COVID-19 and its relationship with hypertension and cardiovascular disease

被引:27
作者
Salazar, M. [1 ,2 ]
Barochiner, J. [1 ,3 ]
Espeche, W. [1 ,2 ]
Ennis, I [1 ,4 ]
机构
[1] Soc Argentina Hipertens Arterial, Buenos Aires, Argentina
[2] Hosp Interzonal Gen Agudos Gen Jose San Martin, La Plata, Buenos Aires, Argentina
[3] Hosp Italiano Buenos Aires, Buenos Aires, Argentina
[4] UNLP, Ctr Invest Cardiovasc, CONICET, La Plata, Buenos Aires, Argentina
来源
HIPERTENSION Y RIESGO VASCULAR | 2020年 / 37卷 / 04期
关键词
COVID-19; SARS-CoV-2; High blood pressure; Cardiovascular disease; Prognosis; RENIN-ANGIOTENSIN SYSTEM; INHIBITORS; WUHAN;
D O I
10.1016/j.hipert.2020.06.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The association between hypertension, diabetes, cardio and cerebrovascular disease and severe and fatal COVID-19, described in different countries, is remarkable. Myocardial damage and myocardial dysfunction are postulated as a possible causal nexus. Frequent findings of elevated troponin levels and electrocardiographic anomalies support this concept. On the other hand, hypotheses in favour and against a deleterious effect of angiotensin converting enzyme inhibitors and angiotensin receptor blockers, a usual treatment for cardiovascular disease, have been raised. There is currently no solid evidence and thus properly designed studies on this subject are urgently needed. In this context, patients with cardiovascular disease should especially avoid being exposed to the virus, should not self-medicate and rapidly seek medical advice should they show symptoms of infection. (C) 2020 SEH-LELHA. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:176 / 180
页数:5
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