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10.1016/j.dsx.2020.03.016

http://scihub22266oqcxt.onion/10.1016/j.dsx.2020.03.016
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suck abstract from ncbi


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pmid32283499      Diabetes+Metab+Syndr 2020 ; 14 (4): 283-287
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  • Comorbidities in COVID-19: Outcomes in hypertensive cohort and controversies with renin angiotensin system blockers #MMPMID32283499
  • Singh AK; Gupta R; Misra A
  • Diabetes Metab Syndr 2020[Jul]; 14 (4): 283-287 PMID32283499show ga
  • BACKGROUND AND AIMS: COVID-19 is already a pandemic. Emerging data suggest an increased association and a heightened mortality in patients of COVID-19 with comorbidities. We aimed to evaluate the outcome in hypertensive patients with COVID-19 and its relation to the use of renin-angiotensin system blockers (RASB). METHODS: We have systematically searched the medical database up to March 27, 2020 and retrieved all the published articles in English language related to our topic using MeSH key words. RESULTS: From the pooled data of all ten available Chinese studies (n = 2209) that have reported the characteristics of comorbidities in patients with COVID-19, hypertension was present in nearly 21%, followed by diabetes in nearly 11%, and established cardiovascular disease (CVD) in approximately 7% of patients. Although the emerging data hints to an increase in mortality in COVID-19 patients with known hypertension, diabetes and CVD, it should be noted that it was not adjusted for multiple confounding factors. Harm or benefit in COVID-19 patients receiving RASB has not been typically assessed in these studies yet, although mechanistically and plausibly both, benefit and harm is possible with these agents, given that COVID-19 expresses to tissues through the receptor of angiotensin converting enzyme-2. CONCLUSION: Special attention is definitely required in patients with COVID-19 with associated comorbidities including hypertension, diabetes and established CVD. Although the role of RASB has a mechanistic equipoise, patients with COVID-19 should not stop these drugs at this point of time, as recommended by various world organizations and without the advice of health care provider.
  • |*Betacoronavirus[MESH]
  • |*Comorbidity[MESH]
  • |Angiotensin Receptor Antagonists/adverse effects/therapeutic use[MESH]
  • |Angiotensin-Converting Enzyme 2[MESH]
  • |Angiotensin-Converting Enzyme Inhibitors/adverse effects/therapeutic use[MESH]
  • |Animals[MESH]
  • |Antihypertensive Agents/adverse effects/*therapeutic use[MESH]
  • |COVID-19[MESH]
  • |Cardiovascular Diseases/epidemiology[MESH]
  • |China/epidemiology[MESH]
  • |Coronavirus Infections/*epidemiology/mortality[MESH]
  • |Diabetes Mellitus/epidemiology[MESH]
  • |Humans[MESH]
  • |Hypertension/*drug therapy/epidemiology[MESH]
  • |Mice[MESH]
  • |Pandemics[MESH]
  • |Peptidyl-Dipeptidase A/physiology[MESH]
  • |Pneumonia, Viral/*epidemiology/mortality[MESH]
  • |PubMed[MESH]
  • |Renin-Angiotensin System/*drug effects/physiology[MESH]


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