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Drugs for the Perioperative Control of Hypertension

Current Issues and Future Directions

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Abstract

The management of hypertension continues to pose important challenges. Recent developments have established the importance of more rigorous blood pressure control in the community. In the perioperative setting, hypertension has long been recognised as undesirable, although the adverse impact of high blood pressure on the acute risks of elective surgery may have been previously overstated.

A number of agents and techniques are available to control blood pressure perioperatively. These include principally general and regional anaesthetics, α2-adrenoceptor agonists, peripheral α1- and β-adrenoceptor antagonists, dihydropyridine calcium channel antagonists, dopamine D1A-receptor agonists fenoldopam), and nitric oxide donors.

Recent years have seen important developments in the receptor selectivity of new compounds and in pharmacokinetics, particularly esterase metabolism. The future study of genomics may enable us to identify patients at risk for hypertension-related adverse events and target therapies most effectively to these high-risk groups.

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    Robert Feneck

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Feneck, R. Drugs for the Perioperative Control of Hypertension. Drugs 67, 2023–2044 (2007). https://doi.org/10.2165/00003495-200767140-00005

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