Revista Cubana de Medicina Militar (Sep 2020)

Complications of the COVID-19 in a hypertensive patient

  • Jacno Erik Ferrer Castro,
  • Ernesto Sánchez Hernández,
  • Rolando Edgar Despaigne Salazar,
  • Lisbet Lavalle Gómez,
  • Zahilyn Rodríguez González

Journal volume & issue
Vol. 49, no. 3
pp. e0200806 – e0200806

Abstract

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Introduction: The rapid expansion of COVID-19 caused the World Health Organization, on January 30, 2020, to declare it a health emergency and recognized it as a pandemic on March 11 of the same year. Objective: To describe the clinical evolution of a hypertensive patient, affected by COVID-19. Clinical case: This is a 49-year-old patient, hypertensive, affected by COVID-19, treated at the Dr. "Joaquín Castillo Duany" Military Hospital, who during his stay in the intensive care unit, suffered serious complications such as: acute respiratory distress syndrome, pneumonia associated with mechanical artificial ventilation, and pulmonary thromboembolism. The delay in going to the hospital, arterial hypertension, and previous treatment with angiotensin-converting enzyme inhibitors, were among the variables present in this patient, which possibly had a negative impact on his evolution. Conclusion: With intensive treatment, the ventilatory and anticoagulation strategy used, evolved favorably until his hospital discharge.

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