BP cutoffs for procedures

[tmvguy03]

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Do you have hard and fast cutoffs for when you reschedule procedures based on elevated BP? There are so many factors to consider (baseline BP, symptoms, other comorbidities, the procedure to be performed etc.). I think my clinic standards are too conservative and don't allow for nuance, unfortunately I don't have as much control as I'd like to execute judgment in individual cases. Thanks

 

[No_Pain_No_Gain]

My cutoffs are based loosely off what we used in the OR in my anesthesia residency for elective surgical procedures. There are no hard guidelines in regards to this as far as I am aware:
Systolic BP >200 mmHg
or
Diastolic BP > 110 mmHg
I have seen others use a systolic BP >180 mmHg as their cutoff.
If a patient's BP is elevated to greater than either of these numbers AND they are symptomatic, ambulance is called to take patient to ER. If the patient is asymptomatic I call patient's PCP prior to patient leaving the office so they can develop a plan moving forward to treat the HTN.