Evidence of a Blood Pressure Reduction During the COVID-19 Pandemic and Associated Lockdown Period: Insights from e-Health Data
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- 1 February 2022
- journal article
- research article
- Published by Mary Ann Liebert Inc in Telemedicine and e-Health
- Vol. 28 (2), 266-270
- https://doi.org/10.1089/tmj.2021.0006
Abstract
Background:Despite widespread investigation into the incidence of acute myocardial infarction during the coronavirus disease 2019 (COVID-19) pandemic and associated lockdown, no study has examined the situation's impact on blood pressure (BP) levels. Methods:Measurements of BP and heart rate (HR) were obtained from persons living in the Paris urban area using connected home BP monitors (accessible to patients and health providers through a secured server). Three time periods of e-health recordings were compared: during the pandemic before the lockdown, during the lockdown, and the same time period in 2019. Results:A total of 297,089 BP recordings from 2,273 participants (age 56.3 ± 12.8 years, 81.1% male) were made. During confinement, systolic BP gradually decreased by 3 mmHg (−2.4 to −3.9), and diastolic BP by 1.5 mmHg (−1.4 to −2.2) (all p < 0.001); this decrease was greater for participants with higher BP (p < 0.0001 each). No significant variation in HR was noted. Conclusion:Among a very large cohort, we observed a significant decrease in home BP measured with e-health devices during the first lockdown period. This study emphasizes the research potential of e-health during the COVID-19 crisis.Keywords
This publication has 9 references indexed in Scilit:
- Severe acute respiratory syndrome coronavirus 2 and renin-angiotensin system blockers: A review and pooled analysisArchives of Cardiovascular Diseases, 2020
- Hospital admissions for acute myocardial infarction before and after lockdown according to regional prevalence of COVID-19 and patient profile in France: a registry studyThe Lancet Public Health, 2020
- Post COVID-19 Acute Myocardial Infarction ReboundCanadian Journal of Cardiology, 2020
- Reduced Rate of Hospital Admissions for ACS during Covid-19 Outbreak in Northern ItalyThe New England Journal of Medicine, 2020
- Effects of nationwide lockdown during COVID-19 epidemic on lifestyle and other medical issues of patients with type 2 diabetes in north IndiaDiabetes & Metabolic Syndrome: Clinical Research & Reviews, 2020
- An interactive web-based dashboard to track COVID-19 in real timeThe Lancet Infectious Diseases, 2020
- Clinical significance of stress-related increase in blood pressure: current evidence in office and out-of-office settingsHypertension Research, 2018
- Big data analytics to improve cardiovascular care: promise and challengesNature Reviews Cardiology, 2016
- Outcomes in hypertensive patients at high cardiovascular risk treated with regimens based on valsartan or amlodipine: the VALUE randomised trialThe Lancet, 2004