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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)

W. Wojciechowska, M. Rajzer, R. Kreutz, T. Weber, M. Bursztyn, A. Persu, G. Stergiou, G. Parati, G. Bilo, A. Pac, G. Grassi, G. Mancia, A. Januszewicz, M. Chrostowska, K. Narkiewicz, A. Dubiela, M. Doumas, K. Imprialos, K. Stavropoulos, JB. de...

. 2024 ; 42 (12) : 2065-2074. [pub] 20240919

Jazyk angličtina Země Nizozemsko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc25003277

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.

1st Cardiology Clinic Medical School National and Kapodistrian University of Athens Hippokration Hospital Athens Greece

1st Department of Cardiology Interventional Electrocardiology and Hypertension Jagiellonian University Medical College Krakow Poland

2nd Prop Department of Internal Medicine Aristotle University Thessaloniki Greece

3rd Department of Internal Medicine Papageorgiou Hospital Aristotle University of Thessaloniki Thessaloniki Greece

AP HP Hôpital Avicenne Centre d'Excellence Européen en Hypertension Artérielle Service de Médecine Interne Bobigny France INSERM UMR 942 MASCOT Paris 13 Université Paris Nord FCRIN INI CRCT Nancy France

APHP Hôpital Européen Georges Pompidou Hypertension department F 75015 Paris France

Cardiology Department Klinikum Wels Grieskirchen Wels Austria

Cardiovascular Risk Assessment Unit Department of Cardiology Danderyd University Hospital Stockholm Sweden

Center for Hypertension Charles University Prague Czech Republic

Centre for the Research and Treatment of Arterial Hypertension Guimarães Portugal Minho Medical School Minho University Portugal

Charité Universitätsmedizin Berlin corporate member of Freie Universität Berlin Humboldt Universität zu Berlin and Berlin Institute of Health Institute of Clinical Pharmacology and Toxicology Berlin Germany

Clinica Medica Dept of Medicine and Surgery University of Milano Bicocca Milan Italy

Clinical Department of Internal Diseases Hypertension and Clinical Oncology Faculty of Medicine Wroclaw Medical University Wroclaw Poland

Department of Cardiology and Internal Medicine School of Medicine Collegium Medicum University of Warmia and Mazury in Olsztyn Olsztyn Poland

Department of Cardiology Geneva University Hospitals Geneva Switzerland

Department of Cardiology S Luca Hospital IRCCS Istituto Auxologico Italiano Milan Italy

Department of Cardiology South Buda Center Hospital St Imre University Teaching Hospital Budapest Hungary

Department of Cardiology The Pope John Paul 2 Province Hospital of Zamość Zamość Poland

Department of Epidemiology Chair of Epidemiology and Preventive Medicine Jagiellonian University Medical College Krakow Poland

Department of Hypertension National Institute of Cardiology Warsaw Poland

Department of Internal Medicine and Gerontology Jagiellonian University Medical College Krakow Poland

Department of Internal Medicine and Hypertension Medical University of Bialystok Bialystok Poland

Department of Internal Medicine Hypertension and Vascular Diseases Medical University of Warsaw Warsaw Poland

Department of Internal Medicine Institute of Medical Sciences Medical College University of Rzeszów Poland

Department of Medicine and Surgery University of Milano Bicocca

Department of Nephrology and Hypertension Universitair Ziekenhuis Brussel Vrije Universiteit Brussel Brussels Belgium

Division of Cardiology Department of Cardiovascular Diseases Cliniques Universitaires Saint Luc and Pole of Cardiovascular Research Institut de Recherche Expérimentale et Clinique Université Catholique de Louvain Brussels Belgium

Faculty of Medicine Hadassah Hebrew University Jerusalem Hadassah Hebrew University Medical Center Mount Scopus Jerusalem Israel

Faculty of Medicine University of Porto and Hypertension HTA and Cardiovascular Risk Unit ULS Matosinhos Matosinhos Portugal

