Objective. To study the characteristics of the daily rhythm and chronostructure of blood pressure (BP) in relation to viral infection and to determine the factors influencing the risk of COVID-19 in men (M) with arterial hypertension (HTN) during rotational shift work in the Arctic. Design and methods. In the Yamburg settlement, 166 M with HTN were randomly selected from the database of physical examinations of the medical unit of gazprom dobycha Yamburg LLC. They underwent 24-hour ambulatory BP monitoring (ABPM) and echocardiography in the “pre-C OVID” period (2019 — March 2020), after which M were divided into groups with COVID-19 (n = 94) and those without (n = 72), comparable in age and northern experience. The diagnosis of COVID-19 was based on the detection of SARS-CoV-2 RNA by polymerase chain reaction method. ABPM was performed using a standard method with determination of BP chronotypes according to the classification of Cugini P. Results. According to ABPM data in the “pre-C OVID” period, men with HTN who subsequently recovered from COVID-19 had higher average daily diastolic BP, night heart rate readings, night systolic BP, night diastolic BP and night systolic BP time index; the BP chronotype was characterized by a lower frequency of 24-hour rhythms and aperiodic HTN with high-frequency rhythms in the spectrum was significantly more frequent; a significant increase in left ventricular myocardial mass and left ventricular myocardial mass index was found. According to the logistic regression data, the presence of an aperiodic chronotype of HTN in M increased the risk of COVID-19 by 3 times (95 % confidence interval (CI): 1,410– 6,035, p = 0,004); an increase in left ventricular myocardial mass index by 1 g/m2 — by 1,02 times (95 % CI: 1,001–1,033, p = 0,039). The specificity of the model was 81 %, sensitivity 77,2 %. The area under the curve was 0,888 (0,837–0,939, p < 0,0001). Conclusions. In conditions of desynchronizing factors of the Arctic watch in M with HTN, the replacement of the daily BP rhythm by predominant high-frequency periods is associated with the risk of COVID-19 infection.
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