Key result
Evidence fails to support preoperative moderate hypertension control or link intraoperative blood pressure to CV morbidity.
Why the study?
Does preoperative control of moderate hypertension improve outcomes in patients undergoing coronary artery bypass surgery?
Population
Patients with hypertension undergoing coronary artery bypass surgery
Design
Review
Authors
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Insufficient evidence supports delaying CABG for moderate hypertension; leaves open prospective trials to define thresholds.
Does preoperative control of moderate hypertension improve outcomes in patients undergoing coronary artery bypass surgery?
There is insufficient evidence to support the conventional practice of delaying elective coronary artery bypass surgery for preoperative control of moderate hypertension.
McCloskey et al. (1999) conducted a review in Hypertension in coronary artery bypass surgery. Preoperative and intraoperative blood pressure control was evaluated. Data supporting the preoperative control of moderate hypertension before cardiac surgery or correlating intraoperative blood pressure levels with cardiovascular morbidity are lacking.
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