Researchers and WHO have confirmed the many symptoms of suffering from corona virus. Some medical experts report that high blood pressure increases the risk of dying from covid19. Can corona virus affect our blood circulation system?
Please take a look at this useful link.
https://www.ijidonline.com/article/S1201-9712(20)30274-5/pdf
This is the important question because having high blood pressure may increase the risk of death
Hypertension or hypotension due to COVID-19
Whereas high blood pressure in a patient known to be suffering from hypertension can occur due to fear, panic, or news of illness or death of a near and dear one (1), low blood pressure (or hypotension) can be a sign of severity of the COVID-19.
Hypotension in a patient with COVID-19 can be either because of viremia (2), or bacterial speticemia due to secondary infection as a part of septic shock. Prolonged duration of septic shock can result in multi-organ failure and carries a high mortality (3-4). Low blood pressure can also be due to myocarditis, pulmonary embolism, adrenal insufficiency, or severe dehydration.
Further reading
1. Article Coronavirus Infection , Stress, Anxiety and Breathing
2. Article SARS-CoV-2 and viral sepsis: observations and hypotheses
3. Article COVID-19, septic shock and syndrome of disseminated intravas...
4. Preprint Potential Pathogenesis of Multiple Organ Injury in COVID-19
Might be,
However, as a part of the science and research community, we will completely rely on scientific-based evidence so as my knowledge till now I didn't read or find anywhere that low or high blood pressure is a primary sign of Covid-19.
I agree from Respected Dr. Muhammad Yousuf sir,
Some medical experts also say that having suddenly low blood pressure may be consider as a one of the symptoms.
And thanks Sir for suggesting Good articles related to this question.
Dear Prof.Dr. Muhammad Yousuf,
I support of your views on high and low blood pressure.
With kind regards,
Prof.Dr.Mahendra Pal
Please take a look at this useful link.
https://www.ijidonline.com/article/S1201-9712(20)30274-5/pdf
To date, high or Low Blood Pressure (B.P.) is not listed as the primary symptom of COVID-19 disease, though hypertension increases the chance of fatality in COVID-19 affected patients.
Blood pressure may be a sign, not a symptom.
I am not aware that somebody looked at blood pressure as early sign of an infection with SARS-CoV-2.
The main problem is that you should have solid data, at best 24 h ambulatory blood pressure monitring, BEFORE the infection.
Maybe a reasonable basis is the thorough analysis of the first German COVID-19 patients that occurred in a little town in the county Heinsberg,
DOI: 10.3238/arztebl.2020.0271
Watch for "RRsys" and "RRdia" (i.e. systolic and diastolic blood pressure, Table 2). The article stated in the results:
"Table 2 shows the vital parameters of patients 4 h following admission; the value medically deemed to be the worst in the first 24 h was recorded."
However, the methodology stated (maybe more generally):
"In order to represent vital parameters, the value medically deemed to be the worst for each parameter in the first 24 h was recorded 4 h following admission or intubation. "
Whatsoever, the mean SBP of the ARDS patients was 95 mm Hg, and the mean of the non-ARDS patients with 127 mm Hg.
I would conclude from this:
It is possible that decreased or increased blood pressure might be an early sign of COVID-19, But which one? Then it is unlikely blood pressure is a good sign.
Once COVID-19 is suspected, lowered blood pressure might be an early sign for risk for ARDS.Anyhow, dyspnoe might be more signifikcant for this.
Hypertension response is reported in many Covid-19 patients .
With viral entry via ACE2 rich endothelial cells , it induces ENDOTHELIITIS with very high Angiotensin 2 levels.
https://www.ahajournals.org/doi/10.1161/JAHA.120.016219.
I would also like to bring to the attention of colleagues' the well reported Acute Pulmonary Hypertension as explained in article below :
https://phassociation.org/covid-19/.
Hypotension on the other hand might be an ominous sign of Myocardial injury-Myocarditis or Sepsis with hypotension and precedes mortality.
https://www.pulmonologyadvisor.com › ...
Hypotension and Hypoxemic Respiratory Failure Precede Mortality in COVID-19 ...
Thanks to Dr. Mohamed Noshi and Respected Hans-Joachim Kremer Sir for your good opinion. I agree with both answers.
Thanks to provide valuable links with there explanation.
With Regards
Vidit Pandey
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