Hospital Universitario de Badajoz Badajoz Spain

Hypertension and Diabetes Centre Grudziadz

Hypertension Center STRIDE 7 National and Kapodistrian University of Athens School of Medicine 3rd Department of Medicine Sotiria Hospital Athens Greece

Hypertension Center STRIDE 7 School of Medicine 3rd Department of Medicine Sotiria Hospital National and Kapodistrian University of Athens Greece

Hypertension Centre of the Lausanne University Hospital Service of Nephrology and Hypertension Lausanne Switzerland

Hypertension Clinic Department of Cardiology KAT General Hospital Athens Greece

Hypertension Clinic University Hospital Laiko Athens Greece

Hypertension Unit Department of Hypertension and Diabetology Medical University of Gdansk Gdansk Poland

Hypertension Unit Division of Internal Medicine Department of Medical Sciences AO 'Città della Salute e della Scienza' University Hospital Turin Italy

Internal Medicine and Geriatrics University Politecnica delle Marche and IRCCS INRCA Ancona Italy

Jagiellonian University Medical College 1st Department of Cardiology Interventional Electrocardiology and Arterial Hypertension Krakow Poland

MEDYK Medical Center in Rzeszów

National Institute of Cardiology Warsaw Poland

Université Paris Cité F75006 Paris France

Vascular Risk Unit Internal Medicine Virgen de las Nieves University Hospital Granada Spain

