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New antihypertensive medications and clinical implications
D Wong1, P N W Tsai2, K Y Ip1
1Department of Anaesthesiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China.
Best Practice & Research. Clinical Anaesthesiology
|October 17, 2018
Summary
Managing hypertension perioperatively is crucial for anesthesiologists. This review covers current and emerging antihypertensive pharmacotherapy relevant for blood pressure control during surgery.
Area of Science:
- Anesthesiology and Perioperative Medicine
- Cardiovascular Pharmacology
Background:
- Hypertension is a significant global health concern and a major risk factor for mortality and morbidity.
- Anesthetists frequently manage patients with hypertension, from asymptomatic to those with end-organ damage.
- Effective perioperative management of antihypertensive pharmacotherapy is essential.
Purpose of the Study:
- To review the perioperative management of antihypertensive pharmacotherapy.
- To discuss new antihypertensive drug classes and agents relevant to perioperative care.
Main Methods:
- Literature review of current and emerging antihypertensive pharmacotherapies.
- Analysis of drug relevance for blood pressure control in the perioperative setting.
Main Results:
- Established antihypertensive drug classes remain relevant in perioperative management.
- Newer antihypertensive agents and drug groups are emerging with potential impact on perioperative care.
Conclusions:
- Understanding perioperative antihypertensive management is critical for anesthetists.
- Awareness of novel antihypertensive agents is necessary for optimizing patient care during surgery.
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