COVID-19 Causing Hypotension in Frail Geriatric Hypertensive Patients?

Medicina (Kaunas). 2021 Jun 18;57(6):633. doi: 10.3390/medicina57060633.

Abstract

Background: The association of coronavirus disease 2019 (COVID-19) with hypertension has been one of the frequently discussed topics in current studies since hypertension was identified as a risk factor for coronavirus disease. However, no studies seem to be focused on the BP (blood pressure) in patients with hypertension after COVID-19.

Report: This report presents the cases of five frail geriatric patients (avg. age 78.3 (±6.4) years) with sarcopenia and controlled hypertension (office BP < 140 mmHg) who were diagnosed with SARS-CoV-2.

Findings: Control ABPM performed after COVID-19 showed that these hypertensive patients were hypotensive and that the previously well-established therapy was suddenly too intensive for them.

Conclusions: These findings suggest that BP control after COVID-19 is needed and that ABPM is, particularly in frail geriatric patients, by no means a luxury but a necessity.

Keywords: COVID-19; blood pressure; geriatric; hypertension; hypotension.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antihypertensive Agents / pharmacology
  • Antihypertensive Agents / therapeutic use
  • Blood Pressure
  • Blood Pressure Monitoring, Ambulatory
  • COVID-19*
  • Frail Elderly
  • Humans
  • Hypertension* / complications
  • Hypertension* / drug therapy
  • Hypotension* / complications
  • SARS-CoV-2

Substances

  • Antihypertensive Agents