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KMID : 0381219940260040197
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Journal of RIMSK
1994 Volume.26 No. 4 p.197 ~ p.202
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Anesthetic Management for Hypertensive Patients
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Abstract
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Increased systemic blood pressure is a significant risk factor for the development of ischemic heart disease and is a major cause of congestive heart failure, renal failure, and cerebrovascular accident (stroke). Essential (primary) hypertension
accounts for more than 90% of afflicted patients and has no identifiable cause, whereas secondary hypertension has a demonstrable etiology. In this regard, renal disease is the most common cause of secondary hypertension, whereas pheochromocytoma
is a
rare cause.
There is no critical level of blood pressure that appears to delineate excess risk; therefore the definition of hypertension remains arbitrary It is generally agreed that a systolic blood pressure greater than 160 mmHg or diastolic blood pressure
greater than 90 mmHg, or both constitutes hypertension, regardless of age. Morbidity and mortality increase with increasing levels of either systolic or diastolic blood pressure.
This review article gives a brief summary of the anesthetic management for hypertensive patients.
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