Skip to main content
SpringerLink
Log in

Postmyocardial revascularization hypertension

The role of the heart

  • Chapter
The Heart in Hypertension

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 98))

  • 106 Accesses

Abstract

Our initial description of post myocardial revascularization hypertension in 1973 [1] has been confirmed by other centers and is now recognized as a frequent complication of coronary bypass surgery [2–4]. It has been reported to occur in 30 to 50 percent of operated patients [1–3]. The rise in blood pressure can be quite serious [1, 5, 6], and the final outcome depends on the rapidity of diagnosis and early initiation of adequate therapy [1, 7].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Estafanous FG, Tarazi RC, Viljoen JF, et al. (1973): Systemic hypertension following myocardial revascularization. Am Heart J 85: 732–738.

    Article  PubMed  CAS  Google Scholar 

  2. Roberts AJ, Niarchos AP, Subramanian VA, et al. (1977): Systemic hypertension associated with coronary artery bypass surgery. J Thorac Cardiovasc Surg 74: 846–859.

    PubMed  CAS  Google Scholar 

  3. Grolleau-Raoux PA, Chaptal R, Grolleau-Raoux F, et al. (1974): Le diazepam (valium) ans l’exploration et la chirurgie de l’insuffisance coronarienne. Ann Anestheiol Fr 15: 293–296.

    Google Scholar 

  4. Taylor KM, Morton IJ, Brown JJ, et al. (1977): Hypertension and the renin-angiotension system following open-heart surgery. J Thorac Cardiovasc Surg 74: 840–845.

    PubMed  CAS  Google Scholar 

  5. Viljoen JF, Estafanous FG, Tarazi RC (1976): Acute hypertension immediately after coronary artery surgery. J Thorac Cardiovasc Surg 71: 548–550.

    PubMed  CAS  Google Scholar 

  6. Buckberg GD, Archie JP, Fixier DE, et al. (1971): Experimental subendocardial ischemia during left ventricular hypertension. Surg Forum 22: 124–127.

    PubMed  CAS  Google Scholar 

  7. Estafanous FG (1975): Management of systemic hypertension following myocardial revascularization, in: Arias A (ed): Recent Progress in Anesthesiology and Resuscitation, pp 437–438. Amsterdam: Excerpta Medica.

    Google Scholar 

  8. Rastelli GC, Kirklin JW (1966): Hemodynamic state early after prosthetic replacement of mitral valve. Circulation 34: 448–461.

    PubMed  CAS  Google Scholar 

  9. Taylor KM, Bain WH, Russell M, et al. (1979): Peripheral vascular resistance and angiotensin II levels during pulsatile and non-pulsatile cardiopulmonary bypass. Thorax 34: 594–598.

    Article  PubMed  CAS  Google Scholar 

  10. Boudoulas H, Lewis RP, Vasko JS, et al. (1976): Left ventricular function and adrenergic hyperactivity before and after saphenous vein bypass. Circulation 53: 802–806.

    PubMed  CAS  Google Scholar 

  11. Tarazi RC (1976): Hemodynamic role of extracellular fluid in hypertension. Circ Res 38(suppl II): II 72–II 83.

    Google Scholar 

  12. Leutscher JA, Boyers DG, Cuthberson JG, et al. (1983): A model of the human circulation. Circ Res 32–33(suppl I): I 84–I 98.

    Google Scholar 

  13. Dustan HP, Tarazi RC, Bravo EL, et al. (1973): Plasma and extracellular fluid volumes in hypertension. Circ Res 32–33(suppl I): I 73–I 83.

    Google Scholar 

  14. Cohn JN (1966): Paroxysmal hypertension and hypovolemia. New Eng J Med 275: 643–646.

    Article  PubMed  CAS  Google Scholar 

  15. Estafanous FG, Tarazi RC, Buckly S, et al. (1978): Arterial hypertension in immediate postoperative period after valve replacement. Br Heart J 40: 718–724.

