what causes low blood pressure after bypass surgery

mayo 22, 2023 0 Comments

The cause may vary from person to person. Call the healthcare provider if you have: Symptoms that dont get better, or get worse. For the patients who dont have a family history of high blood pressure, any spike in the blood pressure following surgery will most likely be temporary. Anesthesiology. through an anastomosis. It typically lasts anywhere from 1 to 48 hours. See your healthcare provider for a diagnosis. After a period of low SV and CO, the levels returned to their previous levels after a period of high SV and CO. Learn more. The top number (120) is called systolic pressure, and measures the pressure when your heart is beating and pumping blood. This results in less oxygen being in your blood, a condition called hypoxemia. For example, if an individual has iron deficiency anemia, an iron supplement is typically the best option. Depending on the affected nerves, diabetic neuropathy symptoms include pain and numbness in the legs, feet and hands. 2020 Apr;34(2):81-93. doi:10.1016/j.tmrv.2020.02.001. Was removed by the dr. who performed the by-pass surgery. Find out what you need to know about orthostatic hypotension the sudden drop in blood pressure when you stand up that can make you feel faint. Bariatric surgery helps people who have severe obesity lose a lot of weight and improve their health. In some people, poor heart muscle function occurs for the first time during or after surgery. Chest pain. (2010). Grandma has low blood pressure & needing adrenalin following surgery. for myself at 77 i have never had a dr or nurse take my blood pressure while sitting then standing, or sitting then standing, why dont they?? Post op triple bypass 6 weeks out and having major issues when standing or walking with walker. Winter Weight Gain Why Does It Happen And What Can You Do? Shortness of breath. This occurs when there isn't enough blood volume in the body. stomach is changed into a small pouch. Feeling faint, light headed, woozy, weak, feels like about to pass out when upright blood pressure drops below one hundred over 60. Management of hypertension in patients undergoing surgery. Challenges facing Dental Healthcare Billing and more. Cicepamine (dopamine, epinephrine, and norepinephrine) and blood pressure have a correlation. Prominent changes in blood pressure can indicate underlying health problems. To reduce this risk, you should ensure your diet is low in saturated fat and salt, but high in fibre and omega-3 (a fatty acid that can help reduce your cholesterol levels). Family Medicine 23 years experience. Low blood pressure When blood pressure is too low. This is done from the inside of the gastric pouch or the (2014). Bisognano JD. you. This is usually temporary. Some people report that their blood pressure (BP) is more stable after bypass surgery, while others find that it fluctuates more. However, if you are experiencing dizziness, dehydration, nausea, vision changes, lightheadedness, fainting spells or cold, clammy skin, it's time to call the doctor. The top number is systolic pressure. One risk of a gastric bypass is digestive juices and partly-digested food leaking Because postoperative anemia tends to be short-lived in healthy individuals, a transfusion is not indicated until the hemoglobin is below 7 gm/dL or 8 gm/dL in people with heart conditions. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Heart bypass surgery, or coronary artery bypass graft (CABG) surgery, is done when coronary arteries, which supply your heart with oxygenated blood, become blocked or damaged. Coronary artery bypass surgery doesn't cure the heart disease that caused a blockage, such as atherosclerosis or coronary artery disease. There is no definitive answer to this question as everyones experience is different. After going through a coronary artery bypass surgery patient, you know that you have just undergone major surgery. Weakness. 2-What is normal blood pressure after bypass surgery? Hi @tob, I'm not a medical doctor, but I'm wondering why you are on those medications if you BP is so low, as @hollywoodal suggests below. Drug-induced hypertension: An unappreciated cause of secondary hypertension. If your blood pressure remains high or if you experience any other complications after the procedure, consult with your healthcare provider. If you had major surgery, the possibility of low blood pressure may persist for a couple of days or longer. The effects of smoking cigarettes can be felt in the heart and blood vessels. See additional information. