COVID-19 infection primarily causes severe pneumonia complicated by acute respiratory distress syndrome and multiorgan failure requiring a ventilator support. We present a case of a 55-year-old male, admitted with COVID-19. He was obese but had no other medical conditions. His blood pressure was measured by his general physician on several occasions in the past, all values being normal (<140/90 mmHg). He developed multiorgan failure, requiring vasopressor and ventilator support for 17 days. A prone positioning improved the arterial oxygenation, and reduced the need for supplemental oxygen. After recovery, he showed persistently elevated blood pressure and sinus tachycardia both in clinic and out-of-clinic. The activation of the renin–angiotensin–aldosterone and sympathetic systems, volume-overload, hyperreninemia and cytokine storm might have contributed to the exaggerated cardiovascular response.
【저자키워드】 COVID-19, hypertension, Case report, echocardiography, ambulatory blood pressure monitoring, prone positioning, systolic pulmonary artery pressure, 【초록키워드】 cytokine, COVID-19 infection, male, severe pneumonia, acute respiratory distress, blood pressure, Medical conditions, Oxygenation, Support, supplemental oxygen, Tachycardia, Activation, ventilator, multiorgan failure, obese, syndrome, was measured, elevated, reduced, cause, contributed, had no, with COVID-19, 【제목키워드】 blood pressure, survivor,