Citace poskytuje Crossref.org

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$a 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) / $c W. Wojciechowska, M. Rajzer, R. Kreutz, T. Weber, M. Bursztyn, A. Persu, G. Stergiou, G. Parati, G. Bilo, A. Pac, G. Grassi, G. Mancia, A. Januszewicz, M. Chrostowska, K. Narkiewicz, A. Dubiela, M. Doumas, K. Imprialos, K. Stavropoulos, JB. de Freminville, M. Azizi, PG. Cunha, J. Lewandowski, J. Strzelczyk, G. Wuerzner, M. Gosk-Przybyłek, E. Szwench-Pietrasz, A. Prejbisz, P. Van der Niepen, T. Kahan, A. Jekell, J. Spaak, K. Tsioufis, G. Ehret, A. Doroszko, P. Kubalski, J. Polonia, K. Styczkiewicz, M. Styczkiewicz, S. Mazur, F. Veglio, F. Rabbia, E. Eula, FJ. Águila, R. Sarzani, F. Spannella, Z. Jarai, D. Papadopoulos, M. Lopez-Sublet, A. Ostrowska, C. Grassos, I. Kahrimanidis, G. Eugenia, T. Areti, G. Tomasz, W. Barbara, S. Aleksandra, M. Beata, N. Angeliki, NR. Robles, J. Widmiski, E. Zbroch, ESH ABPM COVID-19 Study Investigators (Excellence Centres of the European Society of Hypertension)
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$a 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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$a Kreutz, Reinhold $u Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institute of Clinical Pharmacology and Toxicology, Berlin, Germany
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$a Weber, Thomas $u Cardiology Department Klinikum Wels-Grieskirchen, Wels, Austria
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$a Bursztyn, Michael $u Faculty of Medicine, Hadassah-Hebrew University Jerusalem, Hadassah-Hebrew University Medical Center Mount-Scopus, Jerusalem, Israel
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$a Persu, Alexandre $u Division of Cardiology, Department of Cardiovascular Diseases, Cliniques Universitaires Saint-Luc and Pole of Cardiovascular Research, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium
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$a Stergiou, George $u Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria Hospital, Athens, Greece
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$a Parati, Gianfranco $u Department of Medicine and Surgery, University of Milano-Bicocca $u Department of Cardiology, S. Luca Hospital, IRCCS, Istituto Auxologico Italiano, Milan, Italy
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$a Bilo, Grzegorz $u Department of Medicine and Surgery, University of Milano-Bicocca $u Department of Cardiology, S. Luca Hospital, IRCCS, Istituto Auxologico Italiano, Milan, Italy
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$a Pac, Agnieszka $u Department of Epidemiology, Chair of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, Krakow, Poland
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$a Grassi, Guido $u Clinica Medica, Dept of Medicine and Surgery, University of Milano Bicocca, Milan Italy
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$a Mancia, Giuseppe $u Department of Medicine and Surgery, University of Milano-Bicocca
700    1_
$a Januszewicz, Andrzej $u Department of Hypertension, National Institute of Cardiology, Warsaw, Poland
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$a Chrostowska, Marzena $u Hypertension Unit, Department of Hypertension and Diabetology, Medical University of Gdansk, Gdansk, Poland
700    1_
$a Narkiewicz, Krzysztof $u Hypertension Unit, Department of Hypertension and Diabetology, Medical University of Gdansk, Gdansk, Poland
700    1_
$a Dubiela, Andżelina $u Hypertension Unit, Department of Hypertension and Diabetology, Medical University of Gdansk, Gdansk, Poland
700    1_
$a Doumas, Michaelis $u 2nd Prop Department of Internal Medicine, Aristotle University, Thessaloniki, Greece
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$a Imprialos, Konstantinos $u 2nd Prop Department of Internal Medicine, Aristotle University, Thessaloniki, Greece
700    1_
$a Stavropoulos, Konstantinos $u 2nd Prop Department of Internal Medicine, Aristotle University, Thessaloniki, Greece
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$a de Freminville, Jean-Baptiste $u Université Paris Cité, F75006, Paris, France; APHP, Hôpital Européen Georges Pompidou, Hypertension department, F-75015, Paris, France
700    1_
$a Azizi, Michel $u Université Paris Cité, F75006, Paris, France; APHP, Hôpital Européen Georges Pompidou, Hypertension department, F-75015, Paris, France
700    1_
$a Cunha, Pedro Guimarães $u Centre for the Research and Treatment of Arterial Hypertension, Guimarães, Portugal, Minho Medical School, Minho University, Portugal
700    1_
$a Lewandowski, Jacek $u Department of Internal Medicine, Hypertension and Vascular Diseases, Medical University of Warsaw, Warsaw, Poland
700    1_
$a Strzelczyk, Jakub $u Department of Internal Medicine, Hypertension and Vascular Diseases, Medical University of Warsaw, Warsaw, Poland
700    1_
$a Wuerzner, Gregoire $u Hypertension Centre of the Lausanne University Hospital, Service of Nephrology and Hypertension, Lausanne, Switzerland
700    1_
