Is Peri-Operative Isolated Systolic Hypertension (ISH) a Cardiac Risk Factor?

Current Cardiology Reviews
Ashraf Fayad, Homer Yang

Abstract

We are presenting a review of Isolated Systolic Hypertension (ISH) as a cardiovascular risk factor with emphasis on the perioperative period.Isolated systolic hypertension is associated with aging and is the most frequent subtype (65%) among patients with uncontrolled hypertension. ISH is strongly associated with increased risks of cardiac and cerebrovascular events exceeding those in comparably aged individuals with diastolic hypertension. Patients with ISH show an increase in left ventricular (LV) mass and an increase in the prevalence of left ventricular hypertrophy (LVH). These LV changes increase cardiovascular events and frequently lead to diastolic dysfunction (DD). Treatment to reduce elevated systolic blood pressure has been shown to reduce the risk of cardiovascular events.In the perioperative setting, essential hypertension has not been found to be a significant risk factor for cardiac complications. Most of the studies were based on the definition of essential hypertension and underpowered in sample size. The significance of perioperative ISH, however, is not well studied, partly due to its recognition only fairly recently as a cardiovascular risk factor in the non-surgical setting, and partly due to the evolving de...Continue Reading

Citations

Dec 10, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Valluvan RangasamyBalachundhar Subramaniam
Sep 9, 2021·Journal of Hypertension·Yan ZhouYang Hong-Yun

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

MRFIT
Eur2
Syst

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