Clinical features of coronavirus infection COVID-19 in patients with arterial hypertension
The COVID-19 coronavirus pandemic is significant for modern medical science and practice. Patients with concomitant pathology during the COVID-19 pandemic, in particular arterial hypertension, require special attention, as they are among the most vulnerable groups to this infection. This requires op...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Open Systems Publication
2022-04-01
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| Series: | Лечащий Врач |
| Subjects: | |
| Online Access: | https://journal.lvrach.ru/jour/article/view/915 |
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| Summary: | The COVID-19 coronavirus pandemic is significant for modern medical science and practice. Patients with concomitant pathology during the COVID-19 pandemic, in particular arterial hypertension, require special attention, as they are among the most vulnerable groups to this infection. This requires optimization of diagnostic and clinical approaches to helping patients with this pathology. In this regard, the study of the course of the infectious process COVID-19 in patients with hypertension is of scientific and practical interest. On the basis of the State Budgetary Healthcare Institution S. P. Botkin City Clinical Hospital of the Moscow Department of Health 145 patients with COVID-19 were under observation, 91 of whom had a coronavirus infection combined with arterial hypertension, 54 patients had no arterial hypertension. All patients underwent a comprehensive clinical and laboratory examination and clinical follow-up in dynamics. The course of COVID-19 coronavirus infection in patients with arterial hypertension is characterized by the development of more severe pneumonia (in 5,5% of patients with hypertension, lung lesions are diagnosed with computed tomography of more than 3 degrees) and more pronounced respiratory failure in a larger number of patients (in 8,8% with hypertension, infection was accompanied by the development of respiratory failure of 2 or more degrees). Patients with hypertension had higher rates of CRP, ferritin and glucose, while changes in the leukocyte formula were comparable between the groups. The dynamics of the level of postinfectious IgG class antibodies was characterized by a gradual decrease in their level during the year, while in patients with COVID-19 occurring against the background of hypertension, higher rates of postinfectious IgG class antibodies were observed on average in the first months after infection. The development of coronavirus infection COVID-19 in patients with particular arterial hypertension requires special attention from the doctor, due to the risk of developing a severe form of infection. |
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| ISSN: | 1560-5175 2687-1181 |