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INTRODUCTION Cardiac surgery has specific characteristics that make blood pressure management different. These are patients with heart disease, sometimes very severe, in which any stimulus is likely to cause significant hemodynamic instability. In addition, the need for the use of extracorporeal circulation defines different scenarios where neither hypotension nor hypertension can be treated in the same way. DEVELOPMENT The causes of hemodynamic instability are different in cardiac surgery due to its peculiarities. Optimization of heart
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