title: The relationship of cardiac and neurological complications to blood pressure changes following carotid endarterectomy.
abstract: This study was undertaken to study serial blood pressure changes following carotid endarterectomy (CE) and to analyze their relationship to neurological and cardiac complications. Over a 41 month period, 330 carotid endarterectomies (CE) were studied prospectively. Elevation of blood pressure developed in 214 of 330 (64%) patients undergoing CE. Four patients in the CE group developed perioperative myocardial infarction. None of these patients had hypertension following CE. Eleven patients (3.3%) developed new neurological deficits; 10 of these patients had perioperative hypertension (P = 0.041). Hypertension following carotid endarterectomy increased the likelihood of neurological deficit, but not a myocardial infarction.
authors.affiliation: Department of Surgery, Macomb Hospital Center, Warren, Michigan.
authors.forename: S S
authors.initials: SS
authors.lastname: Hans
authors.forename: J L
authors.initials: JL
authors.lastname: Glover
mesh_terms: D000368:Aged; D001794:Blood Pressure; D016894:Endarterectomy, Carotid; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000503:physiopathology*; D009422:Nervous System Diseases / Q000150:complications / Q000503:physiopathology*; D011183:Postoperative Complications / Q000503:physiopathology*; D011184:Postoperative Period; D011446:Prospective Studies