Characteristics of 24-hour ambulatory blood pressure monitoring in a COVID-19 survivor.
Characteristics of 24-hour ambulatory blood pressure monitoring in a COVID-19 survivor.
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DOI：
10.2217/fca-2020-0235
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发表时间：
2021-11
影响因子：
1.7
通讯作者：
Saeed S
中科院分区：
文献类型：
--
作者：
Wasim D;Alme B;Jordal S;Lind Eagan TM;Tadic M;Mancia G;Guttormsen AB;Saeed S
新冠肺炎感染主要导致重症肺炎合并急性呼吸窘迫综合征和需要呼吸机支持的多器官衰竭。我们报告一例55岁男性，因新冠肺炎而入院治疗。他患有肥胖症，但没有其他身体状况。过去，他的全科医生曾多次测量他的血压，所有数值都是正常的(<；140/90毫米汞柱)。他出现了多器官衰竭，需要17天的血管升压剂和呼吸机支持。俯卧位改善了动脉的氧合，减少了对补充氧气的需求。康复后，无论是门诊还是门诊，均表现出持续的血压升高和窦性心动过速。肾素-血管紧张素-醛固酮和交感神经系统的激活、容量超负荷、高肾素血症和细胞因子风暴可能是导致心血管反应夸大的原因之一。
COVID-19 infection primarily causes severe pneumonia complicated by acute respiratory distress syndrome and multiorgan failure requiring a ventilator support. We present a case of a 55-year-old male, admitted with COVID-19. He was obese but had no other medical conditions. His blood pressure was measured by his general physician on several occasions in the past, all values being normal (<140/90 mmHg). He developed multiorgan failure, requiring vasopressor and ventilator support for 17 days. A prone positioning improved the arterial oxygenation, and reduced the need for supplemental oxygen. After recovery, he showed persistently elevated blood pressure and sinus tachycardia both in clinic and out-of-clinic. The activation of the renin–angiotensin–aldosterone and sympathetic systems, volume-overload, hyperreninemia and cytokine storm might have contributed to the exaggerated cardiovascular response.
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