    Article  PubMed  CAS  Google Scholar 

  16. Fouad FM, Estafanous FG, Tarazi RC (1978): Hemodynamics or postmyocardial revascularization hypertension. Am J Cardiol 41: 564–569.

    Article  PubMed  CAS  Google Scholar 

  17. Fouad FM, Estafanous FG, Bravo EL, et al. (1979): Possible role of cardioaortic reflexes in postcoronary bypass hypertension. Am J Cardiol 44: 866–872.

    Article  PubMed  CAS  Google Scholar 

  18. Chaptal PA, Grolleau-Raoux D, Millet F, et al. (1975): Les crises hypertensive dans la chirurgie de l’insuffisance coronarienne: Prevention par le diazepam. Ann Chir Thorac Cardiovasc 14: 255–261.

    PubMed  CAS  Google Scholar 

  19. Price HL (1976): Circulatory actions of general anesthetic agents and the homeostatic roles of epinephrine and norepinephrine in man. Clin Pharmacol Ther 2: 163–176.

    Google Scholar 

  20. Hoar PF, Hickey RF, Ullyot DG (1976): Systemic hypertension following myocardial revascularization: A method of treatment using epidural anesthesia. J Thorac Cardiovasc Surg 71: 859–864.

    PubMed  CAS  Google Scholar 

  21. Levinson GE, Pacifico AD, Frank MJ (1966): Studies of cardiopulmonary blood volume: Measurement of total cardiopulmonary blood volume in normal human subjects at rest and during exercise. Circulation 33: 347–356.

    PubMed  CAS  Google Scholar 

  22. Liard JF, Tarazi RC, Ferrario CM, Manager WM (1975): Hemodynamic and humoral characteristics of hypertension induced by prolonged stellate stimulation in conscious dogs. Circ Res 36: 455–464.

    PubMed  CAS  Google Scholar 

  23. James TN, Hageman FR, Urthaler F (1978): Anatomic and physiologic considerations of cardiogenic hypertensive chemoreflex. Am J Cardiol 42: 1013–1018.

    Article  Google Scholar 

  24. Malliani A, Pagani M, Bergamaschi M (1979): Positive feedback sympathetic reflexes and hypertension. Am J Cardiol 44: 860–865.

    Article  PubMed  CAS  Google Scholar 

  25. Malliani A, Peterson DF, Bishop VS, et al. (1972): Spinal sympathetic cardiocardiac reflexes. Circ Res 30: 158–166.

    PubMed  CAS  Google Scholar 

  26. Malliani A, Brown AM (1970): Reflexes arising from coronary receptors. Brain Res 24: 352–355.

    Article  PubMed  CAS  Google Scholar 

  27. Peterson F, Brown AM (1971): Pressor reflexes produced by stimulation of efferent fibers in the cardiac sympathetic nerves of the cat. Circ Res 28: 605–610.

    PubMed  CAS  Google Scholar 

  28. Malliani A, Pagani M, Bergamashi M (1979): Positive feedback sympathetic reflexes and hypertension. Am J Cardiol 44: 860–865.

    Article  PubMed  CAS  Google Scholar 

  29. Brown AM (1967): Excitation of afferent cardiac sympathetic nerve fibers during myocardial ischemia. J Physiol (London) 190: 35–53.

    CAS  Google Scholar 

  30. Malliani A, Brown AM (1970): Reflexes arising from coronary receptors. Brain Research 24: 352–355.

    Article  PubMed  CAS  Google Scholar 

  31. Kent KM, Cooper T (1975): Editorial: Cardiovascular reflexes. Circulation 52: 177–178.

    PubMed  CAS  Google Scholar 

  32. James TN, Isobe JH, Urthaler F (1975): Analyses of components in a cardiogenic hypertensive chemoreflex. Circulation 52: 179–182.

    PubMed  CAS  Google Scholar 

  33. Brown AM (1974): Coronary pressor reflexes. Am J Cardiol 44: 849–851.

    Article  Google Scholar 

  34. Liden RJ (1975): Reflexes from the heart. Progress in Cardiovascular Diseases 18: 201–221.

    Article  PubMed  CAS  Google Scholar 

  35. Oberg B, Thoren P (1973): Circulatory response to stimulation of left ventricular receptors in the cat. Acta Physiol Scan 88: 8–22.

