 473–479
Messerli FH, Weber MA, Brunner HR (1996) Angiotensin II receptor inhibition. A new therapeutic principle. Arch Intern Med 156: 1957–1965
Acker CG, Greenberg A (1995) Angioedema induced by the angiotensin II blocker losartan. New Engl J Med 333: 1572
Saine DR, Ahrens ER. Renal impairment associated with losartan. Ann Inter Med 124: 775
Samuels J, Schwalbe SS, Marx GF (1991) Speedballs: a new cause of intraoperative tachycardia and hypertension. Anesth Analg 72: 397–398
Eagle KA, Brundage BH, Chaitman BR et al (1996) Guidelines for perioperative cardiovascular evaluation for noncardiac surgery. JACC 27: 910–948
Tohmo H, Karanko M (1996) Angiotensin-converting enzyme inhibitors and anaesthesia. Acta Anaesthesiol Scand 40: 132–137
Smith JS, Roizen MF, Cahalan MK et al (1988) Does anesthetic technique make a difference? Augmentation of systolic blood pressure during carotid endarterectomy: effects of phenylephrine versus light anesthesia and of isoflurane versus halothane on the incidence of myocardial ischemia. Anesthesiology 69: 846–853
Dingemanse J, Guentert T, Gieschke R et al (1996) Modification of the cardiovascular effects of ephedrine by the reversible monoamine oxidase A-inhibitor moclobemide. J Cardiovasc Pharmacol 28: 856–861
Lehot JJ, Girard C, Filley S et al (1995) Why are hypertensive patients at risks in the perioperative period? In: Gullo A. (ed) APICE. Springer, Trieste, pp 31–40
Sibai BM (1996) Treatment of hypertension in pregnant women. New Engl J Med 335: 257–265
Sibai BM, Ramanathan J (1992) The case for magnesium sulfate in preeclampsia-eclampsia. Int J Obstet Anesth 1: 167–175
Walker JJ (1991) Hypertensive drugs in pregnancy: antihypertensive therapy in pregnancy, preeclampsia and eclampsia. Clin Perinatol 18: 845–873
Tietjen CS, Hum PD, Ulatowski JA et al (1996) Treatment modalities for hypertensive patients with intracranial pathology: options and risks. Crit Care Med 24: 311–322
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Lehot, J.J., Arvieux, C.C. (1998). Perioperative Hypertension. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine - A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2278-2_20
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DOI: https://doi.org/10.1007/978-88-470-2278-2_20
Publisher Name: Springer, Milano
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