Hypertension Management After Coronary Artery Bypass Graft Surgery

Topic: Surgery
Words: 856 Pages: 3
Table of Contents

Introduction

The heart, blood arteries, and blood are all part of the cardiovascular system, which ensures that blood is transported throughout a person or other vertebrates’ complete body. The cardiovascular system’s significance is proved by its primary duty to deliver nutrition and remove waste. Nevertheless, different surgeries and interventions concerning the cardiovascular system can lead to probable complications. Hypertension, as a possible negative and serious repercussion of coronary artery bypass surgery, should be assessed in terms of feasible approaches to its treatment.

Discussion

The force produced by flowing blood on the membranes of the body’s natural arteries, or main blood vessels, is known as blood pressure. Hypertension is the common term that is utilized regarding the clinical and healthcare settings and contexts, in which individuals suffer from high blood pressure. Concerning the general definition, hypertension is the major reason for cardiovascular illness and early mortality (Mills et al., 2020). Global average blood pressure has remained relatively stable or reduced modestly during the last four decades due to the widespread usage of antihypertensive drugs (Mills et al., 2020). Hypertension, on the other hand, has become more common, particularly in low- and middle-income nations (Mills et al., 2020). According to the estimates, 31.1% of adults globally, or 1.39 billion people, experienced hypertension in 2010 (Mills et al., 2020). Despite the rising incidence of hypertension, the rates of hypertension recognition, treatment, and blood pressure management are considered low, and there are few thorough examinations of hypertension’s economic effect (Mills et al., 2020). Thus, hypertension can be described as an essential phenomenon that is related to the basic needs in the field of healthcare and the population’s well-being.

Coronary artery bypass surgery, often called coronary artery bypass graft operation or heart bypass, or bypass surgery, is a surgical treatment that restores adequate blood flow to a constricted coronary artery. Coronary bypass surgery involves redirecting blood circulation around a segment of a clogged artery in the heart to recover blood flow to the heart muscular. Coronary bypass surgery reroutes blood around a portion of a blood vessel that is completely or partially clogged. Heart bypass surgery is a significant but largely safe procedure; however, the severity of the heart disease increases the probability of complications. In addition, it is obligatory to emphasize the importance of bypass surgery not only concerning adults and older adults but also for children and adolescents. Due to its life-saving capability in failed coronary transfer operations, pediatric coronary artery bypass procedure for congenital heart defects has become more significant in newborns and children facing current cardiac medical interventions (Kitamura, 2018). Various concerns, such as chest discomfort and difficulty in breathing, can be relieved by coronary bypass surgery. This technique can enhance heart function and lower the chance of dying from heart disease in certain patients.

Bypass surgery can potentially result in various repercussions, including negative ones, for instance, hypertension. Coronary artery bypass graft surgery is believed to be a high-risk treatment, and numerous patients can be transported to the emergency room due to complications (Montrief et al., 2018). Coronary artery bypass graft surgical problems can lead to severe morbidity and death (Montrief et al., 2018). Specialists should diagnose these illnesses quickly while also checking for other disorders. Graft collapse, arrhythmia, hypertension, pericardial effusion, and migraines are among the surgical consequences that medical experts must deal with (Montrief et al., 2018). In the resuscitation center, emergency cases should be examined, and communication with the lead surgical group is required, which promotes patient outcomes (Montrief et al., 2018). Hypertension is a typical side effect of coronary artery bypass graft surgery that necessitates treatment to avoid potentially harmful consequences. Blood pressure rises after bypass surgery for a variety of causes, including discomfort, anxiety, and the discontinuation of blood pressure drugs that the patient was taking before the procedure.

The research proposal is focused on the assessment of the methods that can be utilized in terms of hypertension management and treatment as a consequence of bypass surgery. For example, hypertensive individuals who take their prescription blood pressure-lowering drugs before bedtime rather than when they wake up have better blood pressure management (Hermida et al., 2020). In this research, bypass surgery is the independent variable, and hypertension and hypertension management are the dependent variables. Concerning the stakeholders that will be most interested in the research, it is possible to highlight medical specialists in cardiology and surgery, as well as nursing practitioners in terms of postoperative recovery.

Conclusion

In conclusion, hypertension is the leading cause of cardiovascular disease and early death, according to the general definition. Coronary artery bypass surgery, also known as coronary artery bypass graft surgery, heart bypass surgery, or bypass surgery, is a surgical procedure that allows blood to flow continuously through a restricted coronary artery. Coronary bypass surgery includes rerouting blood flow around a blocked artery in the heart to restore blood flow to the heart muscle. Bypass surgery has the potential to have a variety of side effects, including unfavorable ones like hypertension. The study proposal focuses on evaluating the strategies that may be employed in the management and treatment of hypertension as a result of bypass surgery.

References

Hermida, R.C., Crespo, J.J., Domínguez-Sardiña, M., Otero, A., Moyá, A., Ríos, M.T., Sineiro, E., Castiñeira, M.C., Callejas, P.A., Pousa, L., & Salgado, J.L. (2020). Bedtime hypertension treatment improves cardiovascular risk reduction: The hygia chronotherapy trial. European Heart Journal, 41(48), 4565-4576.

Kitamura, S. (2018). Pediatric coronary artery bypass surgery for congenital heart disease. The Annals of Thoracic Surgery, 106(5), 1570-1577.

Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews Nephrology, 16(4), 223-237.

Montrief, T., Koyfman, A., & Long, B. (2018). Coronary artery bypass graft surgery complications: A review for emergency clinicians. The American Journal of Emergency Medicine, 36(12), 2289-2297.