دورية أكاديمية
Hypertensive urgencies during the first wave of the COVID-19 pandemic in a tertiary hospital setting: a U-shaped alarming curve.
| العنوان: | Hypertensive urgencies during the first wave of the COVID-19 pandemic in a tertiary hospital setting: a U-shaped alarming curve. |
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| المؤلفون: | Leontsinis I; First Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece., Papademetriou V; Cardiology Department, Georgetown University and Veterans Affairs Medical Center, Washington, District of Columbia, USA., Chrysohoou C; First Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece., Kariori M; First Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece., Dalakouras I; First Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece., Tolis P; First Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece., Fragoulis C; First Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece., Kalos T; First Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece., Tatakis FP; First Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece., Dimitriadis K; First Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece., Doumas M; Second Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Hippokration Hospital, Thessaloniki, Greece., Sambatakou H; Second Department of Internal Medicine, HIV Unit, Hippokration General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece., Pirounaki M; Department of Internal Medicine, Hippokration General Hospital, Athens, Greece., Mihas C; First Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece., Katsiki N; Department of Nutritional Sciences and Dietetics, International Hellenic University, Athens, Greece.; School of Medicine, European University Cyprus, Nicosia, Cyprus., Bhaskar S; Department of Neurology, Liverpool Hospital and South Western Sydney Local Health District, Sydney, NSW, Australia., Tsivgoulis G; Second Department of Neurology, Attikon Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece., Tousoulis D; First Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece., Banach M; Department of Hypertension, Medical University of Lodz (MUL), Lodz, Poland.; Polish Mother's Memorial Hospital Research Institute (PMMHRI), Lodz, Poland.; Cardiovascular Research Centre, University of Zielona Gora, Zielona Gora, Poland., Tsioufis K; First Cardiology Clinic, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece. |
| المصدر: | Archives of medical science : AMS [Arch Med Sci] 2021 Sep 23; Vol. 18 (4), pp. 982-990. Date of Electronic Publication: 2021 Sep 23 (Print Publication: 2022). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Termedia Pub. House Country of Publication: Poland NLM ID: 101258257 Publication Model: eCollection Cited Medium: Print ISSN: 1734-1922 (Print) Linking ISSN: 17341922 NLM ISO Abbreviation: Arch Med Sci Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Poznań, Poland] : Termedia Pub. House, [2005]- |
| مستخلص: | Introduction: The coronavirus disease 2019 (COVID-19) pandemic provoked unprecedented disturbance in hypertension care, while alarming concerns arose about its long-term consequences. We investigated the trends of emergency visits and admissions regarding uncontrolled hypertension in order to assess the impact of COVID-19 spread on population behavior towards hypertension urgencies during its first wave. Material and Methods: Data from daily unscheduled visits and admission counts in the Cardiology sector were collected from the Emergency Department database of a tertiary General Hospital in Athens, Greece for the period January 15 th to July 15 th 2020. These data were compared with those from the previous year. Cases of patients who presented with hypertensive urgency or who were admitted due to uncontrolled hypertension were separately analyzed. Results: A total of 7,373 patient records were analyzed. Hypertension urgency cases demonstrated a U-shaped distribution in 2020, showing a declining trend during the rapid virus spread, an image that was reversed after the transmission rate's decline. COVID-19 incidence in Greece was inversely associated with uncontrolled hypertension admissions during its declining phase ( r = -0.64, p = 0.009), whereas total attendance exhibited a similar correlation during the first and the following months of the pandemic ( r = 0.677, p = 0.031, r = -0.789, p = 0.001). Uncontrolled hypertension rate on admission was positively related to the national incidence of COVID-19 cases during the first months of 2020 ( r = 0.82, p = 0.045). Conclusions: Hypertensive urgency-related visits followed a U-shape distribution during the pandemic's first wave with the attendance nadir coinciding with the virus spread peak. This is a complex phenomenon, closely related to increased levels of public stress, disruptions in health care services and to a lesser extent to the imposed restrictions in transportation. The initial relative increase in uncontrolled hypertension-related admissions rate, combined with the later increase of hypertensive urgencies may be indicative of blood pressure deregulation among the studied population, which is multifactorial and potentially detrimental. Competing Interests: The authors declare no conflict of interest. (Copyright: © 2022 Termedia & Banach.) |
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| فهرسة مساهمة: | Keywords: blood pressure; coronavirus disease 2019; hypertension urgency; uncontrolled hypertension |
| تواريخ الأحداث: | Date Created: 20220714 Latest Revision: 20220716 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC9266735 |
| DOI: | 10.5114/aoms/141243 |
| PMID: | 35832718 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1734-1922 |
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| DOI: | 10.5114/aoms/141243 |