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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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References

  1. 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

    Article  PubMed  Google Scholar 

  2. 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

    Article  Google Scholar 

  3. Messerli FH (1991) Left ventricular hypertrophy: impact of calcium channel blocker therapy. Am J Med 90: S27–S31

    Article  Google Scholar 

  4. 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

    Google Scholar 

  5. 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

    Article  PubMed  CAS  Google Scholar 

  6. 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

    Article  PubMed  CAS  Google Scholar 

  7. 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

    Article  Google Scholar 

  8. 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

    Article  PubMed  CAS  Google Scholar 

  9. Goldman L, Caldera DL (1979) Risks of general anesthesia and elective operation in the hypertensive patient. Anesthesiology 50: 285–292

    Article  PubMed  CAS  Google Scholar 

  10. Cooperman M, Plug B, Martin EW et al (1978) Cardiovascular risk factors in patients with peripheral vascular disease. Surgery 84: 505–509

    PubMed  CAS  Google Scholar 

  11. 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

    CAS  Google Scholar 

  12. Bedford RF, Feinstein B (1980) Hospital admission blood pressure, a predictor for hypertension following endotracheal intubation. Anesth Analg 59: 357–370

    Google Scholar 

  13. 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

    Article  PubMed  CAS  Google Scholar 

  14. 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

    Article  PubMed  CAS  Google Scholar 

  15. 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

    Article  Google Scholar 

  16. 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

    Article  PubMed  CAS  Google Scholar 

  17. Parlow J, Viale JP, Annat G et al (1995) Spontaneous cardiac baroreflex in humans. Comparison with drug-induced responses. Hypertension 25: 1058–1068

    Article  PubMed  CAS  Google Scholar 

  18. 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

    Article  PubMed  CAS  Google Scholar 

  19. Tanaka M, Nishikawa T (1996) Enhancement of pressor response to ephedrine following clonidine medication. Anaesthesia 51: 123–127

    Article  PubMed  CAS  Google Scholar 

  20. 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

    Article  PubMed  CAS  Google Scholar 

  21. Stoelting RK, Dierdorf SF, Mc Cammon RL (eds) (1988) Anesthesia and co-existing disease. Churchill Livingstone, New York

    Google Scholar 

  22. 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

    Article  PubMed  CAS  Google Scholar 

  23. 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

    Google Scholar 

  24. 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

    Article  PubMed  CAS  Google Scholar 

  25. Mangano DT, Layug EL, Wallace A et al (1996) Effect of atenolol on mortality and cardiovascular morbidity after noncardiac surgery. NEJM 335: 1713–20

    Article  PubMed  CAS  Google Scholar 

  26. Mangano DT (1990) Perioperative cardiac morbidity. Anesthesiology 72: 153–184

    Article  PubMed  CAS  Google Scholar 

  27. Alexander R, Binns J, Hetreed M (1997) A controlled trial of the effects of esmolol on cardiac function. Br J Anaesth 72: 594–595

    Article  Google Scholar 

  28. Herschman ZVI, Dimich I, Pal Singh P (1993) Sudden death in a young postoperative patient given esmolol. Crit Care Med 12: 1975–1976

    Article  Google Scholar 

  29. Lydiatt CA, Fee MP, Hill GE (1993) Severe hypotension during epidural anesthesia in a prazosin-treated patient. Anesth Analg 76: 1152–1153

    Article  PubMed  CAS  Google Scholar 

  30. 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

    PubMed  CAS  Google Scholar 

  31. 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

    Article  PubMed  Google Scholar 

  32. 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

    Article  PubMed  Google Scholar 

  33. 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

    CAS  Google Scholar 

  34. 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

    Article  PubMed  CAS  Google Scholar 

  35. 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

    Article  PubMed  CAS  Google Scholar 

  36. 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

    Article  PubMed  CAS  Google Scholar 

  37. 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

    Article  PubMed  Google Scholar 

  38. Van der Starre PJA, Reneman RS (1997) The role of serotonin blockers in cardiac anesthesia. J Cardiothorac Vasc Anesth 8: 455–462

    Article  Google Scholar 

  39. 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

    Article  CAS  Google Scholar 

  40. 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

    Article  PubMed  CAS  Google Scholar 

  41. Messing M, Van Essen H, Smith TL et al (1991) Microvascular actions of calcium antagonists. Eur J Pharmacol 198: 189–195

    Article  PubMed  CAS  Google Scholar 

  42. 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

    Article  Google Scholar 

  43. 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

    Article  PubMed  CAS  Google Scholar 

  44. 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

    Article  PubMed  CAS  Google Scholar 

  45. Nishikawa T, Namiki A (1989) Attenuation of the pressor response to laryngoscopy and tracheal intubation with intravenous verapamil. Acta Anaesthesiol Scand 33: 232–235

