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10.1016/j.inat.2020.100822

http://scihub22266oqcxt.onion/10.1016/j.inat.2020.100822
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suck abstract from ncbi


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pmid32835018      Interdiscip+Neurosurg 2020 ; 22 (ä): 100822
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  • Targeting of renin-angiotensin system in COVID-19 patients affected by stroke: Emerging concerns about detrimental vs benefit effect #MMPMID32835018
  • Luzzi S; Giotta Lucifero A; Marasco S; Del Maestro M; Bellantoni G; Gragnaniello C
  • Interdiscip Neurosurg 2020[Dec]; 22 (ä): 100822 PMID32835018show ga
  • Objective: The present short report summarizes some clinical characteristics of six patients affected by stroke while being on angiotensin-converting enzyme (ACE)2 inhibitors and angiotensin II receptor blockers (ARBs) before and during COVID-19. Methods: Medical charts and images of six patients affected by stroke while being on ACE-Is and ARBs therapy before and during COVID-19 outbreak in Lombardy region, Italy, were reviewed. Results: Three patients had a dural sinus thrombosis, whereas the remaining suffered by an arterial ischemia, which was a middle cerebral artery occlusion in one case, and a posterior-inferior cerebellar artery occlusion in the remaining two. All patients showed clinical features typical of SARS-CoV-2 infection and positive chest CT scan, and were treated with ACE-Is as needed. Hypercoagulability panel was negative in any case. A recovery was achieved in all cases, although in a variable manner. Conclusions: Whether or not and in which manner the pharmacomodulation of the renin-angiotensin system may had affect the clinical course of the reported six COVID-19 patients affected by stroke has to be still clarified. An urgent need of randomized clinical trials aimed to assess the safety profile and neuroprotective properties of ACE-Is and ARBs in COVID-19 patients diagnosed with stroke does exists.
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