Arterial Hypertension as a Risk Comorbidity Associated with COVID-19 Pathology

Coronavirus disease 2019 (COVID-19), caused by the novel coronavirus severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), is an ongoing global public health challenge. Current clinical data suggest that, in COVID-19 patients, arterial hypertension (AH) is one of the most common cardiovascul...

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Main Authors: Alexander Kamyshnyi, Inna Krynytska, Victoriya Matskevych, Mariya Marushchak, Oleh Lushchak
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.1155/2020/8019360
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author Alexander Kamyshnyi
Inna Krynytska
Victoriya Matskevych
Mariya Marushchak
Oleh Lushchak
author_facet Alexander Kamyshnyi
Inna Krynytska
Victoriya Matskevych
Mariya Marushchak
Oleh Lushchak
author_sort Alexander Kamyshnyi
collection DOAJ
description Coronavirus disease 2019 (COVID-19), caused by the novel coronavirus severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), is an ongoing global public health challenge. Current clinical data suggest that, in COVID-19 patients, arterial hypertension (AH) is one of the most common cardiovascular comorbidities; it can worsen outcomes and increase the risk of admission to intensive care unit (ICU). The exact mechanisms through which AH contributes to the poor prognosis in COVID-19 are not yet clear. The putative relationship between AH and COVID-19 may be linked to the role of angiotensin-converting enzyme 2 (ACE2), a key element of the AH pathophysiology. Another mechanism connecting AH and COVID-19 is the dysregulation of the immune system resulting in a cytokine storm, mediated by an imbalanced response of T helper cells subtypes. Therefore, it is essential to optimize blood pressure control in hypertensive patients and monitor them carefully for cardiovascular and other complications for the duration of COVID-19 infection. The question whether AH-linked ACE2 gene polymorphisms increase the risk and/or worsen the course of SARS-CoV-2 infection should also receive further consideration.
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institution Kabale University
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publishDate 2020-01-01
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series International Journal of Hypertension
spelling doaj-art-e6e56619a5394e77ad459b20fc4be0bd2025-08-20T03:26:11ZengWileyInternational Journal of Hypertension2090-03842090-03922020-01-01202010.1155/2020/80193608019360Arterial Hypertension as a Risk Comorbidity Associated with COVID-19 PathologyAlexander Kamyshnyi0Inna Krynytska1Victoriya Matskevych2Mariya Marushchak3Oleh Lushchak4Department of Microbiology, Virology and Immunology, I. Horbachevsky Ternopil National Medical University, Ternopil, UkraineDepartment of Functional and Laboratory Diagnostics, I. Horbachevsky Ternopil National Medical University, Ternopil, UkraineDepartment of Radiology and Radiation Medicine, Ivano-Frankivsk National Medical University, Ivano-Frankivsk, UkraineDepartment of Functional and Laboratory Diagnostics, I. Horbachevsky Ternopil National Medical University, Ternopil, UkraineDepartment of Biochemistry and Biotechnology, Vasyl Stefanyk Precarpathian National University, Ivano-Frankivsk, UkraineCoronavirus disease 2019 (COVID-19), caused by the novel coronavirus severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), is an ongoing global public health challenge. Current clinical data suggest that, in COVID-19 patients, arterial hypertension (AH) is one of the most common cardiovascular comorbidities; it can worsen outcomes and increase the risk of admission to intensive care unit (ICU). The exact mechanisms through which AH contributes to the poor prognosis in COVID-19 are not yet clear. The putative relationship between AH and COVID-19 may be linked to the role of angiotensin-converting enzyme 2 (ACE2), a key element of the AH pathophysiology. Another mechanism connecting AH and COVID-19 is the dysregulation of the immune system resulting in a cytokine storm, mediated by an imbalanced response of T helper cells subtypes. Therefore, it is essential to optimize blood pressure control in hypertensive patients and monitor them carefully for cardiovascular and other complications for the duration of COVID-19 infection. The question whether AH-linked ACE2 gene polymorphisms increase the risk and/or worsen the course of SARS-CoV-2 infection should also receive further consideration.http://dx.doi.org/10.1155/2020/8019360
spellingShingle Alexander Kamyshnyi
Inna Krynytska
Victoriya Matskevych
Mariya Marushchak
Oleh Lushchak
Arterial Hypertension as a Risk Comorbidity Associated with COVID-19 Pathology
International Journal of Hypertension
title Arterial Hypertension as a Risk Comorbidity Associated with COVID-19 Pathology
title_full Arterial Hypertension as a Risk Comorbidity Associated with COVID-19 Pathology
title_fullStr Arterial Hypertension as a Risk Comorbidity Associated with COVID-19 Pathology
title_full_unstemmed Arterial Hypertension as a Risk Comorbidity Associated with COVID-19 Pathology
title_short Arterial Hypertension as a Risk Comorbidity Associated with COVID-19 Pathology
title_sort arterial hypertension as a risk comorbidity associated with covid 19 pathology
url http://dx.doi.org/10.1155/2020/8019360
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AT victoriyamatskevych arterialhypertensionasariskcomorbidityassociatedwithcovid19pathology
AT mariyamarushchak arterialhypertensionasariskcomorbidityassociatedwithcovid19pathology
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