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Postoperative hypertension

MedGen UID:
183078
•Concept ID:
C0919726
•
Finding
Synonym: Postoperative Hypertension
SNOMED CT: Postoperative hypertension (5501000119106)

Definition

A transient increase in blood pressure following a surgical procedure. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPostoperative hypertension

Professional guidelines

PubMed

Perioperative Quality Initiative consensus statement on postoperative blood pressure, risk and outcomes for elective surgery.
McEvoy MD, Gupta R, Koepke EJ, Feldheiser A, Michard F, Levett D, Thacker JKM, Hamilton M, Grocott MPW, Mythen MG, Miller TE, Edwards MR; POQI-3 workgroup; POQI chairs, Miller TE, Mythen MG, Grocott MP, Edwards MR; Physiology group; Preoperative blood pressure group; Intraoperative blood pressure group; Postoperative blood pressure group
Br J Anaesth 2019 May;122(5):575-586. Epub 2019 Mar 2 doi: 10.1016/j.bja.2019.01.019. PMID: 30916008
Treatment Strategies for Paradoxical Hypertension Following Surgical Correction of Coarctation of the Aorta in Children.
Roeleveld PP, Zwijsen EG
World J Pediatr Congenit Heart Surg 2017 May;8(3):321-331. doi: 10.1177/2150135117690104. PMID: 28520538Free PMC Article
Incidence, risk factors and management of severe post-transsphenoidal epistaxis.
De Los Reyes KM, Gross BA, Frerichs KU, Dunn IF, Lin N, Rincon-Torroella J, Annino DJ, Laws ER
J Clin Neurosci 2015 Jan;22(1):116-22. Epub 2014 Aug 21 doi: 10.1016/j.jocn.2014.07.004. PMID: 25150759

Recent clinical studies

Etiology

Should renin-angiotensin system inhibitors be held prior to major surgery?
Legrand M
Br J Anaesth 2024 May;132(5):831-834. Epub 2024 Apr 4 doi: 10.1016/j.bja.2024.03.003. PMID: 38642964
Efficacy and safety of Ciprofol compared with Propofol during general anesthesia induction: A systematic review and meta-analysis of randomized controlled trials (RCT).
Akhtar SMM, Fareed A, Ali M, Khan MS, Ali A, Mumtaz M, Kirchoff R, Asghar MS
J Clin Anesth 2024 Jun;94:111425. Epub 2024 Feb 26 doi: 10.1016/j.jclinane.2024.111425. PMID: 38412619
Risk Factors for Postoperative Hypotension and Hypertension following Carotid Endarterectomy.
Lee S, Conway AM, Nguyen Tranh N, Anand G, Leung TM, Fatakhova O, Giangola G, Carroccio A
Ann Vasc Surg 2020 Nov;69:182-189. Epub 2020 Jun 2 doi: 10.1016/j.avsg.2020.05.057. PMID: 32502683
Cerebral hyperperfusion syndrome.
van Mook WN, Rennenberg RJ, Schurink GW, van Oostenbrugge RJ, Mess WH, Hofman PA, de Leeuw PW
Lancet Neurol 2005 Dec;4(12):877-88. doi: 10.1016/S1474-4422(05)70251-9. PMID: 16297845
Postoperative hypertension.
Weant KA, Flynn JD, Smith KM
Orthopedics 2004 Nov;27(11):1159-61. doi: 10.3928/0147-7447-20041101-11. PMID: 15566126

