Treatment modalities for hypertensive patients with intracranial pathology: Options and risks

Critical Care Medicine

Volumn 24, Issue 2, 1996, Pages 311-322

  Tietjen, Clarisse S ^a   Hurn, Patricia D ^a   Ulatowski, John A ^a   Kirsch, Jeffrey R ^a  

^a DEPARTMENT OF PATHOLOGY   (United States)

Author keywords

antihypertensive agents; brain; brain injury; cerebral blood flow; cerebral ischemia; critical care; hypertension; intracranial pressure; neurologic emergencies

Indexed keywords

ADENOSINE; ALPHA ADRENERGIC RECEPTOR BLOCKING AGENT; ANTIHYPERTENSIVE AGENT; BARBITURIC ACID DERIVATIVE; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CALCIUM CHANNEL BLOCKING AGENT; CLONIDINE; ENALAPRILAT; ESMOLOL; GANGLION BLOCKING AGENT; GLYCERYL TRINITRATE; HYDRALAZINE; LABETALOL; NICARDIPINE; NITROPRUSSIDE SODIUM; PHENTOLAMINE; PROPRANOLOL DERIVATIVE; TRIMETAPHAN;

ANTIHYPERTENSIVE THERAPY; AUTOREGULATION; BRAIN BLOOD FLOW; BRAIN CIRCULATION; BRAIN INJURY; BRAIN ISCHEMIA; DISEASE ASSOCIATION; DOSE RESPONSE; HEAD INJURY; HUMAN; HYPERTENSION; INTENSIVE CARE; INTRAVENOUS DRUG ADMINISTRATION; MEAN ARTERIAL PRESSURE; OXYGEN TENSION; PATIENT COMPLIANCE; PRIORITY JOURNAL; RELIABILITY; REVIEW; RISK ASSESSMENT;

ACUTE DISEASE; ADULT; AGED; ANTIHYPERTENSIVE AGENTS; BRAIN DISEASES; BRAIN INJURIES; CEREBROVASCULAR CIRCULATION; CHRONIC DISEASE; FEMALE; HOMEOSTASIS; HUMANS; HYPERTENSION; INTRACRANIAL PRESSURE; MALE; RISK FACTORS;

EID: 0030022115     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/00003246-199602000-00022     Document Type: Review

References (86)

