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2020 ; 14
(5
): 601-612
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
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.