Perioperative HTN
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Ovid MEDLINE(R) ALL <1946 to October 21, 2026>
- Hypertension/ae, co, mo, su [Adverse Effects, Complications, Mortality, Surgery] 56673
- Perioperative Period/ 4590
- 1 and 2 16
- from 3 keep 1-4,8-11 8
- A Chinese large, retrospective, single center, observational study published in 2026 concluded that a first-OR-SBP>=186 mm Hg was significantly associated with an increased risk of perioperative ischemic stroke in patients undergoing elective non-brain, non-cardiac surgery. J of Clinical Hypertension
- A 2025 review article in Current Medical Research & Opinion states that "perioperative hypertension significantly increases the risk of adverse cardiovascular events, including myocardial infarction, stroke, and renal failure, contributing to longer hospital stays and higher healthcare costs. Patients with significant intraoperative systolic BP elevations had markedly higher risks of adverse outcomes, including approximately 1.5-fold higher mortality and a doubling of renal failure risk.
- A propensity matched, retrospective, cohort study published in 2024 looked at stroke recurrence in elderly patients undergoing hip fracture surgery. Multivariate logistic regression analysis showed that [...] hypertension (odds ratio 2.49, 95% confidence interval 1.26-5.02; p = 0.009) [was] independently associated with stroke recurrence. Baseline incidence in this cohort was 5.7%. BMC Musculoskeletal Disorders