<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cub Med Mil]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572020000300026</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Complicaciones de la COVID -19 en un paciente hipertenso]]></article-title>
<article-title xml:lang="en"><![CDATA[Complications of the COVID-19 in a hypertensive patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferrer Castro]]></surname>
<given-names><![CDATA[Jacno Erik]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Hernández]]></surname>
<given-names><![CDATA[Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Despaigne Salazar]]></surname>
<given-names><![CDATA[Rolando Edgar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lavalle Gómez]]></surname>
<given-names><![CDATA[Lisbet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez González]]></surname>
<given-names><![CDATA[Zahilyn]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar &#8220;Dr. Joaquín Castillo Duany&#8221;  ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<volume>49</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572020000300026&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572020000300026&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572020000300026&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La rápida expansión de la COVID-19 hizo que la Organización Mundial de la Salud, el 30 de enero de 2020, la declarara emergencia sanitaria y la reconoció como pandemia el 11 de marzo del mismo año.  Objetivo: Describir la evolución clínica de un paciente hipertenso, afectado por la COVID-19.  Caso clínico: Se trata de un paciente de 49 años de edad, hipertenso, afectado por la COVID-19, atendido en el Hospital Militar Dr. &#8220;Joaquín Castillo Duany&#8221;, quien durante su estancia en la unidad de cuidados intensivos, sufrió graves complicaciones tales como: síndrome de distrés respiratorio agudo, neumonía asociada a la ventilación artificial mecánica y tromboembolismo pulmonar. La demora en acudir al centro hospitalario, la hipertensión arterial y el tratamiento previo con inhibidores de la enzima convertidora de la angiotensina, figuraron entre las variables presentes en este paciente, las cuales incidieron posiblemente de manera negativa en su evolución.  Conclusión: Con el tratamiento intensivo, la estrategia ventilatoria y de anticoagulación empleadas, evolucionó favorablemente hasta su egreso hospitalario.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The rapid expansion of COVID-19 caused the World Health Organization, on January 30, 2020, to declare it a health emergency and recognized it as a pandemic on March 11 of the same year.  Objective:  To describe the clinical evolution of a hypertensive patient, affected by COVID-19.  Clinical case:  This is a 49-year-old patient, hypertensive, affected by COVID-19, treated at the Dr. &#8220;Joaquín Castillo Duany&#8221; Military Hospital, who during his stay in the intensive care unit, suffered serious complications such as: acute respiratory distress syndrome, pneumonia associated with mechanical artificial ventilation, and pulmonary thromboembolism. The delay in going to the hospital, arterial hypertension, and previous treatment with angiotensin-converting enzyme inhibitors, were among the variables present in this patient, which possibly had a negative impact on his evolution.  Conclusion:  With intensive treatment, the ventilatory and anticoagulation strategy used, evolved favorably until his hospital discharge.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[distrés pulmonar]]></kwd>
<kwd lng="es"><![CDATA[tromboembolismo pulmonar]]></kwd>
<kwd lng="es"><![CDATA[hipertensión arterial]]></kwd>
<kwd lng="es"><![CDATA[unidad de terapia intensiva]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[pulmonary distress]]></kwd>
<kwd lng="en"><![CDATA[pulmonary embolism]]></kwd>
<kwd lng="en"><![CDATA[arterial hypertension]]></kwd>
<kwd lng="en"><![CDATA[intensive care unit]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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