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10.1111/jch.13948

http://scihub22266oqcxt.onion/10.1111/jch.13948
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32710674!8029672!32710674
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suck abstract from ncbi


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pmid32710674      J+Clin+Hypertens+(Greenwich) 2020 ; 22 (8): 1379-1388
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  • Use of distinct anti-hypertensive drugs and risk for COVID-19 among hypertensive people: A population-based cohort study in Southern Catalonia, Spain #MMPMID32710674
  • Vila-Corcoles A; Satue-Gracia E; Ochoa-Gondar O; Torrente-Fraga C; Gomez-Bertomeu F; Vila-Rovira A; Hospital-Guardiola I; de Diego-Cabanes C; Bejarano-Romero F; Rovira-Veciana D; Basora-Gallisa J
  • J Clin Hypertens (Greenwich) 2020[Aug]; 22 (8): 1379-1388 PMID32710674show ga
  • The use of some anti-hypertensive drugs in the current COVID-19 pandemic has become controversial. This study investigated possible relationships between anti-hypertensive medications use and COVID-19 infection risk in the ambulatory hypertensive population. This is a population-based retrospective cohort study involving 34 936 hypertensive adults >50 years in Tarragona (Southern Catalonia, Spain) who were retrospectively followed through pandemic period (from 01/03/2020 to 30/04/2020). Two data sets including demographic/clinical characteristics (comorbidities and cardiovascular medications use) and laboratory PCR codes for COVID-19 were linked to construct an anonymized research database. Cox regression was used to calculate multivariable hazard ratios (HRs) and estimate the risk of suffering COVID-19 infection. Across study period, 205 PCR-confirmed COVID-19 cases were observed, which means an overall incidence of 586.8 cases per 100 000 persons-period. In multivariable analyses, only age (HR: 1.03; 95% CI: 1.02-1.05; P < .001) and nursing home residence (HR: 19.60; 95% CI: 13.80-27.84; P < .001) appeared significantly associated with increased risk of COVID-19. Considering anti-hypertensive drugs, receiving diuretics (HR: 1.22; 95% CI: 0.90-1.67; P = .205), calcium channel blockers (HR: 1.29; 95%CI: 0.91-1.82; P = .148), beta-blockers (HR: 0.97; 95% CI: 0.68-1.37; P = .844), and angiotensin-converting enzyme inhibitors (HR: 0.83; 95% CI: 0.61-1.13; P = .238) did not significantly alter the risk of PCR-confirmed COVID-19, whereas receiving angiotensin II receptor blockers was associated with an almost statistically significant reduction risk (HR: 0.67; 95% CI: 0.44-1.01; P = .054). In conclusion, our data support that receiving renin-angiotensin-aldosterone system inhibitors does not predispose for suffering COVID-19 infection in ambulatory hypertensive people. Conversely, receiving angiotensin II receptor blockers could be related with a reduced risk.
  • |Adrenergic beta-Antagonists/adverse effects/therapeutic use[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Angiotensin Receptor Antagonists/adverse effects/therapeutic use[MESH]
  • |Angiotensin-Converting Enzyme Inhibitors/adverse effects/therapeutic use[MESH]
  • |Antihypertensive Agents/*adverse effects/therapeutic use[MESH]
  • |COVID-19/*diagnosis/epidemiology/virology[MESH]
  • |Calcium Channel Blockers/adverse effects/therapeutic use[MESH]
  • |Case-Control Studies[MESH]
  • |Comorbidity[MESH]
  • |Diuretics/adverse effects/therapeutic use[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Hypertension/complications/*drug therapy[MESH]
  • |Incidence[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Outcome Assessment, Health Care[MESH]
  • |Renin-Angiotensin System/*drug effects[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2/*drug effects/genetics[MESH]


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