PP.01.04: HIGH BLOOD PRESSURE AFTER CORONARY ARTERY BYPASS SURGERY IN PATIENTS REFERRED TO IN- HOUSE CARDIAC REHABILITATION. SINGLE CENTER EXPERIENCE. (June 2015)

• Record Type: Journal Article
• Authors: Burazor, I.; Lazovic, M.; Sprioski, D.; Andjic, M.; Moraca, M.
• Is Part Of: Journal of hypertension. Volume 33(2015)Supplement 1
• Publication Date: 2015-06
• Subjects: Hypertension -- Periodicals; Hypertension -- Periodicals; 616.132005
• DOI: 10.1097/01.hjh.0000467703.13112.3e
• Languages: English
• ISSNs: 1473-5598

Abstract

Abstract : Objective: After a bypass surgery blood pressure can go up for multiple reasons among which are: the pain of the cut, stress and tense of the patient unsure about the future and because some of the blood pressure medication, which the patient was receiving preoperatively may get withdrawn post operatively, thereby leading to shooting up the blood pressure. In certain patients, the blood pressure actually comes down after surgery and returns back to the pre-operative levels 4 to 6 weeks down the track, at the time the blood pressure medicines are introduced. We aimed to investigate the incidence of high blood pressure after coronary artery bypass surgery (CABG) in patients referred to our in- house cardiac rehabilitation program. Design and method: Out of 1276 patients admitted for in-hospital cardiac rehabilitation, we studied one hundred two patients with previous CABG (62% males, aged 65.78 ± 7.01 years). Risk factors and medications were noted. Exercise test were performed on admisson and after 21 days of in-hospital rehabilitationn. According to the first test results patients were selected for exercises program: free walking, cycle and/or Nyllin steps. During the exercise patients were continuously monitor. Blood pressure was measured every morning, before and immediately after the exercise, after a break, and on patient demand. Results: High blood pressure was noted in 24% of patients referred to our in house cardiac rehabilitation program with the maximum of 200mmHg for systolic and 110 for diastolic pressure. Most of the patients (87%) were taking preoperative antihypertensive drugs. We optimized the dose in 35% while in 65% ACE inhibitors were change to ARB (irbesartan predominantly) to optimize blood pressure and achieve target levels. None of the patient had severe complicates due to blood pressure arise. All the patients successfully finished in house cardiac rehabilitation program. Conclusions: CABG can help to restore blood flow to an area of the heart. However, it does not stop the progression of atherosclerosis. High blood pressure can be successfully detected and treated during in house supervised cardiac rehabilitation program.