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10.1007/s11684-020-0800-y

http://scihub22266oqcxt.onion/10.1007/s11684-020-0800-y
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suck abstract from ncbi


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pmid32621202
      Front+Med 2020 ; 14 (5 ): 601-612
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  • Use of angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers in context of COVID-19 outbreak: a retrospective analysis #MMPMID32621202
  • Xu J ; Huang C ; Fan G ; Liu Z ; Shang L ; Zhou F ; Wang Y ; Yu J ; Yang L ; Xie K ; Huang Z ; Huang L ; Gu X ; Li H ; Zhang Y ; Wang Y ; Hayden FG ; Horby PW ; Cao B ; Wang C
  • Front Med 2020[Oct]; 14 (5 ): 601-612 PMID32621202 show ga
  • The possible effects of angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin II receptor blockers (ARBs) on COVID-19 disease severity have generated considerable debate. We performed a single-center, retrospective analysis of hospitalized adult COVID-19 patients in Wuhan, China, who had definite clinical outcome (dead or discharged) by February 15, 2020. Patients on anti-hypertensive treatment with or without ACEI/ARB were compared on their clinical characteristics and outcomes. The medical records from 702 patients were screened. Among the 101 patients with a history of hypertension and taking at least one anti-hypertensive medication, 40 patients were receiving ACEI/ARB as part of their regimen, and 61 patients were on antihypertensive medication other than ACEI/ARB. We observed no statistically significant differences in percentages of in-hospital mortality (28% vs. 34%, P = 0.46), ICU admission (20% vs. 28%, P = 0.37) or invasive mechanical ventilation (18% vs. 26%, P = 0.31) between patients with or without ACEI/ARB treatment. Further multivariable adjustment of age and gender did not provide evidence for a significant association between ACEI/ARB treatment and severe COVID-19 outcomes. Our findings confirm the lack of an association between chronic receipt of renin-angiotensin system antagonists and severe outcomes of COVID-19. Patients should continue previous anti-hypertensive therapy until further evidence is available.
  • |*Betacoronavirus/drug effects/physiology [MESH]
  • |*Coronavirus Infections/mortality/physiopathology/therapy [MESH]
  • |*Pandemics [MESH]
  • |*Pneumonia, Viral/mortality/physiopathology/therapy [MESH]
  • |Angiotensin Receptor Antagonists/*therapeutic use [MESH]
  • |Angiotensin-Converting Enzyme Inhibitors/*therapeutic use [MESH]
  • |Antihypertensive Agents/therapeutic use [MESH]
  • |COVID-19 [MESH]
  • |China/epidemiology [MESH]
  • |Comorbidity [MESH]
  • |Female [MESH]
  • |Hospital Mortality [MESH]
  • |Humans [MESH]
  • |Hypertension/*drug therapy/epidemiology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Outcome and Process Assessment, Health Care [MESH]
  • |Retrospective Studies [MESH]
  • |SARS-CoV-2 [MESH]


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