What exactly is the relationship between Hypertension and Corona ?

The mainstream (& the sidestream) medical media have already named one culprit ie hypertension (HT) as a significant comorbid entity in the current Corona pandemic. But, If we ask one direct question, how Corona and HT are linked ? , the answer is not forthcoming fluently. . Some of the thought process about the Issue. 1. Does Coronavirus relish high blood pressure on its journey to attack lungs ? Funny question you may think. The virus primarily lives and tracts through the respiratory tract to reach lungs. Viral load in bloodstream is nil or  miniscule till late stages. BP is nothing to do with what is happening in pulmonocytes . BP doesn’t influence the viremia in any significant way. 2. Does HT related pulmonary endothelial dysfunction facilitate and accelerate viral injury? We don’t know. If at all,  this is true,  we have to worry about pulmonary hypertension (PH) and not SHT . PAH and SHT have absolutely no relation as far as I know. 3. Is concomitant anti-HT drugs cause relative hypotension and cause morbidity? Maybe. We don’t know. Hypotension should be avoided at all costs. 4. Is there a conflict between Antihypertemive agents and Corona?   We don’t know.(Much has been written about the ACEI genetic susceptibility ) 5. Does Corona precipitate  LV dysfunction in patients with corona infection? Possible. Very rare (We haven’t seen much of uncontrollable HT causing afterload mismatc...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: Uncategorized what is the link between hypertension and corona outcome Source Type: blogs