ASSOCIATION BETWEEN MASKED NOCTURNAL HYPERTENSION AND DEPRESSION DISORDER IN COVID-19 POSITIVE PATIENTS

Abstract

Objective: An effect of depression for masked hypertension are scarce. We evaluated the prevalence and clinical characteristics of masked nocturnal hypertension (MNH) under hypertension in COVID 19 positive patients Design and method: The study evaluated 158 hypertensive patients with COVID 19 positive and depression disorder, evaluated by self BP monitoring. Among the participants, classified as masked nocturnal hypertension(MNHT) ( Daytime BP below 135/85 mmHg and night-time BP over 120/70 mmHg. Results: COVID 19 positive patients with depressive symptoms had a significantly higher incidence of hypertension in women compared to men with depressive symptoms. In the logistic regression analysis, the presence of depressive symptom was significantly associated with masked hypertension with COVID 19 positive independently of age, body mass index, education level, and current smoking and drinking status. Conclusions: COVID 19 positive patients with Depressive symptoms were highly associated with the incidence of hypertension among middle aged women and The highly significant predictive risk factor of depression disorder might be high nighttime BP. Comparison of clinic BP with either daytime high BP or awake high BP