P4.08 ARTERIAL HYPERTENSION AND CORONARY REVASCULARIZATION SURGERY: A CLINICAL CHARACTERIZATION OF 90 PATIENTS

DOI

10.1016/j.artres.2009.10.049How to use a DOI?

Abstract

Objectives: evolution of hypertensive patients during their stay in the CCU after myocardial revascularization surgery (MRS).

Methods: retrospective study with 90 patients.

Results: prevalence of AHT before surgery was 86.7%; 61.3% were treated with BB, 39% received ACEI, 11% calcium antagonists and 14.4% diuretics. From hypertensive patients, 56% presented AHT during the stay in the CCU (65 % of men and 41.3% of women) (p<0.05). In the CCU the patients with AHT were treated with nitroglycerin in the 95.6% of the cases. BB were used in 48% of the patients, and only 13% needed sodium nitroprusside. The most frequent early postoperatory complications were taquiarrithmias and mayor bleedings but we did not find a relation between these complications and AHT in the early postoperatory. Bleeding was found in 21 % of the patients that developed AHT postoperatory vs. 10 % of the patientss that did not (NS). 21% of the patients that developed AHT presented taquiarrithmias vs. 16% of the patients that did not (NS). Almost all patients were sent home with BB, 60% of patients with ACEI and 3.3 % with calcium antagonists.

Conclusions: 1. AHT was more frequent in previously hypertensive men than in women in the early postoperatory of MRS. 2. AHT was not significantly associated with bleeding or taquiarrithmias 3.Most of the cases of HTA responded to the treatment with nitroglycerin and BB. 4. BB and ACEI were the drugs more prescribed to patients after acute phase of MRS.

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TY  - JOUR
AU  - L.M. Pupi
AU  - M. Leonardi
AU  - F. Calabria
AU  - E. Sampo
PY  - 2009
DA  - 2009/12/03
TI  - P4.08 ARTERIAL HYPERTENSION AND CORONARY REVASCULARIZATION SURGERY: A CLINICAL CHARACTERIZATION OF 90 PATIENTS
JO  - Artery Research
SP  - 172
EP  - 172
VL  - 3
IS  - 4
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2009.10.049
DO  - 10.1016/j.artres.2009.10.049
ID  - Pupi2009
ER  -