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Anesthetic Management of the Hypertensive Patient: Part II.

Abstract

Hypertension is an important health challenge that affects millions of people across the world today and is a major risk factor for cardiovascular disease. It is critical that anesthesia providers have a working knowledge of the systemic implications of hypertension. This review article will discuss the medical definitions of hypertension, the physiology of maintaining blood pressure, outpatient treatment of hypertension, anesthetic implications, and the common medications used by anesthesia providers in the treatment of hypertension. Part I provided an overview of hypertension and blood pressure regulation. In addition, drugs predominantly affecting control of hypertension via renal mechanisms such as diuretics, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, and renin-inhibiting agents were discussed. In part II, the remaining major antihypertensive medications will be reviewed as well as anesthetic implications of managing patients with hypertension.

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  • Publisher Full Text
  • Authors+Show Affiliations

    Doctor of Dental Surgery, Indiana University School of Dentistry, PGY-3 Resident, New York University-Langone Hospital Dental Anesthesiology Service, Brooklyn, New York.

    Source

    Anesthesia progress 65:3 2018 pg 206-213

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    30235430

    Citation

    TY - JOUR T1 - Anesthetic Management of the Hypertensive Patient: Part II. A1 - Yancey,Russell, PY - 2019/03/01/pmc-release PY - 2018/9/21/entrez PY - 2018/9/21/pubmed PY - 2018/9/21/medline KW - Antihypertensives KW - General anesthesia KW - Hypertension KW - Review KW - Sedation SP - 206 EP - 213 JF - Anesthesia progress JO - Anesth Prog VL - 65 IS - 3 N2 - Hypertension is an important health challenge that affects millions of people across the world today and is a major risk factor for cardiovascular disease. It is critical that anesthesia providers have a working knowledge of the systemic implications of hypertension. This review article will discuss the medical definitions of hypertension, the physiology of maintaining blood pressure, outpatient treatment of hypertension, anesthetic implications, and the common medications used by anesthesia providers in the treatment of hypertension. Part I provided an overview of hypertension and blood pressure regulation. In addition, drugs predominantly affecting control of hypertension via renal mechanisms such as diuretics, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, and renin-inhibiting agents were discussed. In part II, the remaining major antihypertensive medications will be reviewed as well as anesthetic implications of managing patients with hypertension. SN - 1878-7177 UR - https://www.unboundmedicine.com/medline/citation/30235430/Anesthetic_Management_of_the_Hypertensive_Patient:_Part_II L2 - http://www.anesthesiaprogress.org/doi/10.2344/anpr-65-03-17?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed ER -