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British Journal of Anaesthesia, 2004, Vol. 92, No. 4 461-464
© 2004 The Board of Management and Trustees of the British Journal of Anaesthesia

Editorial II

Preoperative hypertension: remain wary? ‘Yes’—cancel surgery? ‘No’

D. R. Spahn and H.-J. Priebe

The first 150 words of the full text of this article appear below.

How often have we asked ourselves: shall I go ahead and anaesthetize this patient with uncontrolled hypertension, or should I postpone surgery until the arterial pressure is controlled? Does the benefit of preoperative arterial pressure control justify the inconvenience and financial consequences of postponing surgery? Are patients with uncontrolled hypertension at an increased perioperative risk? Are there any data on which I can base my decision? These and many other questions are addressed in the comprehensive review by Howell, Sear and Foëx in this issue of the Journal.1

Hypertension affects one billion individuals worldwide,2 and is endemic in the western world, particularly in the elderly.3 Hypertension represents a major risk factor for coronary artery disease,4 congestive heart failure,5 dementia,6 and renal and cerebrovascular disease,7 and is associated with dyslipidaemia, diabetes, and obesity.7 The higher the arterial pressure, the higher the risk of myocardial infarction, heart failure, stroke, or kidney . . . [Full Text of this Article]


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Home page
 Br J AnaesthHome page
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 Br J AnaesthHome page
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Br. J. Anaesth., August 1, 2004; 93(2): 305 - 305.
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