Hypertensive Crisis in Pregnancy with COVID19: Confirmed with rt-PCR for Nasopharyngeal Swab
Joint Authors
Bandara, Sajith
Ruwanpathirana, Anura
Nagodawithana, Dhammika
Alwis, Samantha
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-29
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
The novel coronavirus has already spread across the geographical borders to 213 countries and self-governing territories.
However, the effect of SARS-CoV-2 infection on pregnant mothers is still poorly understood and sparsely documented.
Here, we present a case of a primi mother, who presented with diarrheal episode and proceeded to a hypertensive crisis and placental abruption with rt-PCR (nasopharyngeal swab) confirmed for COVID19.
SARS-CoV-2 enters and downregulates host cell-bounded enzyme ACE2 (angiotensin-converting enzyme).
This activates the renin angiotensin aldosterone mechanism (RAAM).
The activation of RAAM plays a pivotal role in the pathophysiology of hypertensive emergencies.
Hence, there is a theoretical possibility of hypertensive crisis associated with ACE2/RAAM dysfunction in pregnant mothers who have COVID19.
Therefore, close monitoring of blood pressure and early intervention are of paramount importance in anticipating and preventing serious complications related to hypertension in pregnancy in mothers who have tested positive for SARS-CoV-2, especially in this pandemic situation.
Emergency hospital admission and urgent care must be afforded to mothers presenting with high blood pressure with the features suggestive of COVID19 as they are at a risk of rapid deterioration.
American Psychological Association (APA)
Bandara, Sajith& Ruwanpathirana, Anura& Nagodawithana, Dhammika& Alwis, Samantha. 2020. Hypertensive Crisis in Pregnancy with COVID19: Confirmed with rt-PCR for Nasopharyngeal Swab. Case Reports in Obstetrics and Gynecology،Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1149240
Modern Language Association (MLA)
Bandara, Sajith…[et al.]. Hypertensive Crisis in Pregnancy with COVID19: Confirmed with rt-PCR for Nasopharyngeal Swab. Case Reports in Obstetrics and Gynecology No. 2020 (2020), pp.1-3.
https://search.emarefa.net/detail/BIM-1149240
American Medical Association (AMA)
Bandara, Sajith& Ruwanpathirana, Anura& Nagodawithana, Dhammika& Alwis, Samantha. Hypertensive Crisis in Pregnancy with COVID19: Confirmed with rt-PCR for Nasopharyngeal Swab. Case Reports in Obstetrics and Gynecology. 2020. Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1149240
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149240