Perioperative hypertension: New strategies for management

Current Opinion in Anaesthesiology

Volumn 11, Issue 1, 1998, Pages 29-35

  Skarvan, Karl ^a  

^a UNIVERSITY HOSPITAL BASEL   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIHYPERTENSIVE AGENT;

ANESTHESIA; ANTIHYPERTENSIVE THERAPY; HEART LEFT VENTRICLE FUNCTION; HUMAN; HYPERTENSION; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; REVIEW; RISK ASSESSMENT;

EID: 0031975211     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/00001503-199802000-00006     Document Type: Review

References (37)

1. Goldman L, Caldera DL. Risks of general anesthesia and elective operation in the hypertensive patient. Anesthesiology 1979; 50:285-292.
2. Estafanous FG, Tarazi RC, Viljonen JF, El Tawil MY. Systemic hypertension following myocardial revascularization. Am Heart J 1973; 85:732-738.
3. Hans SS, Glover JL. The relationship of cardiac and neurological complications to blood pressure changes following carotid endarterectomy. Am Surg 1995; 61:356-359.
4. Gottdiener JS, Brown J, Zoltick J, Fletcher RD. Left ventricular hypertrophy in men with normal blood pressure: relation to exaggerated blood pressure response to exercise. Ann Intern Med 1990; 112:161-166.
5. The Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. The fifth report of the joint national Committee on detection, evaluation, and treatment of high blood pressure. Arch Intern Med 1993; 153:154-183.
6. Prys-Roberts C, Meloche R, Foëx P. Studies of anaesthesia in relation to hypertension. I: cardiovascular responses of treated and untreated patients. Br J Anaesth 1971; 43:122-137.
7. Solenski NJ, Haley EC Jr, Kassell NF, Kongable G, Germanson T, Truskowski L, Torner JC. Medical complications of aneurysmal subarachnoid hemorrhage: a report of the multicenter, cooperative aneurysm study. Crit Care Med 1995; 23:1007-1017.
8. Rose DK, Cohen MM, DeBoer DP. Cardiovascular events in the •• postanesthesia care unit. Anesthesiology 1996; 84:772-781. Hypertension occurred in 2.2% and was associated with an increased risk of unplanned critical care admission and higher mortality. Advanced age, smoking, renal disease, long duration of surgery, intracranial procedures, intraoperative hypertension, inadequate ventilation, strong pain, nausea and vomiting predicted postoperative hypertension.
9. Howell SJ, Sear YM, Yeates D, Goldacre M, Sear JW, Foëx P. •• Hypertension, admission blood pressure and perioperative cardiovascular risk. Anaesthesia 1996; 51:1000-1004. A retrospective case-control study revealed that a preoperative history of hypertension was strongly associated with perioperative cardiovascular death. No such association was found between either systolic or diastolic admission pressure and perioperative cardiovascular death.
10. Vuylsteke A, Feneck R, Latimer R, Levy J, Lynch C, Ricksten S-E, et al. Cardiac surgical practices in the United States of America and Europe: striking similarities and minor differences [Abstract]. Br J Anaesth 1966; 76 (suppl 1):39 (A77).
11. Pedrinelli R, Dell'Omo G, Gimelli A, DiBello V, Talarico L, Corchia A, et al. Myocardial and forearm blood flow reserve in mild-moderate essential hypertensive patients. J Hypertens 1997; 15:667-673.
12. Taddei S, Virdis A, Mattei P, Ghiadoni L, Fasolo CB, Sudano I, Salvetti A. Hypertension causes premature aging of endothelial function in humans. Hypertension 1997; 29:736-743.
13. Iriarte MM, Caso R, Murga N, Lopez de Argumendo M, Sagastagoitia D. Microvascular angina in systemic hypertension: diagnosis and treatment with enalapril. Am J Cardiol 1995; 76:31D-34D.
14. Vogt M, Strauer BE. Systolic ventricular dysfunction and heart failure due to coronary microangiopathy in hypertensive heart disease. Am J Cardiol 1995; 76:48D-53D.
15. Moreno H Jr, Metze K, Bento AC, Antunes E, Zatz R, de Nutzi G. Chronic nitric oxide inhibition as a model of hypertensive heart muscle disease. Basic Res Cardiol 1996; 91:248-255.
