Vascular medicine: periprocedural hypertension: current concepts in management for the vascular surgeon.

Samson RH

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Vascular medicine: periprocedural hypertension: current concepts in management for the vascular surgeon.

机译：血管药物：围手术期高血压：血管外科医生当前的治疗理念。

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Periprocedural hypertension is a common finding in patients undergoing vascular surgery or endovascular procedures, and this may pose a risk for subsequent cardiovascular morbidity or mortality. Accordingly, the vascular surgeon who wishes to improve outcomes needs to be proficient not only in surgical technique but also in the medical management of the patient's associated conditions, especially hypertension. Vascular procedures need not be cancelled unless the blood pressure (BP) is more than 180 mm Hg systolic or 110 mm Hg diastolic, but attention should also be paid to evidence of end organ damage in making this decision. In most cases preoperative antihypertensive medications should be continued up till the procedure. Postoperative hypertension may require 1 of a number of intravenous medications, which are listed. Oral nifedipine should generally be avoided for fear of inducing an uncontrolled hypotensive response and cardiac ischemia.

机译：围手术期高血压是接受血管外科手术或血管内手术的患者的常见发现，这可能会导致随后的心血管疾病或死亡的风险。因此，希望改善结果的血管外科医师不仅需要精通手术技术，而且还需要精通患者相关疾病尤其是高血压的医疗管理。除非血压（BP）收缩压超过180 mm Hg或舒张压超过110 mm Hg，否则不必取消血管手术，但在做出此决定时也应注意终末器官损害的证据。在大多数情况下，术前应服用降压药直至手术。术后高血压可能需要多种静脉药物中的一种。一般应避免口服硝苯地平，以免引起无法控制的降压反应和心脏缺血。

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《Vascular and endovascular surgery》 |2004年第4期|共6页
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Samson RH;
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正文语种 eng
中图分类外科学各论;
关键词
Blood vascular; Hypertension induced by pregnancy; mmHg; Methodology; Medicine; 医学;

机译：血管;妊娠高血压;mmHg;方法;医学;医学;

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1. Vascular medicine: periprocedural hypertension: current concepts in management for the vascular surgeon. [J] . Samson RH Vascular and endovascular surgery . 2004,第4期

机译：血管药物：围手术期高血压：血管外科医生当前的治疗理念。
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机译：ACC / AHA外周动脉疾病（下肢，肾，肠系膜和腹主动脉）患者管理指南：美国血管外科协会/血管外科协会，心血管血管造影和介入学会，血管医学和生物学，介入放射学学会以及ACC / AHA实践指南工作组（制定《外周动脉疾病患者治疗指南》编写委员会）-建议摘要
3. Current Concepts in the Pathogenesis and Management of Vascular Lesions - A Brief Review [J] . Snehanjan Sarangi, Debanjali Mukherjee Indian journal of dental advancements . 2016,第4期

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4. INFLUENCE OF DISTAL RESISTANCE AND PROXIMAL VASCULAR STIFFNESS ON VASCULAR IMPEDANCE AND HEMODYNAMICS IN PULMONARY HYPERTENSION: A COMPUTATIONAL STUDY WITH VALIDATION USING AN ANIMAL MODEL [C] . Zhenbi Su, Kendall Hunter, Wei Tan, ASME summer bioengineering conference;SBC2009 . 2009

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6. Emerging Concepts in the Molecular Basis of Pulmonary Arterial Hypertension (PAH): Part II: Neurohormonal Signaling Contributes to the Pulmonary Vascular and Right Ventricular Pathophenotype of PAH [O] . Bradley A. Maron, Jane A. Leopold -1

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7. ACC/AHA 2005 Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic): Executive Summary A Collaborative Report From the American Association for Vascular Surgery/Society for Vascular Surgery,⁎⁎AAVS/SVS when Guideline initiated, now merged into SVSSociety for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease) Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation [O] . Hirsch Alan T., Haskal Ziv J., Hertzer Norman R., 2006

机译：ACC / AHA 2005年外周动脉疾病（下肢，肾，肠系膜和腹主动脉）患者治疗指南：执行摘要美国血管外科协会/血管外科协会的合作报告，⁎⁎AAVS/ SVS指南启动时，现已合并为SVSS心血管血管病学和介入学会，血管医学和生物学学会，介入放射学学会以及ACC / AHA实践指南工作组（制定治疗周围动脉疾病患者指南的撰写委员会）疾病）得到美国心血管和肺康复协会的认可；国家心肺血液研究所；血管护理学会；跨大西洋跨社会共识；和血管疾病基金会
8. Use of Temporary Vascular Shunts as a Damage Control Adjunct in the Management of Wartime Vascular Injury. [R] . Rasmussen, T. E., Clouse, W. D., Jenkins, D. H., 2006

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Vascular medicine: periprocedural hypertension: current concepts in management for the vascular surgeon.

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