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A randomized trial supports the recommendation to continue treatment with ACEi or ARBs during hospitalization for COVID-19.一项随机试验支持在因新冠肺炎住院期间继续使用血管紧张素转换酶抑制剂(ACEi)或血管紧张素Ⅱ受体阻滞剂(ARBs)进行治疗的建议。
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本文引用的文献

1
COVID-19: is the ACE2 just a foe?新型冠状病毒肺炎:血管紧张素转换酶2只是一个“敌人”吗?
Am J Physiol Lung Cell Mol Physiol. 2020 May 1;318(5):L1025-L1026. doi: 10.1152/ajplung.00119.2020. Epub 2020 Apr 1.
2
Renin-angiotensin system inhibitors improve the clinical outcomes of COVID-19 patients with hypertension.血管紧张素转化酶抑制剂改善合并高血压的 COVID-19 患者的临床结局。
Emerg Microbes Infect. 2020 Dec;9(1):757-760. doi: 10.1080/22221751.2020.1746200.
3
Letter to the Editor: Angiotensin-converting enzyme 2: an ally or a Trojan horse? Implications to SARS-CoV-2-related cardiovascular complications.致编辑的信:血管紧张素转换酶2:盟友还是特洛伊木马?对SARS-CoV-2相关心血管并发症的影响
Am J Physiol Heart Circ Physiol. 2020 May 1;318(5):H1080-H1083. doi: 10.1152/ajpheart.00215.2020. Epub 2020 Mar 30.
4
Renin-Angiotensin System Blockers and the COVID-19 Pandemic: At Present There Is No Evidence to Abandon Renin-Angiotensin System Blockers.肾素-血管紧张素系统阻滞剂与 COVID-19 大流行:目前尚无证据表明应放弃使用肾素-血管紧张素系统阻滞剂。
Hypertension. 2020 Jun;75(6):1382-1385. doi: 10.1161/HYPERTENSIONAHA.120.15082. Epub 2020 Mar 25.
5
COVID-19 and Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers: What Is the Evidence?新型冠状病毒肺炎与血管紧张素转换酶抑制剂及血管紧张素受体阻滞剂:证据是什么?
JAMA. 2020 May 12;323(18):1769-1770. doi: 10.1001/jama.2020.4812.
6
Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study.中国武汉成人 COVID-19 住院患者的临床病程和死亡危险因素:一项回顾性队列研究。
Lancet. 2020 Mar 28;395(10229):1054-1062. doi: 10.1016/S0140-6736(20)30566-3. Epub 2020 Mar 11.
7
Risk Factors Associated With Acute Respiratory Distress Syndrome and Death in Patients With Coronavirus Disease 2019 Pneumonia in Wuhan, China.中国武汉 2019 年冠状病毒病肺炎患者急性呼吸窘迫综合征和死亡的相关危险因素。
JAMA Intern Med. 2020 Jul 1;180(7):934-943. doi: 10.1001/jamainternmed.2020.0994.
8
[Inhibitors of RAS Might Be a Good Choice for the Therapy of COVID-19 Pneumonia].[RAS 抑制剂可能是治疗 COVID-19 肺炎的良好选择]
Zhonghua Jie He He Hu Xi Za Zhi. 2020 Mar 12;43(3):219-222. doi: 10.3760/cma.j.issn.1001-0939.2020.03.016.
9
COVID-19 and the cardiovascular system.新型冠状病毒肺炎与心血管系统。
Nat Rev Cardiol. 2020 May;17(5):259-260. doi: 10.1038/s41569-020-0360-5.
10
Clinical Characteristics of Coronavirus Disease 2019 in China.《中国 2019 年冠状病毒病临床特征》
N Engl J Med. 2020 Apr 30;382(18):1708-1720. doi: 10.1056/NEJMoa2002032. Epub 2020 Feb 28.

血管紧张素转化酶抑制剂在新冠疫情中可能发挥作用?

Might renin-angiotensin system blockers play a role in the COVID-19 pandemic?

机构信息

Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University of Rome.

IRCCS Neuromed, Pozzilli, Italy.

出版信息

Eur Heart J Cardiovasc Pharmacother. 2020 Jul 1;6(4):248-251. doi: 10.1093/ehjcvp/pvaa030.

DOI:10.1093/ehjcvp/pvaa030
PMID:32286607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7184353/
Abstract

Since December 2019, a new coronavirus, named SARS-CoV-2, has spread globally, affecting >200 000 people worldwide with the so-called COVID-19 disease. The scientific community is actively and constantly working to identify the mechanisms involved in the diffusion of this virus and the pathogenesis of the infection, with its most frequent and severe complication, namely interstitial pneumonia. To date, SARS-CoV-2 is known to enter the host cells via the angiotensin-converting enzyme 2 protein. For this reason, the hypothesis that drugs capable of increasing the expression of this protein may have a role in the spread of the virus and in the symptomatology of affected patients has taken hold. The purpose of this Editorial is to briefly show the evidence currently available in this regard and to provide ideas for future research.

摘要

自 2019 年 12 月以来,一种新型冠状病毒(SARS-CoV-2)在全球范围内传播,导致全球超过 20 万人感染所谓的 COVID-19 疾病。科学界正在积极和不断地努力识别这种病毒传播的机制和感染的发病机制,其最常见和最严重的并发症是间质性肺炎。迄今为止,已知 SARS-CoV-2 通过血管紧张素转换酶 2 蛋白进入宿主细胞。因此,关于能够增加这种蛋白表达的药物可能在病毒传播和受影响患者的症状学中起作用的假说已经得到认可。本社论的目的是简要展示这方面目前可用的证据,并为未来的研究提供思路。