La COVID-19 en personas hipertensas

María Eugenia García Céspedes, Josefa Bell Castillo, Diana Enilda Romero Calzado, Niola Ferrales Biset

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Resumen

La COVID-19 es una enfermedad infecciosa causada por el coronavirus SARS–CoV-2, que afecta de forma más grave a personas en edades avanzadas de la vida y a pacientes con inmunodepresión y/o afecciones crónicas, como la hipertensión arterial, de gran significación en la mortalidad por enfermedades cardiovasculares y cerebrovasculares. Con este artículo se buscó actualizar los conocimientos sobre el nivel de gravedad de la COVID-19 en pacientes hipertensos y su asociación con el consumo de fármacos antihipertensivos de los grupos de los inhibidores de la enzima convertidora de la angiotensina y los antagonistas de los receptores de la angiotensina II. Asimismo, se ofrecen evidencias científicas acerca de que la hipertensión arterial es un predictor clínico de gravedad en pacientes con dicha enfermedad infecciosa, lo cual se manifiesta sobre todo en las edades mayores de 60 años, y de que la suspensión de forma preventiva de los mencionados tratamientos antihipertensivos puede conducir a inestabilidad clínica y a resultados desfavorables.

Palabras clave

COVID-19; coronavirus SARS–CoV-2; hipertensión arterial; tratamiento antihipertensivo.

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