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10.2174/1573402117666210121100201

http://scihub22266oqcxt.onion/10.2174/1573402117666210121100201
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33475077!ä!33475077

suck abstract from ncbi


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pmid33475077      Curr+Hypertens+Rev 2022 ; 18 (1): 3-10
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  • COVID-19, Angiotensin-Converting Enzyme 2 and Renin-Angiotensin System Inhibition: Implications for Practice #MMPMID33475077
  • Katsi V; Pavlidis G; Charalambous G; Tousoulis D; Toutouzas K
  • Curr Hypertens Rev 2022[]; 18 (1): 3-10 PMID33475077show ga
  • BACKGROUND: Recent studies suggested that patients with coronavirus disease 2019 (COVID-19) who use renin-angiotensin system (RAS) inhibitors have an increased risk of respiratory failure and death. The hypothesis was that angiotensin-converting enzyme inhibitor (ACEIs) or angiotensin receptor blocker (ARBs) might up-regulate ACE2 expression that is used as a receptor for viral entry into cells. OBJECTIVE: The purpose of this review is to discuss the existing evidence on the interaction between COVID-19 infection, ACE2 and ACEIs or ARBs and to examine the main implications for clinical practice. In addition, novel therapeutic strategies for blocking ACE2-mediated COVID-19 infection will be displayed. METHODS: We performed a comprehensive review of the literature to identify data from clinical and experimental studies for the association between COVID-19 infection, ACE2 and RAS inhibition. RESULTS: The current clinical and experimental evidence for ACEIs or ARBs to facilitate severe acute respiratory distress syndrome-coronavirus-2 (SARS-CoV-2) is insufficient to suggest discontinuing these drugs. Several observational studies arrive at the conclusion that the continued use of RAS inhibitors is unlikely to be harmful in COVID-19-positive patients. CONCLUSIONS: Further randomized trials are needed to answer the question of whether RAS inhibitors are harmful or beneficial to patients with COVID-19.
  • |*Angiotensin-Converting Enzyme 2[MESH]
  • |*COVID-19 Drug Treatment[MESH]
  • |Angiotensin Receptor Antagonists/adverse effects[MESH]
  • |Angiotensin-Converting Enzyme Inhibitors/adverse effects[MESH]
  • |Humans[MESH]
  • |Renin-Angiotensin System[MESH]


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