Characteristics of 24-hour ambulatory blood pressure monitoring in a COVID-19 survivor.

Abstract

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.

• Authors: Daanyaal Wasim, Bjørn Alme, Stina Jordal, Tomas Mikal Lind Eagan, Marijana Tadic, Giuseppe Mancia, Anne Berit Guttormsen, Sahrai Saeed
• Journal: Future cardiology (Future Cardiol) Vol. 17 Issue 8 Pg. 1321-1326 (11 2021) ISSN: 1744-8298 [Electronic] England
• PMID: 33876965 (Publication Type: Case Reports, Journal Article)

Topics

• Blood Pressure
• Blood Pressure Monitoring, Ambulatory
• COVID-19
• Humans
• Male
• Middle Aged
• SARS-CoV-2
• Survivors