$a Gosk-Przybyłek, Maria $u National Institute of Cardiology, Warsaw, Poland
700    1_
$a Szwench-Pietrasz, Elżbieta $u National Institute of Cardiology, Warsaw, Poland
700    1_
$a Prejbisz, Aleksander $u National Institute of Cardiology, Warsaw, Poland
700    1_
$a Van der Niepen, Patricia $u Department of Nephrology and Hypertension, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium
700    1_
$a Kahan, Thomas $u Cardiovascular Risk Assessment Unit, Department of Cardiology, Danderyd University Hospital, Stockholm, Sweden
700    1_
$a Jekell, Andreas $u Cardiovascular Risk Assessment Unit, Department of Cardiology, Danderyd University Hospital, Stockholm, Sweden
700    1_
$a Spaak, Jonas $u Cardiovascular Risk Assessment Unit, Department of Cardiology, Danderyd University Hospital, Stockholm, Sweden
700    1_
$a Tsioufis, Konstantinos $u First Cardiology Clinic, Medical School, National and Kapodistrian University of Athens, Hippokration Hospital, Athens, Greece
700    1_
$a Ehret, Georg $u Department of Cardiology, Geneva University Hospitals, Geneva, Switzerland
700    1_
$a Doroszko, Adrian $u Clinical Department of Internal Diseases, Hypertension and Clinical Oncology, Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland
700    1_
$a Kubalski, Piotr $u Hypertension and Diabetes Centre, Grudziadz
700    1_
$a Polonia, Jorge $u Faculty of Medicine, University of Porto, & Hypertension, HTA and Cardiovascular Risk Unit, ULS Matosinhos, Matosinhos, Portugal
700    1_
$a Styczkiewicz, Katarzyna $u Department of Internal Medicine, Institute of Medical Sciences, Medical College, University of Rzeszów, Poland
700    1_
$a Styczkiewicz, Marek $u Department of Cardiology, The Pope John Paul II Province Hospital of Zamość, Zamość, Poland
700    1_
$a Mazur, Stanisław $u MEDYK Medical Center in Rzeszów
700    1_
$a Veglio, Franco $u Hypertension Unit, Division of Internal Medicine, Department of Medical Sciences, AO 'Città della Salute e della Scienza' University Hospital, Turin, Italy
700    1_
$a Rabbia, Franco $u Hypertension Unit, Division of Internal Medicine, Department of Medical Sciences, AO 'Città della Salute e della Scienza' University Hospital, Turin, Italy
700    1_
$a Eula, Elisabetta $u Hypertension Unit, Division of Internal Medicine, Department of Medical Sciences, AO 'Città della Salute e della Scienza' University Hospital, Turin, Italy
700    1_
$a Águila, Fernando Jaen $u Vascular Risk Unit. Internal Medicine. Virgen de las Nieves University Hospital. Granada. Spain
700    1_
$a Sarzani, Riccardo $u Internal Medicine and Geriatrics, University Politecnica delle Marche, and IRCCS INRCA, Ancona, Italy
700    1_
$a Spannella, Francesco $u Internal Medicine and Geriatrics, University Politecnica delle Marche, and IRCCS INRCA, Ancona, Italy
700    1_
$a Jarai, Zoltan $u Department of Cardiology, South-Buda Center Hospital - St Imre University Teaching Hospital, Budapest, Hungary
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$a Papadopoulos, Dimitrios $u Hypertension Clinic, University Hospital Laiko, Athens, Greece
700    1_
$a Lopez-Sublet, Marilucy $u AP-HP, Hôpital Avicenne, Centre d'Excellence Européen en Hypertension Artérielle, Service de Médecine Interne, Bobigny, France. INSERM UMR 942 MASCOT, Paris 13-Université Paris Nord. FCRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists), Nancy, France
700    1_
$a Ostrowska, Aleksandra $u First Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University, Medical College, Krakow, Poland
700    1_
$a Grassos, Charalampos $u Hypertension Clinic, Department of Cardiology, KAT General Hospital, Athens, Greece
700    1_
$a Kahrimanidis, Ioannis $u Hypertension Clinic, Department of Cardiology, KAT General Hospital, Athens, Greece
700    1_
$a Eugenia, Gkaliagkousi $u Third Department of Internal Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
700    1_
$a Areti, Triantafyllou $u Third Department of Internal Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
700    1_
$a Tomasz, Grodzicki $u Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Krakow, Poland
700    1_
$a Barbara, Wizner $u Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Krakow, Poland
700    1_
$a Aleksandra, Seweryn $u Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Krakow, Poland
700    1_
$a Beata, Moczulska $u Department of Cardiology and Internal Medicine, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland
700    1_
$a Angeliki, Ntineri $u Hypertension Center STRIDE-7, School of Medicine, Third Department of Medicine, Sotiria Hospital, National and Kapodistrian University of Athens, Greece
700    1_
$a Robles, Nicolas Roberto $u Hospital Universitario de Badajoz, Badajoz, Spain
700    1_
$a Widmiski, Jiri $u Center for Hypertension, Charles University, Prague, Czech Republic
700    1_
$a Zbroch, Edyta $u Department of Internal Medicine and Hypertension, Medical University of Bialystok, Bialystok, Poland
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$a ESH ABPM COVID-19 Study Investigators (Excellence Centres of the European Society of Hypertension)
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