1. Grubb RL Jr, Phelps ME, Raichle ME, et al: The effects of arterial blood pressure on the regional cerebral blood volume by x-ray fluorescence. Stroke 1973; 4:390-399
2. Purves MJ James IM: Observations on the control of cerebral blood flow in the sheep fetus and newborn lamb. Circ Res 1969; 25:651-667
3. Hernandez MJ, Brennan RW, Bowman GS: Autoregulation of cerebral blood flow in the newborn dog. Brain Res 1980; 184:199-202
4. Strandgaard S, Olesen J, Skinhoj E, et al: Autoregulation of brain circulation in severe arterial hypertension. BMJ 1973; 1:507-510
5. Strandgaard S: Autoregulation of cerebral blood flow in hypertensive patients. The modifying influence of prolonged antihypertensive treatment on the tolerance to acute, drug-induced hypotension. Circulation 1976; 53:720-727
6. Westergaard E, van Deurs B, Brondsted H: Increased vesicular transfer of horseradish peroxidase across cerebral endothelium, evoked by acute hypertension. Acta Neuropathol (Berl) 1977; 37:141-152
7. Strandgaard S Paulson OB: Cerebral blood flow and its pathophysiology in hypertension. Am J Hypertens 1989; 2:486-492
8. Kontos HA, Dietrich WD, Wei EP, et al: Abnormalities of the cerebral microcirculation after traumatic injury: The relationship of hypertension and prostaglandins. Adv Exp Med Biol 1980; 131:243-256
9. Wei EP, Kontos HA, Christman CW, et al: Superoxide generation and reversal of acetylcholine-induced cerebral arteriolar dilation after acute hypertension. Circ Res 1985; 57:781-787
10. Povlishock JT, Kontos HA, Wei EP, et al: Changes in the cerebral vasculature after hypertension and trauma: A combined scanning and transmission electron microscopic analysis. Adv Exp Med Biol 1980; 131:227-241
11. Kontos HA, Wei EP, Dietrich WD, et al: Mechanism of cerebral arteriolar abnormalities after acute hypertension. Am J Physiol 1981; 240:H511-H527
12. Yamori Y, Horie R: Developmental course of hypertension and regional cerebral blood flow in stroke-prone spontaneously hypertensive rats. Stroke 1977; 8:456-461
13. Strandgaard S, MacKenzie ET, Jones JV, et al: Studies on the cerebral circulation of the baboon in acutely induced hypertension. Stroke 1976; 7:287-290
14. Morris PJ, Todd M, Philbin D: Changes in canine intracranial pressure in response to infusions of sodium nitroprusside and trinitroglycerin. Br J Anaesth 1982; 54:991-995
15. Marsh ML, Shapiro HM, Smith RW, et al: Changes in neurologic status and intracranial pressure associated with sodium nitroprusside administration. Anesthesiology 1979; 51:336-338
16. Tinker JH, Michenfelder JD: Sodium nitroprusside: Pharmacology, toxicology and therapeutics. Anesthesiology 1976; 45:294-307
17. Hartmann A, Buttinger C, Rommel T, et al: Alteration of intracranial pressure, cerebral blood flow, autoregulation and carbon dioxide-reactivity by hypotensive agents in baboons with intracranial hypertension. Neurochirurgia (Stuttg) 1989; 32:37-13
18. Marsh ML, Aidinis SJ, Naughton KVH, et al: The technique of nitroprusside administration modifies the intracranial pressure response. Anesthesiology 1979; 51:538-541
19. Turner JM, Powell D, Gibson RM, et al: Intracranial pressure changes in neurosurgical patients during hypotension induced with sodium nitroprusside or trimetaphan. Br J Anaesth 1977; 49: 419-425
20. Chestnut JS, Albin MS, Gonzalez Abola E, et al: Clinical evaluation of intravenous nitroglycerin for neurosurgery. J Neurosurg 1978; 48:704-711
21. Kistler JP, Lees RS, Candia G, et al: Intravenous nitroglycerin in experimental cerebral vasospasm. A preliminary report. Stroke 1979; 10:26-29
22. Parker JO: Nitrate tolerance. Am J Cardiol 1987; 60:44H-48H
23. Rogers MC, Hamburger C, Owen K, et al: Intracranial pressure in the cat during nitroglycerin-induced hypotension. Anesthesiology 1979; 51:227-229
24. Traystman RJ, Rogers MC, Stevenson RL: Effect of nitroglycerin on cerebral blood flow and cerebrospinal fluid pressure in normoxic and hypoxemic dogs. In: Cerebral Microcirculation and Metabolism. Cervos-Navarro J, Fritschka E (Eds). New York, Raven Press, 1981, pp 393-399
25. Spokas EG, Folco G, Quilley J, et al: Endothelial mechanism in the vascular action of hydralazine. Hypertension 1983; 5:1107-1111
26. Kruszyna H, Kruszyna R, Smith RP, et al: Red blood cells generate nitric oxide from directly acting, nitrogenous vasodilators. Toxicol Appl Pharmacol 1987; 91:429-438
27. Perry HM Jr: Late toxicity to hydralazine resembling systemic lupus erythematosus or rheumatoid arthritis. Am J Med 1973; 54:58-72
28. Skinhoj E, Overgaard J: Effect of dihydralazine on intracranial pressure in patients with severe brain damage. Acta Medica Scandinavica Supplementum 1983; 678:83-87
