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10.1097/CRD.0000000000000319

http://scihub22266oqcxt.onion/10.1097/CRD.0000000000000319
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32496364!ä!32496364

suck abstract from ncbi


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pmid32496364      Cardiol+Rev 2020 ; 28 (4): 213-216
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  • Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers in Patients With Coronavirus Disease 2019: Friend or Foe? #MMPMID32496364
  • Shyh GI; Nawarskas JJ; Cheng-Lai A
  • Cardiol Rev 2020[Jul]; 28 (4): 213-216 PMID32496364show ga
  • When the coronavirus disease 2019 (COVID-19) wreaked an unprecedented havoc of an escalating number of deaths and hospitalization in the United States, clinicians were faced with a myriad of unanswered questions, one of the them being the implication of the renin-angiotensin-aldosterone system in patients with COVID-19. Animal data and human studies have shown that angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) increase the expression of ACE2. ACE2 is an enzyme found in the heart, kidney, gastrointestinal tract, and lung and is a coreceptor for severe acute respiratory syndrome-related coronavirus-2 (SARS-CoV2), the virus responsible for COVID-19. Therefore, one can speculate that discontinuing ACE inhibitor or ARB therapy may lead to decreased ACE2 expression, thereby attenuating the infectivity of SARS-CoV-2, and mitigating the disease progression of COVID-19. However, several studies have also shown that ACE2 exhibits reno- and cardioprotection and preserves lung function in acute respiratory distress syndrome, which would favor ACE inhibitor or ARB therapy. This article is to examine and summarize the 2 opposing viewpoints and provide guideline recommendations to support the use or discontinuation of ACE inhibitors and ARBs in patients with COVID-19.
  • |*Practice Guidelines as Topic[MESH]
  • |Angiotensin Receptor Antagonists/*pharmacology[MESH]
  • |Angiotensin-Converting Enzyme Inhibitors/*pharmacology[MESH]
  • |Betacoronavirus/*drug effects[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*drug therapy/virology[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*drug therapy/virology[MESH]
  • |Renin-Angiotensin System/*drug effects[MESH]


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