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2020, Number 2

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Revista Habanera de Ciencias Médicas 2020; 19 (2)

Relationship between COVID-19 and Hypertension

Giralt-Herrera A, Rojas-Velázquez JM, Leiva-Enríquez J

Language: Spanish
References: 33
Page: 1-11
PDF size: 850.55 Kb.


ABSTRACT

Introduction: The first three months of 2020 have been influenced by the spreading of a pandemic caused by the SARS-coronavirus 2, which causes COVID-19 infection that in some cases is associated with acute respiratory distress syndrome.
Objective: To identify the relationship between COVID-19 and hypertension.
Material and Methods: A bibliographic review was carried out using database search engines. In addition, reference literature in Cardiology was used as well as information from official government websites such as WHO/PAHO and other scientific societies.
Development: Coronaviruses enter into target cells through a spike S protein, whose S1 surface unit is coupled to the angiotensin-converting enzyme 2 as a receptor. In the different revised series, the clear relationship between the history of arterial hypertension and the unfavorable evolution is observed in patients with COVID-19. In an extensive literature search, there is no scientific evidence for discontinuation of angiotensin-converting enzyme inhibitors or angiotensin receptor blockers in hypertensive patients with COVID-19.
Conclusions: The angiotensin-converting enzyme acts as a SARS-CoV2 receptor. Hypertensive individuals have a less favorable evolution course of the condition caused by this virus. Discontinuation of treatment with angiotensinconverting enzyme inhibitors or angiotensin receptor blockers is not advisable in hypertensive patients with COVID-19.


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