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. One of the most common causes is a hemorrhage, where blood spills out of the veins. know what the side effects are. Self-care and stress reduction apps for mental health. According to the American Red Cross, the risk of HIV, hepatitis C, and hepatitis B from a blood transfusion is one per 2.3 million, 2.6 million, and 1.5 million donations, respectively. Some people have mild symptoms. My fourth cardiologist read the data I gave him and immediately took me off the beta blockers. Connect with thousands of patients and caregivers for support and answers. These can provide information about overall health, including low blood sugar (hypoglycemia) or low red blood cell levels (anemia). Pull-Up Bars: 5 Beginner-Friendly Exercises You Can Do at Home, Why Should You Have A Home Gym? Thalassemia: Understanding the Inherited Blood Disorder, Complete Blood Count (CBC) Normals and Abnormals. She is diabetic, high cholesterol and high blood pressure. You may need to make more frequent follow-up appointments in the months following coronary artery bypass surgery if you are having any complications. Medications and supplements that can raise your blood pressure. Jennifer Whitlock, RN, MSN, FNP-C, is a board-certified family nurse practitioner. Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, 10 Herbs That May Help Lower High Blood Pressure, Everything You Need to Know About High Blood Pressure (Hypertension), Taking Naps for More than 30 Minutes May Raise Your Risk of Obesity, Metabolic Disease, Study Finds Using 3 to 4 Drugs for High Blood Pressure May Be More Effective Than Single Pill, Discrimination at Work Can Increase Your Risk of High Blood Pressure. Furthermore, a poor diet may aggravate heart disease. oldkarl, @oldkarl Yes walking diffinately Helps Congrats on all your bypasses we have a fellow here I have told he needs to walk more after just one bypass .My triple is 26 yrs old I thank God each day for one more .I believe being active has been what has kept me going all these years, @lioness Thanks for the support. Blood then collects around your heart, causing your blood pressure to fall (cardiac tamponed). Last medically reviewed on December 6, 2018, All surgeries, even routine ones, have the potential for certain risks. Any reading below 90/60 mmHg can be considered low blood pressure, but it can be different depending on the person and on the circumstances. DOI: 10.1186/1471-2261-12-93. I felt lightheaded and almost passed out when trying to stand up from sitting or lying. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Understanding blood pressure readings. Medication and/or surgery may be required to treat the condition in some cases. Among the most common complications in CABG are death, myocardial infarction, stroke, wound infection, prolonged mechanical ventilation, acute kidney injury, and bleeding requiring transfusion or reoperation. Lowering blood pressure and raising heart rate, it appears, is not only a result of weight loss, but also a result of bypass surgery. At the visit, write down the name of a new diagnosis, and any new medicines, treatments, Copyright 2021 by Excel Medical. Mean arterial pressure (MAP) measures the flow, resistance, and pressure in your arteries during one heartbeat. General feeling of . provider may advise an emergency surgery to look for a leak. The treatment goal is to try and restore the blood and fluids in your body before damage is done to your vital organs (especially the kidneys and heart). Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. A CBC, which includes a hemoglobin test, is the primary test used to evaluate anemia before and after surgery. According to the study, patients who lost weight after bypass surgery had a lower blood pressure decrease. To prevent hypertension, patients should receive adequate treatment after undergoing CABG. During surgery, water evaporates from the surface of tissues in the area being operated on. Low blood pressure (BP) as a result of surgery is a common complication. Amiodarone, another drug commonly given after coronary bypass surgery, can cause low blood pressure. How long have you had HCM and have you discussed these current symptoms with your doctor? Feeling irritable or anxious. Due to the routine screening of the blood supply in the United States, the risk of infections (such as viral hepatitis and HIV) is extremely low. Medications blood thinner, cholesterol, midedrin bp elevator, eating renal diet some salt, some coffee, smart sense no butter, salmon, carrots, salad graham crackers, vanilla wafers, blueberries, cherries, watermelon. 