[CME: Hypertension and the COVID-19 Pandemic: What to Consider in Medical Practice]

Grégoire Wuerzner1, Bernard Waeber2

  • 1Service de Néphrologie et Hypertension, CHUV, Lausanne.

Praxis
|February 3, 2021
PubMed

Insights

Hypertensive patients face no increased risk of severe COVID-19 complications. Current treatments, including renin-angiotensin system blockers, and COVID-19 vaccines are safe for managing high blood pressure during the pandemic.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • The COVID-19 pandemic poses significant public health challenges.
  • Certain populations, including older adults and those with diabetes, obesity, or hypertension, are at higher risk for severe complications.

Purpose of the Study:

  • To evaluate the specific risks associated with COVID-19 for patients with hypertension.
  • To assess the safety of current hypertension treatments and COVID-19 vaccines in this patient group.

Main Methods:

  • Review of existing observational data and clinical findings related to COVID-19 in hypertensive patients.
  • Analysis of treatment strategies, including renin-angiotensin system blockers.
  • Assessment of COVID-19 vaccine safety in individuals with high blood pressure.

Main Results:

  • Current data suggest that hypertensive patients, whether treated or not, do not face a confirmed increased risk of severe COVID-19 outcomes.
  • Renin-angiotensin system blockers appear safe for use in hypertensive patients during the pandemic.
  • COVID-19 vaccination is considered safe for individuals with hypertension.

Conclusions:

  • There is currently no evidence to necessitate changes in the routine care of hypertensive patients due to the COVID-19 pandemic.
  • Management of hypertension should continue as usual, incorporating safe treatment options and vaccination.

Related Concept Videos

Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

Hypertension IV: Drug Therapy and Lifestyle Modifications

Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
284
Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
160
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
191