Risk of myocardial ischaemia during anaesthesia in treated and untreated hypertensive patients.

Abstract:

:Hypertensive patients were monitored for myocardial ischaemia during anaesthesia and surgery with the V5 lead of a standard electrocardiograph. Myocardial ischaemia was detected in 11 of 39 untreated hypertensive patients and in four of seven receiving therapy with a diuretic, but in none of 44 receiving atenolol. Fourteen of the atenolol-treated patients were receiving the drug on a long-term basis and the remaining 30 were treated acutely only on the morning of surgery. When myocardial ischaemia was observed, it was always associated with noxious stimulation and tachycardia, but a conspicuous increase in arterial pressure was not usually present. We conclude that myocardial ischaemia is prevalent during anaesthesia in untreated hypertensive patients, and that pretreatment with atenolol, but not diuretics, provides prophylaxis.

journal_name

Br J Anaesth

authors

Stone JG,Foëx P,Sear JW,Johnson LL,Khambatta HJ,Triner L

doi

10.1093/bja/61.6.675

subject

Has Abstract

pub_date

1988-12-01 00:00:00

pages

675-9

issue

6

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)47509-X

journal_volume

61

pub_type

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