1. Each of these 2 connections is called an anastomosis. Treatment for anemia depends on the cause. Is lisinopril safe to take if i've had gastric bypass surgery? A leak may happen up to several weeks after surgery. Surgery increases your risk for pulmonary embolism (PE). When the effects of anesthetic medications wear off, they might raise blood pressure during and after surgery. She has experience in primary care and hospital medicine. By Jennifer Whitlock, RN, MSN, FN if not, what other blood pressure medicine would you recommend? What Is Endermologie, And Why Should I Care? Screening of blood donors for HIV, HCV and HBV at the American Red Cross: ten-year trends in prevalence, incidence and residual risk, 2007-2016. Anesthetic drugs, which are used to put you to sleep during surgery, can affect your blood pressure. Tips to help you get the most from a visit to your healthcare provider: Know the reason for your visit and what you want to happen. Each test in the CBC has a reference range of valuesincluding an upper and lower valuebetween which the count is considered "normal." Postoperative anemia sometimes occurs following surgery as a result of blood loss. Many people have it for years without knowing it. Father is 85 yrs old, and overweight, mainly belly fat. They told me to be careful when I move around, and asked that I have someone with me at all times. This is a serious complication after gastric bypass surgery. The Importance Of Dental Implants And Studies, Old Age Diseases In People With Missing Teeth, 6 Reasons To Consider Dental Implants Oakville For Teeth Replacement, Design Possibilities Abound in Artificial Plant Factory, Toto site is a very popular online website that provides the users with a lot of games and promotions. High blood pressure is often associated with few or no symptoms. A machine will scan you with X-rays and create images. Low blood pressure and other side effects may occur if you're not getting enough nutrients. This is often caused by a loss of blood or the prolonged effects of anesthesia. While the purpose of a triple bypass procedure is to improve blood flow in the heart, benefits include: Improving quality of life. After 2 weeks from the surgery she developed fluid around her lungs. Sometimes this is due to excessive bleeding during the operation. New ACC/AHA high blood pressure guidelines lower definition of hypertension [Press release]. Mayo Clinic Staff. Any surgery comes with the potential for certain risks, even if its a routine procedure. If the patient had been taking medications to control his or her blood pressure, the elevated pressure would not have occurred. Mayo Clinic Staff. Dodd RY, Crowder LA, Haynes JM, Notari EP, Stramer SL and WR Steele. Go to the Heart & Blood Health Support Group. Thank you for any help. This could be because doctors havent diagnosed you before surgery, your current treatment plan isnt working, or maybe you havent been taking medication regularly. surgery. Deficiencies of essential nutrients, such as folic acid or iron, can cause the number of red blood cells or the concentration of hemoglobin to decrease, resulting in anemia. Unable to keep blood pressure up tried many things, only thing that works is staying seated which is not practical any help appreciated, I have had cardiac bypass twice, a 3 and a 5. 1998-2023 Mayo Foundation for Medical Education and Research. I'm a 80 yr old woman, who had by pass surgery 7mo ago, I have never taken high pressure medicine all these years, but after surgery, they gave it to me a very low dose 25mg 2x a day. Last Updated 02 May, 2023. The doctor said that was actually to be expected and soon it would come back up. Any reading below 90/60 mmHg can be considered low blood pressure, but it can be different depending on the person and on the circumstances. If you have a follow-up appointment, write down the date, time, and purpose for that Can you tell us a little more about your situation? You should err on the side of caution. According to a 2013 review in the Journal of the Royal Society of Medicine, preoperativeanemiais associated with an increased risk of postoperative infection, respiratory failure, stroke, heart attack, and kidney failure, particularly in older adults. Today at the doctor's office, my blood pressure was at shocking 98/50. The bottom number is. provider may advise an emergency surgery to look for a leak. Low blood pressure (hypotension). I had stomach bypass surgery in 2006.i now have low red bood count.i take b12 1000mg day. For instance, Lopressor (used to help heart rhythm after coronary bypass surgery) can cause low blood pressure or dizziness. Current time: 05/02/2023 05:27:50 a.m. UTC Ask if your condition can be treated in other ways. Grossman E, et al. They may recommend different medications or have you alternate drugs, so youre not taking one over the long term. Perioperative management of hypertension. We show that the reduction in BP following surgery is caused by a decrease in cardiac output. Your recovery might begin in the intensive care unit (ICU) of the hospital and will normally last three to five days in another section of the hospital before you go home. A. For these, please consult a doctor (virtually or in person). Your email address will not be published. What Is Testosterone Hormone and How Does It Work? Up to ten percent of patients who suffer a heart attack will also suffer this cardiogenic shock; 40 to 70 percent of those will die. If the imaging test does not show leaking but you still have symptoms, your healthcare Six of the 13 people who underwent MRI had signs of acute stroke in their brains. A Textbook of Perioperative Care; Kate Woodhead and Paul Wicker, Kheterpal S et al. Your email address will not be published. Although extremely rare after minor surgery, sepsis may occur after major surgery, especially when an infection is present in the area being operated on or the person has an impaired immune system, as may occur with HIV or chemotherapy for cancer. Theme by MVP Themes, powered by WordPress. