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Characteristics of 24-hour ambulatory blood pressure monitoring in a COVID-19 survivor #MMPMID33876965
Wasim D; Alme B; Jordal S; Lind Eagan TM; Tadic M; Mancia G; Guttormsen AB; Saeed S
Future Cardiol 2021[Nov]; 17 (8): 1321-1326 PMID33876965show ga
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.