16. Castellano M, Böhm M. The cardiac beta-adrenoceptor-mediated signaling pathway and its alterations in hypertensive heart disease. Hypertension 1997; 29:715-722.
17. Devereux RB, Roman MJ. Hypertensive cardiac hypertrophy: pathophysiologic and clinical characteristics. In. Hypertension: Pathophysiology, Diagnosis and Management 2nd ed. Laragh JH, Brenner BM, (editors). New York: Raven Press Ltd; 1995. pp. 409-424.
18. Koren MJ, Devereux RB, Casale PN, Savage DD, Laragh JH. Relation of left ventricular mass and geometry to morbidity and mortality in uncomplicated essential hypertension. Ann Intern Med 1991; 114:345-352.
19. Verdecchia P, Schillaci G, Borgioni C, Ciucci A, Battistelli M, Bartoccini C, et al. Adverse prognostic significance of concentric remodeling of the left ventricle in hypertensive patients with normal left ventricular mass. J Am Coll Cardiol 1995; 25:871-878.
20. Heesen WF, Beltman FW, May JF, Smit AJ, de Graeff PA, Havinga TK, et • al. High prevalence of concentric remodeling in elderly individuals with isolated systolic hypertension from a population survey. Hypertension 1997; 29:539-543. In this study concentric remodelling was found in 43% of patients with isolated systolic hypertension and in 56% of patients with isolated diastolic hypertension.
21. Regolisti G, Coghi P, Orlandini G, Zoni A, Guariglia A, Vinci S, Borghetti A. Effects of reduced preload on diastolic filling in essential hypertensive patients with increased left ventricular mass. Am J Hypertens 1997; 10:447-453.
22. Covi G, Sheiban I, Gelmini G, Arcaro G, Tonni S, Bolner A, et al. Left • ventricular diastolic function during adrenergic stress in essential hypertension: acute and chronic effects of ACE inhibition. Cardiovasc Drugs Ther 1996; 10:321-329. Hypertensive patients had normal left ventricular systolic function at rest and during the cold pressure test. The abnormal diastolic function at rest (reduced percentage contribution of rapid filling, increase in contribution of the atrial systole and increase in isovolumetric relaxation time) further deteriorated during the cold pressure test and the left ventricular end-diastolic ventricular volume decreased. Lisinopril improved diastolic function both at rest and during stress.
23. Desai DK, Moodley J, Naidoo DP, Bhorat I. Cardiac abnormalities in pulmonary oedema associated with hypertensive crises in pregnancy. Br J Obstet Gynaecol 1996; 103:523-528.
24. Kozakova M, Palombo C, Pratali L, Pittella G, Galetta F, L'Abbate A. • Mechanisms of coronary flow reserve impairment in human hypertension. Hypertension 1997; 29:551-559. This study reports on the application of transoesophageal Doppler echocardiography for coronary blood flow velocity measurement in the left anterior descending coronary artery. A significant reduction in coronary vascular reserve during stimulation with dipyridamol was found in patients with hypertension.
25. Siscovick DS, Raghunathan TE, Rautaharju P, Psaty BM, Cobb LA, Wagner EH. Clinically silent electrocardiographic abnormalities and risk of primary cardiac arrest among hypertensive patients. Circulation 1996; 94:1329-1333.
26. Iriarte MM, Olea JP, Sagastagoitia D, Molinero E, Murga N. Congestive heart failure due to hypertensive ventricular diastolic dysfunction. Am J Cardiol 1995; 76:43D-47D.
27. Pinosky ML, Fishman RL, Reeves ST, Harvey SC, Patel S, Palesch Y, •• Dorman BH. The effect of bupivacaine skull block on the hemodynamic response to craniotomy. Anesth Analg 1996; 83:1256-1261. Blockade of the greater and lesser occipital, supraorbital, supratrochlear, auriculotemporal and greater auricular nerves with 0.5% bupivacaine performed by the anaesthetist successfully blunted the haemodynamic response to head pinning.