    Article  PubMed  CAS  Google Scholar 

  46. Puri GD, Batra YK (1998) Effect of nifedipine on cardiovascular responses to laryngoscopy and intubation. Br J Anaesth 60: 579–581

    Article  Google Scholar 

  47. 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

    Article  PubMed  CAS  Google Scholar 

  48. 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

    Article  PubMed  CAS  Google Scholar 

  49. 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

    Article  Google Scholar 

  50. 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

    Article  PubMed  CAS  Google Scholar 

  51. 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

    Article  PubMed  Google Scholar 

  52. 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

    Article  PubMed  CAS  Google Scholar 

  53. Lehot JJ, Durand PG, Villard J et al (1992) Is nicardipine a venodilator during fentanyl-midazolam anaesthesia? Eur J Anaesthesiol 9: 154–155

    Google Scholar 

  54. Arai T, Hatano Y, Ishida H et al (1986) Use of nicardipine in the anesthetic management of pheochromocytoma. Anesth Analg 65: 706–708

    Article  PubMed  CAS  Google Scholar 

  55. 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

    PubMed  CAS  Google Scholar 

  56. Munro J, Huribert BJ, Hill GE (1995) Calcium channel blockage and uncontrolled blood pressure during pheochromocytoma surgery. Can J Anaesth 42: 228–230

    Article  PubMed  CAS  Google Scholar 

  57. 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

    Google Scholar 

  58. 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

    PubMed  CAS  Google Scholar 

  59. Brister NW, Barnette RE, Schartel SA et al (1991) Isradipine for treatment of acute hypertension after myocardial revascularisation. Crit Care Med 19: 334–338

    Article  PubMed  CAS  Google Scholar 

  60. 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

    Article  CAS  Google Scholar 

  61. Zimpfer M, Fitzal S, Tonczar L (1981) Verapamil as a hypotensive agent during neuroleptanaesthesia. Br J Anaesth 53: 885–889

    Article  PubMed  CAS  Google Scholar 

  62. Böttcher M, Behrens JK, Moller EA et al (1994) ACE inhibitor premedication attenuates sympathetic responses during surgery. Br J Anaesth 72: 633–637

    Article  PubMed  Google Scholar 

  63. 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

    Article  Google Scholar 

  64. Mirenda JV, Grissom TE (1991) Anesthetic implications of the renin-angiotensin system and angiotensin-converting enzyme inhibitors. Anesth Analg 72: 667–683

    Article  PubMed  CAS  Google Scholar 

  65. 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

    PubMed  CAS  Google Scholar 

  66. Messerli FH, Weber MA, Brunner HR (1996) Angiotensin II receptor inhibition. A new therapeutic principle. Arch Intern Med 156: 1957–1965

    Article  PubMed  CAS  Google Scholar 

  67. Acker CG, Greenberg A (1995) Angioedema induced by the angiotensin II blocker losartan. New Engl J Med 333: 1572

    Article  PubMed  CAS  Google Scholar 

  68. Saine DR, Ahrens ER. Renal impairment associated with losartan. Ann Inter Med 124: 775

    Google Scholar 

  69. Samuels J, Schwalbe SS, Marx GF (1991) Speedballs: a new cause of intraoperative tachycardia and hypertension. Anesth Analg 72: 397–398

    Article  PubMed  CAS  Google Scholar 

  70. Eagle KA, Brundage BH, Chaitman BR et al (1996) Guidelines for perioperative cardiovascular evaluation for noncardiac surgery. JACC 27: 910–948

    PubMed  CAS  Google Scholar 

  71. Tohmo H, Karanko M (1996) Angiotensin-converting enzyme inhibitors and anaesthesia. Acta Anaesthesiol Scand 40: 132–137

    Article  PubMed  CAS  Google Scholar 

  72. 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

    Article  PubMed  CAS  Google Scholar 

  73. 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

    Article  PubMed  CAS  Google Scholar 

  74. 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

    Google Scholar 

  75. Sibai BM (1996) Treatment of hypertension in pregnant women. New Engl J Med 335: 257–265

    Article  PubMed  CAS  Google Scholar 

  76. Sibai BM, Ramanathan J (1992) The case for magnesium sulfate in preeclampsia-eclampsia. Int J Obstet Anesth 1: 167–175

    Article  PubMed  CAS  Google Scholar 

  77. Walker JJ (1991) Hypertensive drugs in pregnancy: antihypertensive therapy in pregnancy, preeclampsia and eclampsia. Clin Perinatol 18: 845–873

    PubMed  CAS  Google Scholar 

  78. 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

    Article  PubMed  CAS  Google Scholar 

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© 1998 Springer-Verlag Italia, Milano

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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

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