Cardiology, Course Material

Anaesthetic considerations in a patient with hypertension posted for non-cardiac surgery.

WHO defines hypertension (HTN) as systolic blood pressure equal to or above 140 mm Hg and/or a diastolic blood pressure equal to or above 90 mm Hg.

Hypertension can be defined as a persistent elevation in blood pressure above the expected normal range. In 2011, the UK National Institute for Health and Clinical Excellence (NICE), working in collaboration with the British Hypertension Society, released updated guidance on the definition and management of hypertension.

Highlights:

  • Focus on ambulatory BP monitoring
  • Discouraging in hospital/clinic readings as benchmarks
  • Includes supplementary tests to further evaluate hypertension before beginning treatment in stage1 and 2 while encouraging treatment of severe hypertension on diagnosis

DEFINING HYPERTENSION

Normotensive  Clinic BP <140/90 mm Hg or ambulatory BP <135/85 mm Hg 
Stage 1 hypertension  Clinic BP >140/90 mm Hg and ambulatory or home average BP >135/85 mm Hg
Stage 2 hypertension  Clinic BP >160/90 mm Hg and ambulatory or home average BP >150/95 mm Hg
Severe hypertension  Clinic systolic pressure >180 mm Hg or clinic diastolic pressure > 110 mmHg

Click here to download the complete module on hypertension.

This chapter module covers the pre-op evaluation, optimisation strategies, anaesthesia-related concerns and perioperative management of patients with hypertension posted for non-cardiac surgery. Questions on ‘Hypertension’ are asked with HTN forming the as ‘sole-morbidity’ or as a part of ‘multiple comorbidities’ scenarios.

Candidates should know the definition and staging/grading of HTN, pathophysiology, anaesthetic implications of the disease, and the current guidelines on peri-op case management.

In this chapter, we have comprehensively covered the major concerns associated with the presence of hypertension in a patient posted for non-cardiac surgery with due regards to syllabus recommendations of the European/UK board syllabus for EDAIC/FRCA.

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4 thoughts on “Anaesthetic considerations in a patient with hypertension posted for non-cardiac surgery.

  1. Javanshir says:

    Excellent!

    1. targetedaic says:

      Thank you for your kind words.

  2. mohit says:

    The module is not downloadable on laptop.

    1. targetedaic says:

      Yes it is downloadable. the module is sent to your mail once the payment is made.

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