How does hypertension affect the surgical treatment of pheochromocytoma?

Updated: Aug 10, 2018
  • Author: Michael A Blake, MBBCh, MRCPI, FRCR; Chief Editor: George T Griffing, MD  more...
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Answer

In a study by Paraby et al, severe hypertension (systolic blood pressure >200 mm Hg) was associated with 5 of 35 pheochromocytoma resections (14.3%), compared with 2 of 106 nonpheochromocytoma adrenal tumor resections (1.9%). [3]  However, no patient in either group had transient or persistent systolic blood pressure of greater than 220 mm Hg. There were no significant differences in recovery room hemodynamic parameters, frequency of persistent hypotension, or occurrence of heart rates greater than 120/min between the 2 groups.


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