29. Overgaard J, Skinhoj E: A paradoxical cerebral hemodynamic effect of hydralazine. Stroke 1975; 6:402-410
30. James DJ, Bedford RF: Hydralazine for controlled hypotension during neurosurgical operations. Anesth Analg 1982; 61:1016-1019
31. Robertson CS, Clifton GL, Taylor AA, et al: Treatment of hypertension associated with head injury. J Neurosurg 1983; 59:455-460
32. Sollevi A, Lagerkranser M, Irestedt L, et al: Controlled hypotension with adenosine in cerebral aneurysm surgery. Anesthesiology 1984; 61:400-405
33. Lam AM: The choice of controlled hypotension during repair of intracranial aneurysms: Techniques and complications. Agressologie 1990; 31:357-359
34. Eintrei C, Carlsson C: Effects of hypotension induced by adenosine on brain surface oxygen pressure and cortical cerebral blood flow in the pig. Acta Physiol Scand 1986; 126:463-469
35. Clarke KW, Brear SG, Hanley SP: Rise in intracranial pressure with intravenous adenosine. Lancet 1992; 339:188-189
36. Owall A, Gordon E, Lagerkranser M, et al: Clinical experience with adenosine for controlled hypotension during cerebral aneurysm surgery. Anesth Analg 1987; 66:229-234
37. Sollevi A, Ostergren J, Hjemdahl P, et al: The effect of dipyridamole on plasma adenosine levels and skin micro-circulation in man. Adv Exp Med Biol 1984; 165:A547
38. Sollevi A, Lagerkranser M, Andreen M, et al: Relationship between arterial and venous adenosine levels and vasodilatation during ATP- and adenosine-infusion in dogs. Acta Physiol Scand 1984; 120:171-176
39. Sollevi A, Ostergren J, Fagrell B, et al: Theophylline antagonizes cardiovascular responses to dipyridamole in man without affecting increases in plasma adenosine. Acta Physiol Scand 1984; 121:165-171
40. Wang HH, Liu LM, Katz RL: A comparison of the cardiovascular effects of sodium nitroprusside and trimethaphan. Anesthesiology 1977; 46:40-48
41. Ishikawa T, Funatsu N, Okamoto K, et al: Cerebral and systemic effects of hypotension induced by trimetaphan or nitroprusside in dogs. Acta Anaesthesiol Scand 1982; 26:643-648
42. Miller R, Toth C, Silva DA, et al: Nitroprusside versus a nitroprusside-trimethaphan mixture: A comparison of dosage requirements and hemodynamic effects during induced hypotension for neurosurgery. Mt Sinai J Med 1987; 54:308-312
43. MacRae WR, Wildsmith JA, Dale BA: Induced hypotension with a mixture of sodium nitroprusside and trimetaphan camsylate. Anaesthesia 1981; 36:312-315
44. Wildsmith JA, Sinclair CJ, Thorn J, et al: Haemodynamic effects of induced hypotension with a nitroprusside-trimetaphan mixture. Br J Anaesth 1983; 55:381-389
45. Fahmy NR: Nitroprusside versus nitroprusside-trimethaphan mixture. Br J Anaesth 1983; 55:381-389
46. Tsai ML, Lee CY, Lin MT: Responses of cerebral circulation produced by adrenoceptor agonists and antagonists in rats. Neuropharmacology 1989; 28:1075-1080
47. Davies DS, Wing AM, Reid JL, et al: Pharmacokinetics and concentration-effect relationships of intervenous and oral clonidine. Clin Pharmacol Ther 1977; 21:593-601
48. Brodsky JB, Bravo JJ: Acute postoperative clonidine withdrawal syndrome. Anesthesiology 1976; 44:519-520
49. Bruce DL, Croley TF, Lee JS: Preoperative clonidine withdrawal syndrome. Anesthesiology 1979; 51:90-92
50. Greene CS, Gretler DD, Cervenka K, et al: Cerebral blood flow during the acute therapy of severe hypertension with oral clonidine. Am J Emerg Med 1990; 8: 293-296
51. Bertel O, Marx BE, Conen D: Effects of antihypertensive treatment on cerebral perfusion. Am JMed 1987; 82:29-36
52. Bertel O, Conen D, Radu EW, et al: Nifedipine in hypertensive emergencies. BMJ 1983; 286:19-21
53. Coughlan MG, Lee JG, Bosnjak ZJ, et al: Direct coronary and cerebral vascular responses to dexmedetomidine. Significance of endogenous nitric oxide synthesis. Anesthesiology 1992; 77:998-1006
54. 2-Adrenergic agonist effects on normocapnic and hypercapnic cerebral blood flow in the dog are anesthetic dependent. Anesth Analg 1994; 79:892-898
55. McPherson RW, Koehler RC, Traystman RJ: Hypoxia, alpha-2-adrenergic, and nitric oxide-dependent interactions on canine cerebral blood flow. Am J Physiol 1994; 266:H476-H482
56. Griffith DN, James IM, Newbury PA, et al: The effect of beta-adrenergic receptor blocking drugs on cerebral blood flow. Br J Clin Pharmacol 1979; 7:491-494
57. Feibel JH, Baldwin CA, Joynt RJ: Catecholamine-associated refractory hypertension following acute intracranial hemorrhage: Control with propranolol. Ann Neurol 1981; 9:340-343
