Monitoring the effects of Antihypertensives(ACE Inhibitors / ARBS)in patients undergoing surgey
Not Applicable
Completed
- Conditions
- Health Condition 1: I10-I16- Hypertensive diseases
- Registration Number
- CTRI/2020/06/025892
- Lead Sponsor
- Kasturba Medical College Manipal
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 60
Inclusion Criteria
All adult hypertensive patients, of either gender on treatment with angiotensin converting enzyme inhibitors or Angiotensin receptor blockers who are scheduled for elective surgery will be enrolled in the study.
Exclusion Criteria
PREGNANT WOMEN
AGE <18YEARS
TERMINALLY ILL
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method incidence of deviation of mean blood pressure 30% from the baseline (as recorded during preoperative visit) intraoperatively <br/ ><br>Timepoint: Baseline (preop) <br/ ><br>Immediate preop <br/ ><br>After induction <br/ ><br>After intubation 1 min <br/ ><br>2 min <br/ ><br>3 min <br/ ><br>5 min <br/ ><br>10 min <br/ ><br>15 min <br/ ><br>30 min <br/ ><br>1 hr <br/ ><br>2 hr <br/ ><br>Hourly till extubation <br/ ><br>Before extubation <br/ ><br> <br/ ><br>
- Secondary Outcome Measures
Name Time Method 1)Incidence of deviation of mean blood pressure 30% from the baseline (as recorded during preoperative visit) postoperatively <br/ ><br>2)Need for treatment of deviation in blood pressure (with vasoconstrictors/vasodilators) intraoperatively and postoperatively <br/ ><br>3)Any other adverse event attributable to ACE inhibitor/ARB continuation/discontinuation. <br/ ><br>Timepoint: After extubation <br/ ><br>1 min <br/ ><br>5 min <br/ ><br>30 min <br/ ><br>1 hr <br/ ><br>6 hr <br/ ><br>12 hr <br/ ><br>18 hr <br/ ><br>24 hr <br/ ><br>
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms of ACE inhibitors/ARBs are studied in perioperative hypertension management for I10-I16 patients?
How do preoperative ACE inhibitors/ARBs compare to calcium channel blockers in preventing postoperative hypotension in surgical hypertensive patients?
Which biomarkers in CTRI/2020/06/025892 correlate with improved perioperative outcomes in patients with I10-I16 hypertensive diseases?
What adverse events are associated with preoperative ACE inhibitor/ARB use in CTRI/2020/06/025892, and how are they managed in surgical settings?
Are there combination therapies involving ACE inhibitors/ARBs and mineralocorticoid antagonists for optimizing perioperative blood pressure control in I10-I16 patients?