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. The bottom number is diastolic pressure. 2023 Healthline Media LLC. Has a life long history of hypertension high blood pressure. A drop in MAP greater than 27 millimeters mercury was found to be more likely to cause a lesions than a drop greater than 27 millimeters mercury. Dr. Fiocco says that adjusting medications solves the overwhelming majority of orthostatic hypotension cases. We can help you with a Modern Heart and Vascular appointment right away. Its also common for many people undergoing these types of procedures to already have high blood pressure. The images can show if the dye is leaking through the anastomosis. When the effects of anesthetic medications wear off, they might raise blood pressure during and after surgery. Its best to confirm this with your surgeon or anesthesiologist. Learn which foods to eat and what to avoid. If your body was used to blood pressure-lowering medications, its possible that you may experience withdrawal from suddenly going off of them. At this time, you will probably be cared for in a post-anesthesia care unit, where appropriate treatment will be quickly administered. This results in a redirection of the blood flow around the blockage. after surgery. In this condition, a severe infection enters the bloodstream and causes inflammation throughout the body. (2017). Catherine Schaffer has been writing since 1990. In this issue of the Journal of the American Heart Association ( JAHA ), Lindman et al demonstrate that low BP (both SBP and DBP) is linked to poorer outcomes after AVR via both surgical and transcatheter approaches. Read our. They changed bp medicine, still taking blood thinner and gave on for neuropathy. Its important to tell your surgical team, if theyre not already aware, what blood pressure medications youre taking and any doses youve missed. Changes can happen while youre being put to sleep and then when youre coming off of the drugs. Among 15 patients undergoing CABG surgery, those aged 57 to 81 years were assessed. Can someone explain or show me where to find more information. On the second, I went down a couple times, but fortunately, I had immediate assistance. I had a good laugh. Copyright 2020 ZoxPress Theme. Anemia occurs when there are too few red blood cells. Perioperative management of hypertension. Hi @airforce1 and welcome to Mayo Clinic Connect. A fast or uneven heartbeat. Long-Term Recovery and Support After Coronary Bypass Surgery. See additional information. nonsteroidal anti-inflammatory drugs (NSAIDs), acc.org/latest-in-cardiology/articles/2017/11/08/11/47/mon-5pm-bp-guideline-aha-2017, uptodate.com/contents/perioperative-management-of-hypertension, orthoinfo.aaos.org/en/recovery/managing-pain-with-medications, mayoclinic.org/diseases-conditions/high-blood-pressure/in-depth/blood-pressure/art-20045245, mayoclinic.org/pain-medications/art-20046452, my.clevelandclinic.org/health/articles/11307-pain-control-after-surgery, familydoctor.org/pain-control-after-surgery-pain-medicines/, ncbi.nlm.nih.gov/pmc/articles/PMC2515421/, 7 Home Remedies for Managing High Blood Pressure. Before your visit, write down questions you want answered. Eat a balanced diet. When the heart is unable to pump an adequate amount of blood to the rest of the body, the blood pressure will fall. American College of Cardiology: 2017 Guideline for High Blood Pressure in Adults. How To Stay Uplifted When You Are Down On Motivation? How Can You Increase Your Red Blood Cells? AFib is not always treated on its own; in the majority of cases, it requires medication to resolve. Our doctor suggested we increase our salt intake to raise it a bit naturally as @hollywoodal also suggests below. Sepsis is a life-threatening complication of getting a bacterial, fungal, or viral infection. Hypovolemic shock is when your body goes into shock because of severe blood or fluid loss. If this is the case, doctors will monitor you carefully and give you medications through an IV to help bring your blood pressure back to normal. Common First Aid Myths Busted: Debunking Misconceptions You Need to Know, Uncircumcised Men: How to Protect Against Infections Using Antibacterial Soap. Due to the withdrawal of BP medications, this particular patients blood pressure was most likely elevated. ? They can usually tell if low. Learn more about good herbs for hypertension, from basil to hawthorn. Such stimulation can happen in either direction; in some people, blood pressure may drop dramatically, but your heart surgeon will quickly restore it to normal. 