Evaluation, risk stratification and management of hypertensive patients in the perioperative period

Area of Science:

• Anesthesiology
• Cardiology
• Nephrology

Background:

• Uncontrolled hypertension is a common reason for delaying non-cardiac surgery.
• Effective perioperative management is crucial for hypertensive patients undergoing surgery.
• Current clinical practice often relies on empirical approaches due to limited evidence.

Purpose of the Study:

• To review the evidence gaps in perioperative hypertension management.
• To illustrate the current empirical approach for hypertensive patients in non-cardiac surgery.
• To guide clinical decisions regarding blood pressure management during the perioperative period.

Main Methods:

• Literature review focusing on perioperative hypertension management.
• Analysis of current clinical practices and guidelines.
• Identification of evidence gaps and areas for future research.

Main Results:

• Significant gaps exist in evidence-based guidelines for perioperative hypertension management.
• Cardiovascular risk stratification and blood pressure control are key considerations.
• Empirical approaches are widely used, lacking strong scientific backing.

Conclusions:

• There is a critical need for more research to establish evidence-based protocols for perioperative hypertension management.
• Optimizing hypertension control before surgery is essential.
• Clinical practice should strive to bridge the gap between empirical approaches and evidence-based recommendations.