    Article  CAS  Google Scholar 

  36. James TN, Hageman GR, Urthaler F (1979): Anatomic and physiologic considerations of a cardiogenic hypertensive chemoreflex. Am J Cardiol 44: 852–859.

    Article  PubMed  CAS  Google Scholar 

  37. Fouad FM, Estafanous FG, Bravo EL, et al. (1979): Possible role of cardioaortic reflexes in postcoronary bypass hypertension. Am J Cardiol 41: 866–872.

    Article  Google Scholar 

  38. Liard JF, Tarazi RC, Ferrario CM, et al. (1975): Hemodynamic and humoral characteristics of hypertension induced by prolonged stellate ganglion stimulation in conscious dogs. Circ Res 36: 455–464.

    PubMed  CAS  Google Scholar 

  39. Tarazi RC, Estafanous FG, Fouad FM (1978): Unilateral stellate block in the treatment of hypertension after coronary bypass surgery. Am J Cardiol 42: 1013–1018.

    Article  PubMed  CAS  Google Scholar 

  40. Ulrych M, Frolich ED, Dustan HP, et al. (1968): Immediate hemodynamic effects of β-adrenergic blockade with propranolol in normotensive and hypertensive man. Circulation 37: 411–416.

    PubMed  CAS  Google Scholar 

  41. Bailey DR, Miller ED, Kaplan JA, et al. (1975): The renin-angiotensin-aldosterone system during cardiac surgery with morphine-nitrous oxide anesthesia. Anesthesiology 42: 538–544.

    Article  PubMed  CAS  Google Scholar 

  42. Motlagh F, Alavi F, Najmabadi MH, et al. (1977): The relation of cardiopulmonary bypass induced hypertension and renin-angiotensin system (abstract). Circulation 56(suppl III): III 142.

    Google Scholar 

  43. Wallach R, Karp RB, Reves JG, et al. (1977): Mechanism of hypertension after saphenous vein bypass surgery (abstract). Circulation 56(suppl III): III 141.

    Google Scholar 

  44. Many M, Soroff HS, Birtwell WC, et al. (1968): Effects of bilateral renal artery depulsation on renin levels. Surg Forum 19: 387–391.

    PubMed  CAS  Google Scholar 

  45. Taylor KM, Brannan JJ, Bain WH, et al. (1979): Vasoconstriction during cardiopulmonary bypass. Cardiovasc Res 13: 269–273.

    Article  PubMed  CAS  Google Scholar 

  46. Niarchos AP, Roberts AJ, Case DB (1979): Hemodynamic characteristics of hypertension after coronary bypass surgery and effects of converting enzyme inhibitor. Am J Cardiol 43: 586–593.

    Article  PubMed  CAS  Google Scholar 

  47. Bravo EL, Tarazi RC (1979): Converting enzyme inhibition with an orally active compound in hypertensive man. Hypertension 1: 39–46.

    PubMed  CAS  Google Scholar 

  48. Bristow JD, Prys-Roberts C, Fisher A, et al. (1969): Effects of anesthesia on baroflex control of heart rate in man. Anesthesiology 31: 422–428.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. F. G. Estafanous
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. F. M. Fouad-Tarazi
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Internal Medicine and Hypertension Research Center, Broussais Hospital, Paris, France

    M. E. Safar

  2. Cleveland Clinic Foundation, Cleveland, Ohio, USA

    F. Fouad-Tarazi

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Kluwer Academic Publishers

About this chapter

Cite this chapter

Estafanous, F.G., Fouad-Tarazi, F.M. (1989). Postmyocardial revascularization hypertension. In: Safar, M.E., Fouad-Tarazi, F. (eds) The Heart in Hypertension. Developments in Cardiovascular Medicine, vol 98. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0941-0_13

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-0941-0_13

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6913-7

  • Online ISBN: 978-94-009-0941-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation