Arterial hypertension, most frequent comorbidity linked to virus mortality in Cuba

The coincidence, in the same person, of hypertension with diabetes and hypertension with chronic kidney disease was high, confirming that arterial hypertension (AHT) is the most frequent comorbidity linked to mortality from the virus.

Author: Correspondents’ Editor | internet@granma.cu

May 15, 2021 09:05:52 am
Translated by Walter Lippmann for CubaNews.

Hypertension (HTN) is the most frequent comorbidity linked to mortality from the virus, published the official website of the Cuban Ministry of Public Health.


According to this specialized source, during the course of the COVID-19 pandemic, comorbidities have been associated with a higher risk of having an unfavorable evolution and a higher probability of death.


On the Minsap site, Dr. Jorge Luis León Álvarez is quoted, who participated as a researcher in a study that found that 80 percent of deaths in the country linked to SARS-CoV-2, between March 11, 2020 and On October 15, they were people over 60, for an average age of 73.


Most of them had two or three comorbidities; And the also Second Degree Specialist in Internal Medicine explained that when these risk factors are uncontrolled or with complications, the probability of vascular injury increases and consequently mortality, because the mechanism of action of this coronavirus is related to a systemic inflammatory injury. 

On the other hand, he emphasized that there is no contraindicated hypertensive drug when suffering from COVID-19, so those infected should continue with their treatment for blood pressure and should be adjusted in the units in which they are treated in function of the response of each.

Another scientific study, aimed at identifying risk factors associated with mortality at the end of the hospital stay of patients diagnosed with COVID-19 in Cuba, appears in volume 60, number 2 of 2021, of the Cuban Journal of Medicine.

The text, authored by researchers Jorge Luis León Álvarez, Marcy Calderón Martínez and Ángela Rosa Gutiérrez Rojas, concludes that advanced age, chronic kidney disease, ischemic heart disease, heart failure, hypertension, diabetes, cancer , chronic obstructive pulmonary disease, obesity, and the number of comorbidities were significantly related to mortality and could help identify patients at higher risk.

Infomed (Cuban Health Network) explains in a note to that effect that, in view of the analysis, they conducted a retrospective investigation of all confirmed patients with COVID-19 in Cuba, aged 18 years or more, diagnosed between 11 March to October 15, 2020. The source of information was the national database of the Ministry of Public Health.

They collected age, sex, and comorbidities. The patients were classified as recovered and deceased. An analytical study of factors and comorbidities associated with mortality was developed.

5,490 patients were analyzed (97.7% recovered vs. 2.3% deceased). The deceased were significantly older (72.8 vs. 44.5 years).

The study found that the most frequent comorbidities in the deceased were hypertension, diabetes, ischemic heart disease, chronic kidney disease and COPD, cancer, chronic obstructive pulmonary disease, obesity, heart failure, diabetes, hypertension and ischemic heart disease.

The combination of two, three and more than three comorbidities was frequent among the deceased. They stand out as part of those combinations with a high coincidence of hypertension with diabetes and hypertension with chronic kidney disease.

By US-Cuba Normalization Committee

Organizing Committee, International and Nationwide Conference for the Normalization of US-Cuba Relations.

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