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COVID-19 Causing Hypotension in Frail Geriatric Hypertensive Patients?

Marek Koudelka1,2, Eliška Sovová1

  • 1Department of Exercise Medicine and Cardiovascular Rehabilitation, Palacký University Olomouc and University Hospital Olomouc, 77520 Olomouc, Czech Republic.

Medicina (Kaunas, Lithuania)
|July 2, 2021
PubMed

Insights

Following COVID-19, patients with hypertension may experience dangerous drops in blood pressure (BP). Ambulatory blood pressure monitoring (ABPM) is essential for managing BP in these individuals, especially the elderly.

Area of Science:

  • Geriatric Medicine
  • Infectious Diseases
  • Cardiology

Background:

  • Hypertension is a known risk factor for COVID-19.
  • Limited research exists on blood pressure (BP) management post-COVID-19 in hypertensive patients.
  • SARS-CoV-2 infection can impact cardiovascular health.

Observation:

  • Five frail geriatric patients (average age 78.3) with sarcopenia and controlled hypertension were diagnosed with SARS-CoV-2.
  • These patients had previously well-controlled office BP (<140 mmHg).

Findings:

  • Post-COVID-19 ambulatory blood pressure monitoring (ABPM) revealed hypotension in these hypertensive patients.
  • Existing antihypertensive therapy became excessively intensive after SARS-CoV-2 infection.

Implications:

  • Close BP monitoring and potential medication adjustment are crucial after COVID-19 in hypertensive patients.
  • ABPM is a necessary tool for managing BP in frail elderly individuals post-COVID-19.
  • This highlights the need for individualized BP management strategies following viral infections.
Abstract

Keywords:
COVID-19blood pressuregeriatrichypertensionhypotension

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