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Multicenter Study
. 2024 Dec 1;42(12):2065-2074.
doi: 10.1097/HJH.0000000000003752. Epub 2024 Sep 19.

The impact of the COVID-19 pandemic on blood pressure control in patients with treated hypertension-results of the European Society of Hypertension Study (ESH ABPM COVID-19 Study)

Wiktoria Wojciechowska  1 , Marek Rajzer  1 , Reinhold Kreutz  2 , Thomas Weber  3 , Michael Bursztyn  4 , Alexandre Persu  5 , George Stergiou  6 , Gianfranco Parati  7   8 , Grzegorz Bilo  7   8 , Agnieszka Pac  9 , Guido Grassi  10 , Giuseppe Mancia  7 , Andrzej Januszewicz  11 , Marzena Chrostowska  12 , Krzysztof Narkiewicz  12 , Andżelina Dubiela  12 , Michaelis Doumas  13 , Konstantinos Imprialos  13 , Konstantinos Stavropoulos  13 , Jean-Baptiste de Freminville  14 , Michel Azizi  14 , Pedro Guimarães Cunha  15 , Jacek Lewandowski  16 , Jakub Strzelczyk  16 , Gregoire Wuerzner  17 , Maria Gosk-Przybyłek  18 , Elżbieta Szwench-Pietrasz  18 , Aleksander Prejbisz  18 , Patricia Van der Niepen  19 , Thomas Kahan  20 , Andreas Jekell  20 , Jonas Spaak  20 , Konstantinos Tsioufis  21 , Georg Ehret  22 , Adrian Doroszko  23 , Piotr Kubalski  24 , Jorge Polonia  25 , Katarzyna Styczkiewicz  26 , Marek Styczkiewicz  27 , Stanisław Mazur  28 , Franco Veglio  29 , Franco Rabbia  29 , Elisabetta Eula  29 , Fernando Jaen Águila  30 , Riccardo Sarzani  31 , Francesco Spannella  31 , Zoltan Jarai  32 , Dimitrios Papadopoulos  33 , Marilucy Lopez-Sublet  34 , Aleksandra Ostrowska  35 , Charalampos Grassos  36 , Ioannis Kahrimanidis  36 , Gkaliagkousi Eugenia  37 , Triantafyllou Areti  37 , Grodzicki Tomasz  38 , Wizner Barbara  38 , Seweryn Aleksandra  38 , Moczulska Beata  39 , Ntineri Angeliki  40 , Nicolas Roberto Robles  41 , Jiri Widmiski  42 , Edyta Zbroch  43 ; ESH ABPM COVID-19 Study Investigators (Excellence Centres of the European Society of Hypertension)
Affiliations
Multicenter Study

The impact of the COVID-19 pandemic on blood pressure control in patients with treated hypertension-results of the European Society of Hypertension Study (ESH ABPM COVID-19 Study)

Wiktoria Wojciechowska et al. J Hypertens. .

Abstract

Background: We aimed to determine the influence of coronavirus disease 2019 (COVID-19) pandemic on blood pressure (BP) control assessed by ambulatory blood pressure monitoring (ABPM).

Methods: Office BP and ABPM data from two visits conducted within a 9-15 months interval were collected from patients treated for hypertension. In the prepandemic group, both visits took place before, while in the pandemic group, Visit-1 was done before and Visit-2 during the pandemic period.

Results: Of 1811 collected patients 191 were excluded because they did not meet the required ABPM time frames. Thus, the study comprised 704 patients from the pandemic and 916 from the prepandemic group. Groups did not differ in sex, age, duration of hypertension, frequency of first line antihypertensive drug use and mean 24 h BP on Visit-1. The prevalence of sustained uncontrolled hypertension was similar in both groups. On Visit-2 mean 24 h BP, daytime and nighttime systolic BP and diastolic BP were higher in the pandemic compared to the prepandemic group ( P < 0.034). The prevalence of sustained uncontrolled hypertension on Visit-2 was higher in the pandemic than in the prepandemic group [0.29 (95% confidence interval (95% CI): 0.26-0.33) vs. 0.25 (95% CI: 0.22-0.28), P < 0.037]. In multivariable adjusted analyses a significant difference in BP visit-to-visit change was observed, with a more profound decline in BP between visits in the prepandemic group.

Conclusions: This study using ABPM indicates a negative impact of the COVID-19 pandemic on BP control. It emphasizes the need of developing strategies to maintain BP control during a pandemic such as the one induced by COVID-19.

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References

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