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Revista Cubana de Medicina

versión impresa ISSN 0034-7523versión On-line ISSN 1561-302X

Resumen

DEL POZO JEREZ, Haydeé A.  y  LEIVA SUERO, Lizette E.. Atención prequirúrgica del hipertenso eventual. Rev cubana med [online]. 1998, vol.37, n.3, pp.141-146. ISSN 0034-7523.

Some patients who had previously had elevated arterial tension resulting from stressing situations, but who were usually normotensive (occasional hypertensives) were studied. This type of patient is the most frequent cause of suspension of the surgical procedure as a result of arterial hypertension. It was proposed to use the cold pressure test due to the need of identifying the tensional operative behaviour among these patients and to its sensitivity and specificity capable of producing an arterial hypertension similar to the one caused by surgical stress. It allows to have a prognosis of the tensional transoperative behavior. 30 individuals were included in the sample and all of them underwent this test. 24 had positive results and were indicated individualized treatment. The other 6 were negative and no treatment was prescribed since no hyperreactivity was observed. There was neither perioperative hypertension nor suspensions. It was concluded that the test is a valuable tool for tensional transoperative prediction and that it is also useful at the time of prescribing hypotensors.

Palabras clave : HYPERTENSION; SURGICAL PROCEDURES, OPERATIVE; STRESS, PSYCHOLOGICAL; PREOPERATIVE CARES; BLOOD PRESSURE DETRMINATION [methods].

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