28. Garnett RL, Maclntyre A, Lindsay P, Barber GG, Cole CW, Hajjar G, et al. • Perioperative ischaemia in aortic surgery: combined epidural/general anesthesia and epidural analgesia vs general anaesthesia and iv analgesia. Can J Anaesth 1996; 43:769-777. Blood pressure was lower during epidural anaesthesia and during surgery but not during epidural analgesia after surgery when compared with the general anaesthesia group. An important observation is that discontinuation of epidural analgesia and catheter removal caused an increase in blood pressure and myocardial ischaemia 48-60 h after surgery.
29. Houltz E, Gustavsson T, Caidal K, Kimö K, Lamm C, Milocco I, Ricksten S-E. Effects of surgical stress and volatile anaesthetics on left ventricular global and regional function in patients with coronary artery disease. Evaluation by computer-assisted two-dimensional quantitative transesophageal echocardiography. Anesth Analg 1992; 75:679-687.
30. Jain U, Body SC, Bellows W, Wolman R, Mora Mangano C, Mathew J, et • al. Multicenter study of target-controlled infusion of propofol-sufentanil or sufentanil-midazolam for coronary artery bypass graft surgery. Anesthesiology 1996; 85:522-535. Even target-controlled total intravenous anaesthesia does not keep blood pressure within 80-120% of the baseline. The combination of sufentanil with propofol causes more hypotension whereas episodes of hypertension were more frequent in combination with midazolam.
31. Van der Stroom JG, Van Wezel HB, Vergroesen I, Kal JE, Koolen JJ, •• Dijkhuis JP, et al. Comparison of the effects of urapidil and sodium nitroprusside on haemodynamic state, myocardial metabolism and function in patients during coronary artery surgery. Br J Anaesth 1996; 76:645-651. This study presents a comparison of the two drugs in elective coronary artery surgery. The infusions were adjusted to maintain mean arterial pressure within 80-120% of the baseline. Both drugs proved to be equally effective and safe. Global left ventricular systolic function assessed by transoesophageal echocardiography increased similarly in both groups.
32. Sharma S, Mitra S, Grover VK, Kalra R. Esmolol blunts the haemodynamic responses to tracheal intubation in treated hypertensive patients. Can J Anaesth 1996; 43:778-782.
33. Quintin L, Bouilloc X, Butin E, Bayon MC, Brudon JR, Levron JC, et al. •• Clonidine for major vascular surgery in hypertensive patients: a double-blind, controlled, randomized study. Anesth Analg 1996; 83:687-695. Clonidine was administered orally before induction and as an intravenous infusion from aortic declamping to the end of surgery. It decreased blood pressure, heart rate and anaesthetic requirements as well as the need for vasodilators without increasing the incidence of hypotension.
34. Messerli FH, Weber MA, Brunner HR. Angiotensin II receptor inhibition. • Arch Intern Med 1996; 156:1957-1965. An update review of the emerging new class of hypertensive drugs which may prove superior to angiotensin-converting enzyme inhibitors because they do not interact with kinines, nitric oxide and prostaglandin metabolism.
35. 1A receptors and causing a reduction in central sympathetic activity. These drugs are being increasingly used not only as antihypertensive agents but also to blunt sympathoadrenergic responses to surgery.
36. 1)ceptors as targets of centrally acting antihypertensives: moxonidine and rilmenidine. J Hypertens 1997; 15:117-125.
37. McSPI-EUROPE Research Group. Perioperative Sympatholysis. Bene•• ficial effects of the alpha-2 adrenoceptor agonist mivazerol on hemodynamic stability and myocardial ischemia. Anestesiolgy 1997; 86:346-363. Confirmation of the efficacy and safety of a novel central acting sympatholytic agent mivazerol in a double-blind, randomized and placebo-controlled study in non-cardiac surgery. Mivazerol was given as an intravenous infusion during surgery and up to 72 h postoperatively. Mivazerol reduced the incidence of intraoperative hypertension, tachycardia and myocardial ischaemia.