Document Detail


Hypertension, admission blood pressure and perioperative cardiovascular risk.
MedLine Citation:
PMID:  8943587     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We performed a retrospective case-control study to investigate hypertension and admission blood pressure as risk factors for postoperative cardiovascular death. We identified records of 76 patients who had died of a cardiovascular cause within 30 days of anaesthesia and elective surgery and 76 matched controls. From the records of each patient (case and control) we recorded the admission blood pressure and details of any history of hypertension. A pre-operative history of hypertension was strongly associated with perioperative cardiovascular death (p < 0.001 with one degree of freedom: odds ratio 4.14, 95% confidence intervals 1.63-11.69). There was no association between systolic or diastolic pressure at admission for operation and perioperative cardiovascular death. The mean admission systolic pressure of the cases was 145.5 mmHg (range 90-250 mmHg) and that of the controls was 146.5 mmHg (range 100-200 mmHg). The mean admission diastolic pressure of the cases was 83.2 mmHg (range 60-130 mmHg), and that of the controls was 84.5 mmHg (range 60-110 mmHg).
Authors:
S J Howell; Y M Sear; D Yeates; M Goldacre; J W Sear; P Foëx
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Anaesthesia     Volume:  51     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1996-12-17     Completed Date:  1996-12-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1000-4     Citation Subset:  AIM; IM    
Affiliation:
Nuffield Department of Anaesthetics, John Radcliffe Hospital, Oxford.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cardiovascular Diseases / mortality*
Case-Control Studies
Female
Humans
Hypertension / complications*
Male
Middle Aged
Odds Ratio
Patient Admission
Postoperative Complications / mortality*
Risk Factors
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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