Preoperative management of patients with arterial and pulmonary hypertension combined with gynecological and surgical diseases

Purpose - tо determine the optimized system of preoperative preparation patients with arterial (AH) and pulmonary hypertension (PH). Materials methods. During work, 35 were examined, 25 (71.4%) hypertensive prepared for surgical treatment, 19 (54.3%) them underwent planned operations, 6 (17.1%) urgent intervention. 10 (28.6%) PH examined surgery, in which intervention was performed as planned. The who operations according to standards medical institution, taking into account protocols European Association Cardiologists (ESC) from 2022. Results. Stage I AH diagnosed 15 (42.9%) patients, stage II women. detected 7 (20%) 3 (8.6%) When preparing drug therapy carefully selected, affected different links pathogenesis disease. In PH, are scheduled many cases is clearly regulated prescribed accordance clinical manifestations disease course perioperative period. No cardiovascular complications operated on compliance developed scheme preparation. Blood pressure most within age norm, there no venous thromboembolism, severity heart failure did not increase. Conclusions. It recommended strictly follow preparation, starting prehospital examination treatment PH. Determination adherence proved be effective, contributed absence system, stabilization blood period, characterized by study principles Declaration Helsinki. protocol approved Local Ethics Committee institution. Informed consent obtained study. conflict interests declared authors.