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Does COVID-19 Cause Non-Dıpper Hypertension?

Fatih Sivri1, Ismail Türköz2, Mehtap Şencan2

  • 1Aydin Nazilli State Hospital, Nazilli, Turkey.

Angiology
|October 21, 2023
PubMed

Insights

COVID-19 significantly disrupts blood pressure regulation in hypertensive patients, leading to a higher prevalence of non-dipper hypertension post-infection. This study highlights altered circadian blood pressure patterns after COVID-19 recovery.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Hypertension Research

Background:

  • Coronavirus disease 2019 (COVID-19) is a global health concern.
  • Hypertension management is crucial, with circadian blood pressure patterns playing a key role.
  • The long-term cardiovascular impact of COVID-19, particularly on blood pressure regulation, requires further investigation.

Purpose of the Study:

  • To investigate the impact of COVID-19 on blood pressure (BP) circadian patterns.
  • To determine the prevalence of new-onset non-dipper hypertension in patients post-COVID-19.
  • To compare post-COVID-19 BP patterns in hypertensive patients with a control group.

Main Methods:

  • Prospective, single-center study involving 722 patients hospitalized with COVID-19.
  • Ambulatory blood pressure (ABP) monitoring during hospitalization and 1 month post-discharge.
  • Comparison of ABP data with a control group of healthy hypertensive individuals without COVID-19.

Main Results:

  • 187 COVID-19 patients and 136 controls were included after exclusions.
  • Post-COVID-19 patients exhibited significantly higher mean 24-hour, nighttime, and daytime diastolic BP.
  • New-onset non-dipper hypertension was significantly more prevalent in the COVID-19 group.

Conclusions:

  • COVID-19 significantly disturbs the circadian blood pressure pattern in patients with pre-existing hypertension.
  • A non-dipper hypertension pattern frequently develops in the post-COVID-19 period.
  • These findings underscore the importance of monitoring BP circadian rhythms in hypertension management after COVID-19 infection.

Keywords:
COVID-19 infectionnon-dipper hypertensionpost-COVID period

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