Current Hypertension Reports

, Volume 14, Issue 5, pp 432–441

Perioperative Hypertension: Defining At-Risk Patients and Their Management

Antihypertensive Therapy: Renal Injury (MR Weir and GL Bakris, Section Editors)

DOI: 10.1007/s11906-012-0287-2

Cite this article as:
Lien, S.F. & Bisognano, J.D. Curr Hypertens Rep (2012) 14: 432. doi:10.1007/s11906-012-0287-2


Hypertension is an extremely pervasive condition that affects a large percentage of the world population. Although guidelines exist for the treatment of the patient with elevated blood pressure, there remains a paucity of literature and accepted guidelines for the perioperative evaluation and care of the patient with hypertension who undergoes either cardiac or noncardiac surgery. Of particular importance is defining the patients most vulnerable to complications and the indications for immediate and rapid antihypertensive treatment and/or cancellation of surgery to reduce these risks in each of the three perioperative settings: preoperative, intraoperative, and postoperative. This review also examines the parenteral antihypertensive medications most commonly administered in the perioperative setting.


HypertensionPerioperative hypertensionPreoperative hypertensionIntraoperative hypertensionPostoperative hypertensionStage 1 hypertensionStage 2 hypertensionHypertensive crisisParenteral antihypertensive medicationACE inhibitorβ-Adrenergic blocking agentCalcium channel blockerArteriolar vasodilationVenodilationReflex tachycardiaNitroprussideNitroglycerinEnalaprilatHydralazineFenoldopamEsmololLabetalolNicardipineClevidipine

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Division of CardiologyUniversity of Rochester Medical CenterRochesterUSA