Diagnosis

Risk Factors for Postoperative Hypotension and Hypertension following Carotid Endarterectomy.
Lee S, Conway AM, Nguyen Tranh N, Anand G, Leung TM, Fatakhova O, Giangola G, Carroccio A
Ann Vasc Surg 2020 Nov;69:182-189. Epub 2020 Jun 2 doi: 10.1016/j.avsg.2020.05.057. PMID: 32502683
Perioperative Quality Initiative consensus statement on postoperative blood pressure, risk and outcomes for elective surgery.
McEvoy MD, Gupta R, Koepke EJ, Feldheiser A, Michard F, Levett D, Thacker JKM, Hamilton M, Grocott MPW, Mythen MG, Miller TE, Edwards MR; POQI-3 workgroup; POQI chairs, Miller TE, Mythen MG, Grocott MP, Edwards MR; Physiology group; Preoperative blood pressure group; Intraoperative blood pressure group; Postoperative blood pressure group
Br J Anaesth 2019 May;122(5):575-586. Epub 2019 Mar 2 doi: 10.1016/j.bja.2019.01.019. PMID: 30916008
Hypertension crisis in the emergency department.
Johnson W, Nguyen ML, Patel R
Cardiol Clin 2012 Nov;30(4):533-43. Epub 2012 Oct 2 doi: 10.1016/j.ccl.2012.07.011. PMID: 23102030
Postoperative hypertension.
Weant KA, Flynn JD, Smith KM
Orthopedics 2004 Nov;27(11):1159-61. doi: 10.3928/0147-7447-20041101-11. PMID: 15566126
Hypertensive crisis.
Rubenstein EB, Escalante C
Crit Care Clin 1989 Jul;5(3):477-95. PMID: 2670090

Therapy

Should renin-angiotensin system inhibitors be held prior to major surgery?
Legrand M
Br J Anaesth 2024 May;132(5):831-834. Epub 2024 Apr 4 doi: 10.1016/j.bja.2024.03.003. PMID: 38642964
Risk Factors for Postoperative Hypotension and Hypertension following Carotid Endarterectomy.
Lee S, Conway AM, Nguyen Tranh N, Anand G, Leung TM, Fatakhova O, Giangola G, Carroccio A
Ann Vasc Surg 2020 Nov;69:182-189. Epub 2020 Jun 2 doi: 10.1016/j.avsg.2020.05.057. PMID: 32502683
Hypertension crisis in the emergency department.
Johnson W, Nguyen ML, Patel R
Cardiol Clin 2012 Nov;30(4):533-43. Epub 2012 Oct 2 doi: 10.1016/j.ccl.2012.07.011. PMID: 23102030
Cerebral hyperperfusion syndrome.
van Mook WN, Rennenberg RJ, Schurink GW, van Oostenbrugge RJ, Mess WH, Hofman PA, de Leeuw PW
Lancet Neurol 2005 Dec;4(12):877-88. doi: 10.1016/S1474-4422(05)70251-9. PMID: 16297845
Postoperative hypertension.
Weant KA, Flynn JD, Smith KM
Orthopedics 2004 Nov;27(11):1159-61. doi: 10.3928/0147-7447-20041101-11. PMID: 15566126

Prognosis

Predictors of successful outcome after adrenalectomy for unilateral primary aldosteronism.
Saadi A, Bedoui MA, Zaghbib S, Boussaffa H, Mokaddem S, Nacef IB, Ayed H, Derouiche A, Khiari K, Chakroun M, Ben Slama R
Front Endocrinol (Lausanne) 2023;14:1205988. Epub 2023 Aug 11 doi: 10.3389/fendo.2023.1205988. PMID: 37635962Free PMC Article
Risk factors for acute postoperative hypertension in non-cardiac major surgery: a case control study.
Zhou Y, Luo D, Shao L, Yue Z, Shi M, Zhang J, Hui K, Xiong J, Duan M
BMC Anesthesiol 2023 May 16;23(1):167. doi: 10.1186/s12871-023-02121-0. PMID: 37193947Free PMC Article
Perioperative Quality Initiative consensus statement on postoperative blood pressure, risk and outcomes for elective surgery.
McEvoy MD, Gupta R, Koepke EJ, Feldheiser A, Michard F, Levett D, Thacker JKM, Hamilton M, Grocott MPW, Mythen MG, Miller TE, Edwards MR; POQI-3 workgroup; POQI chairs, Miller TE, Mythen MG, Grocott MP, Edwards MR; Physiology group; Preoperative blood pressure group; Intraoperative blood pressure group; Postoperative blood pressure group
Br J Anaesth 2019 May;122(5):575-586. Epub 2019 Mar 2 doi: 10.1016/j.bja.2019.01.019. PMID: 30916008
Impact of arch reobstruction and early hypertension on late hypertension after coarctation repair.
Lee MGY, Allen SL, Koleff J, Brink J, Konstantinov IE, Cheung MMH, Brizard CP, d'Udekem Y
Eur J Cardiothorac Surg 2018 Mar 1;53(3):531-537. doi: 10.1093/ejcts/ezx360. PMID: 29069351
Postoperative hypertension.
Weant KA, Flynn JD, Smith KM
Orthopedics 2004 Nov;27(11):1159-61. doi: 10.3928/0147-7447-20041101-11. PMID: 15566126