58. Van Wylen DG, D'Alecy LG: Regional blood flow distribution during the Cushing response: Alterations with adrenergic blockade. Am J Physiol 1985; 248:H98-108
59. Cressman MD, Vidt DG, Gifford RW Jr, et al: Intravenous labetalol in the management of severe hypertension and hypertensive emergencies. Am Heart J 1984; 107:980-985
60. Leslie JB, Kalayjian RW, Sirgo MA, et al: Intravenous labetalol for treatment of postoperative hypertension. Anesthesiology 1987; 67:413-416
61. Puchstein C, Van Aken H, Kidding J, et al: Treatment of hypertension with labetalol in neurosurgical practice. Influence of labetalol on cerebral perfusion pressure in dogs without and with intracranial mass lesions. Acta Neurochir(Wien) 1983; 67:283-290
62. Orlowski JP, Shiesley D, Vidt DG, et al: Labetalol to control blood pressure after cerebrovascular surgery. Crit Care Med 1988; 16:765-768
63. Reves JG, Kissin I, Lell WA, et al: Calcium entry blockers: Uses and implications for anesthesiologists. Anesthesiology 1982; 57:504-518
64. Halpern NA, Goldberg M, Neely C, et al: Postoperative hypertension: A multicenter, prospective, randomized comparison between intravenous nicardipine and sodium nitroprusside. Crit Care Med 1992; 20:1637-1643
65. Wallin JD: Intravenous nicardipine hydrochloride: Treatment of patients with severe hypertension. Am Heart J 1990; 119:434-437
66. Griffin JP, Cottrell JE, Hartung J, et al: Intracranial pressure during nifedipineinduced hypotension. Anesth Analg 1983; 62:1078-1080
67. Mazzoni P, Giffin JP, Cottrell JE, et al: Intracranial pressure during diltiazeminduced hypotension in anesthetized dogs. Anesth Analg 1985; 64:1001-1004
68. Bedford RF, Dacey R, Winn HR, et al: Adverse impact of a calcium entryblocker (verapamil) on intracranial pressure in patients with brain tumors. J Neurosurg 1983; 59:800-802
69. Tateishi A, Sano T, Takeshita H, et al: Effects of nifedipine on intracranial pressure in neurosurgical patients with arterial hypertension. J Neurosurg 1988; 69:213-215
70. Nishikawa T, Omote K, Namiki A, et al: The effects of nicardipine on cerebrospinal fluid pressure in humans. Anesth Analg 1986; 65:507-510
71. Paulson OB, Jarden JO, Godtfredsen J, et al: Cerebral blood flow in patients with congestive heart failure treated with captopril. Am J Med 1984; 76: 91-95
72. Barry DI, Paulson OB, Jarden JO, et al: Effects of captopril on cerebral blood flow in normotensive and hypertensive rats. Am J Med 1984; 76:79-85
73. Rajagopalan B, Raine AE, Cooper R, et al: Changes in cerebral blood flow in patients with severe congestive cardiac failure before and after captopril treatment. Am J Med 1984; 76:86-90
74. Kobayashi S, Yamaguchi S, Okada K, et al: The effect of enalapril maleate on cerebral blood flow in chronic cerebral infarction. Angiology 1992; 43:378-388
75. Paulson OB, Waldemar G, Andersen AR, et al: Role of angiotensin in autoregulation of cerebral blood flow. Circulation 1988; 77:155-158
76. Schmidt JF, Andersen AR, Paulson OB, et al: Angiotensin converting enzyme inhibition, CBF autoregulation, and ICP in patients with normal-pressure hydrocephalus. Acta Neurochir 1990; 106:9-12
77. Eckstein JW, Hamilton WK, McCammond JM: The effect of thiopental on peripheral venous tone. Anesthesiology 1961; 22:525-528
78. Pierce EC, Lambertsen JG, Deutsch S: Cerebral circulation and metabolism during thiopental anesthesia and hyperventilation in man. J Clin Invest 1962; 41:1664-1671
79. Wechsler RL, Dripps RD, Kety SS: Blood flow and oxygen consumption of the human brain during anesthesia produced by thiopental. Anesthesiology 1951; 12:308-314
80. Donegan JH, Traystman RJ, Koehler RC, et al: Cerebrovascular hypoxic and autoregulatory responses during reduced brain metabolism. Am J Physiol 1985; 249:H421-H429
81. Levasseur JE, Kontos HA: Effects of anesthesia on cerebral arteriolar responses to hypercapnia. Am J Physiol 1989; 257:H85-H88
82. Fujishima M, Scheinberg P, Busto R, et al: The relation between cerebral oxygen consumption and cerebral vascular reactivity to carbon dioxide. Stroke 1971; 2:251-257
83. Olsen RW: GABA-benzodiazepine-barbiturate receptor interactions. J Neurochem 1981; 37:1-13
84. Muizelaar JP, Marmarou A, Ward JD, et al: Adverse effects of prolonged hyperventilation in patients with severe head injury: A randomized clinical trial. J Neurosurg 1991; 75:731-739
85. Stringer WA, Hasso AN, Thompson JR, et al: Hyperventilation-induced cerebral ischemia in patients with acute brain lesions: Demonstration by xenonenhanced CT. AJNR 1993; 14:475-484
86. Rosner MJ, Daughton S: Cerebral perfusion pressure management in head injury. J Trauma 1990; 30:933-941