DESCRIPTIVE STUDY ON PRESENTATION OF PREOPERATIVE HYPERTENSION IN PATIENTS UNDERGOING SURGERY

Abstract

Objective: Hypertension is an abnormality in surgical procedures and during anesthesia. In this observational study we investigate and treat the patients of hypertension in patients undergoing surgery in newly diagnosed hypertension and known hypertensive with uncontrolled Blood Pressure. Type of study: Descriptive Observational Place of Study: PMCH Nawabshah. Duration of study: From November 2016 to October 2017. Methods: This descriptive study was conducted in OPD department of Medicine. All patients came for surgery of various diseases with known Hypertension or newly diagnosed Hypertension. Study was done on Performa with informed consent of the patients or relatives. Non surgical hypertensive patient were excluded from the study. Collected data was analysed using SPSS 15 version. Results: 102 patients were enrolled for this study. Male patient = 58, Female patient = 44. Age range 35-67 years mean age =56 ±4.9, Systolic BP range 180-240 mmHg mean 217.35 ±13, Diastolic BP range 95-140 mmHg mean 117.94 ±11. Surgical diagnosed cases were 9 thyroid, 28 inguinal hernia, 14 hemorrhoids, 12 cholilithiasis,3 incisional hernia, 21 renal stone, 5 vesical calculus, fistula jn ano 3, 7 enlarged prostate. Out of 102 patients 9 patients were diabetic and one patient was in renal failure after investigations. Conclusion: Preoperative Hypertension is major problem in those patients who came for surgery. Many patients are asymptomatic diagnosed first time with elevated Blood Pressure and postponement of surgery. With proper management of Hypertension with anti hypertensive drugs, patient can be operated and mobidity and mortality can be reduced.