Chronic hypertension
Patient (condition)
 
Aliases:
HT

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Consider withholding ACE-I and ARB if undergoing cardiac surgery as this may result in refractory hypotension

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May 22, 2011
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Consider withholding angiotensin receptor blockers (ARBs) prior to major surgery to minimise perioperative hypotension #ref

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Sep 08, 2011
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Continue beta blockers perioperatively. Especially those with history of ischaemic heart disease.

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May 18, 2011
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Continue most antihypertensives up to the morning of surgery.

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Aug 03, 2012
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Anaesthesia and surgery should not be cancelled on the grounds of hypertension alone. Maintain intraoperative MAP within 20% of baseline Br J Anaesth. 2004 Apr;92(4):570-83. dx.doi.org/10.1093/bja/ae...

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If systolic BP >180 & elective surgery, AHA/ACC recommends delay surgery & referral for optimisation refl.in/1n

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