Clinical prediction guides

Should renin-angiotensin system inhibitors be held prior to major surgery?
Legrand M
Br J Anaesth 2024 May;132(5):831-834. Epub 2024 Apr 4 doi: 10.1016/j.bja.2024.03.003. PMID: 38642964
Predictors of successful outcome after adrenalectomy for unilateral primary aldosteronism.
Saadi A, Bedoui MA, Zaghbib S, Boussaffa H, Mokaddem S, Nacef IB, Ayed H, Derouiche A, Khiari K, Chakroun M, Ben Slama R
Front Endocrinol (Lausanne) 2023;14:1205988. Epub 2023 Aug 11 doi: 10.3389/fendo.2023.1205988. PMID: 37635962Free PMC Article
Risk factors for acute postoperative hypertension in non-cardiac major surgery: a case control study.
Zhou Y, Luo D, Shao L, Yue Z, Shi M, Zhang J, Hui K, Xiong J, Duan M
BMC Anesthesiol 2023 May 16;23(1):167. doi: 10.1186/s12871-023-02121-0. PMID: 37193947Free PMC Article
Estimation of the Risk of Postoperative Hypertension Following Minor to Moderate Surgery Using an Echocardiogram and Biomarkers.
Shidou R, Kohjitani A, Miyata M, Yamashita K, Ohno S, Ohishi M, Sugimura M
Int Heart J 2022;63(3):558-565. doi: 10.1536/ihj.22-074. PMID: 35650156
Serotonin and acute cardiovascular disorders.
Reneman RS, van der Starre PJ
Cardiovasc Drugs Ther 1990 Jan;4 Suppl 1:19-25. doi: 10.1007/BF00053422. PMID: 2285646

Recent systematic reviews

Efficacy and safety of Ciprofol compared with Propofol during general anesthesia induction: A systematic review and meta-analysis of randomized controlled trials (RCT).
Akhtar SMM, Fareed A, Ali M, Khan MS, Ali A, Mumtaz M, Kirchoff R, Asghar MS
J Clin Anesth 2024 Jun;94:111425. Epub 2024 Feb 26 doi: 10.1016/j.jclinane.2024.111425. PMID: 38412619
Systematic Review and Meta-Analysis of Unplanned Reoperations, Emergency Department Visits and Hospital Readmission After Thyroidectomy.
Margolick J, Chen W, Wiseman SM
Thyroid 2018 May;28(5):624-638. doi: 10.1089/thy.2017.0543. PMID: 29587583
Treatment Strategies for Paradoxical Hypertension Following Surgical Correction of Coarctation of the Aorta in Children.
Roeleveld PP, Zwijsen EG
World J Pediatr Congenit Heart Surg 2017 May;8(3):321-331. doi: 10.1177/2150135117690104. PMID: 28520538Free PMC Article
Hypertension and the post-carotid endarterectomy cerebral hyperperfusion syndrome.
Bouri S, Thapar A, Shalhoub J, Jayasooriya G, Fernando A, Franklin IJ, Davies AH
Eur J Vasc Endovasc Surg 2011 Feb;41(2):229-37. Epub 2010 Dec 4 doi: 10.1016/j.ejvs.2010.10.016. PMID: 21131217

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