2023 University of Rochester Medical CenterRochester, NY, Clinical and Translational Sciences Institute, Monroe County Community Health Improvement Plan, Bariatric Surgery Center at Highland Hospital. Changes in blood pressure during induction of anesthesia and oral and maxillofacial surgery by type and timing of discontinuation of antihypertensive drugs. 2016;8(5):28-31. This included, New research suggests that taking three or four medications at lower doses and as the initial treatment may help people lower their blood pressure, Supine hypertension is when you have high blood pressure while lying down. In severe cases, it can be difficult to survive and even improve; however, if you consult a skilled doctor and get the proper treatment, you may even make a full recovery. Blockage in your blood vessel by a mass of debris (embolus) or blood clot (thrombus) Inflammation . If you are experiencing serious medical symptoms, seek emergency treatment immediately. intestine loop is connected lower down on the small intestine. Most patients who undergo surgery will face lowering of blood pressure. However, blood pressure can vary depending on a persons age, health, and other factors. After gastric bypass, swallowed food will go into this small pouch of stomach and then directly into the small intestine . The bottom number (80) is called diastolic pressure, and measures the pressure when your heart is resting between beats. Extremely low blood pressure after c-section. Reactive hypoglycemia, sometimes called postprandial hypoglycemia, happens when blood sugar drops after a meal usually within four hours after eating. This helps Hematological factors, such as transfusion reactions, hemolysis due to distilled water during transurethral resections, and acute or chronic blood loss, are likely to be the most common causes of this condition. 2018 Jul;16(4): 324-5. doi:10.2450/2018.0036-18. It may be because of problems Jennifer Schwartz, MD, is a board-certified surgeon and Assistant Professor of Surgery at the Yale School of Medicine. This sometimes occurs because the heart rate is too slow. A reduced amount of blood in the body, called hypovolemia, is one of the most common reasons for low blood pressure after surgery. In the early postoperative period, blood pressure is measured at frequent intervals to promptly identify changes and begin appropriate treatment, if necessary. Both my husband and I have naturally low blood pressure with no weakness, dizziness, etc. Coronavirus (COVID-19): Latest Updates | Visitation PoliciesVisitation PoliciesVisitation PoliciesVisitation PoliciesVisitation Policies | COVID-19 Testing | Vaccine InformationVaccine InformationVaccine Information. The leak needs to be treated right away. Learn more about what causes low blood, Your blood pressure changes from day to day, adjusting to your activities, environment, and diet. Anyway, I am not sure why it happened, but I started walking more, and I still walk as much as I can, with Gelsolin and LGMDr23 and DCM. GAINSWave Therapy and the Reasons to Give It a Try, CBD Oil: The Perfect Gift For Exhausted Moms And Dads, Bubba Kush: Let the Powerful Relaxation Take Over, Beginners Guide to Ejuice Supplies in Canada. The b/p kept going down to less then 100/60, so the doctor dropped me down to taking 12.5me 2x a day. Hematological factors, such as transfusion reactions, hemolysis due to distilled water during transurethral resections, and acute or chronic blood loss, are likely to be the most common causes of this condition. Healthy diet. This is a serious complication after gastric bypass surgery. You may be fed through a tube that goes directly into your To learn more, please visit our. One such risk is a change in your blood pressure. Your blood pressure will go back down after the pain has been treated. A leaking anastomosis may cause bleeding Although there is a low risk of serious complications following triple bypass surgery, it is critical that patients understand the risks and are prepared for the post-operative care they will receive. Later at my doctor's office, my blood pressure was only 90/60. Low blood pressure has 3 main causes: decreased volume of blood, heart problems, and dilated blood vessels. (2014). Treatment for low blood pressure after cabg surgery typically involves fluids and, in some cases, blood transfusions. (2018). This blood test checks the levels of different cells in your blood, including the RBC count. Some anesthetic medications and painkillers may also produce a slow heart rate. Normal blood pressure after bypass surgery is typically around 120/80 mmHg. // Leaf Group Lifestyle. You can learn more about how we ensure our content is accurate and current by reading our. Vasodilation may be produced by a number of medications, especially those used to treat heart disease or high blood pressure. how to get it back to normal level? Even though I gave them pages of documentation on what was happening they refused to listen to anything I had to say. You never know the impact you may have: Meet @karukgirl. Well go over whats considered normal, Hypotension is low blood pressure. Are There Ways To Protect the Heart Muscle? Causes and Treatment of Postoperative Anemia. Do an upper endoscopy to place a short-term (temporary) small tube called a stent Your blood pressure can drop during or. Blood tests. 2013 Jul;106(7):269-77. doi:10.1177/0141076813479580, Lingohr P, Bensoukehal S, Matthaei H, et al. This is slightly lower than the average blood pressure for adults, which is typically around 140/90 mmHg. Pain is one of the easiest ways to increase your blood pressure, and experiencing pain is quite common after many surgeries. If you still have low blood pressure when you return home, here are some things you can do to reduce symptoms: Really low blood pressure numbers put you at risk of damage to vital organs, like your heart and brain, due to lack of oxygen. There is no need to be concerned about this and it should not cause concern. Repair the leak, or make a new anastomosis with a second surgery. But it can reduce symptoms such as chest pain and shortness of breath. Whilea surgeon often has a good idea of how much blood you lost during surgery, a blood test can more objectively assess the degree of postoperative anemia. Doctors and nurses will watch you and use medicines to get your blood pressure back to normal. My 11 yr old son fainted frm low blood pressure 90/53 & dehydrtion 3 days aftr oral surgery.now 3 days after faint & still low.his reg bp was 110/68. Fatigue. Certain prescription or over-the-counter (OTC) drugs can increase your blood pressure. Experts note that the upper airways of some people are sensitive to the placement of a breathing tube. In certain patients, the blood pressure actually comes down after surgery and returns back to the pre-operative levels 4 to 6 weeks down the track, at the time the blood pressure medicines are introduced. Complete your request online or contact us by phone. Most occur within a few days Testosterone Hormone The Alpha Male Hormone Explained, Why Reducing Calories Is Not Enough To Achieve Sustained Weight Loss, BETA-ALANINE AND ENDURANCE TRAINING: A MATCH MADE IN HEAVEN. Laparoscopic surgery lowers the risk. The four most common causes are shown below. I tried only taking the b/p medicine in the morning only, and I feel much better, and don't have to take a nap. Headache. Increased heart rate. Arrhythmia is common in the elderly, and while it usually resolves on its own over time, it can sometimes result in serious complications such as stroke. You are stomach, Aspiration pneumonia from digestive juices that can spill into the lungs. Treatment for postoperative anemia sometimes requires a blood transfusion, but often watchful waiting is appropriate. Your blood pressure can increase as a result. Varon J, et al. What foods can help combat erectile dysfunction? Fortunately, the problem tends to be transient (short-lived) and does not usually require a transfusion. (2017). 2023 Dotdash Media, Inc. All rights reserved. What can happen to someone who has low blood pressure, and is going through surgery? For potential or actual medical emergencies, immediately call 911 or your local emergency service. It describes the pressure when your heart is beating and pumping blood. Complications may include: Shock. 6 Tactics for Controlling Hunger Pains and Cravings, Best Teas for Weight Loss to Kickstart Your Transformation, How Your Genetic Makeup Can Affect Your Diet and Food Preferences, 9 Dos and Donts of Living With an Alcoholic, Going Gluten-Free: The Guide for Beginners, Carbohydrates to avoid when losing weight, What to Know About Protein Powders for Weight Loss and Bulking Up, Bariatric Surgery for Weight Loss Dr. Samrat Jankar, 5 Emergency Situations Children Can Face and What to Do, Sleeping Disorders In Men: 4 Types And Solutions. A coordinator will follow up to see if Mayo Clinic is right for you. Las Vegas Sunrise was very helpful about pushing me to walk soon after surgery. A new study found that longer siestas or naps of 30 minutes or more were more closely tied to increases in indicators of poorer health.

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what causes low blood pressure after bypass surgery