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血管紧张素转换酶抑制剂类降压药的使用与 COVID-19 临床住院期间炎症状态的相互作用对临床结局的影响。

Interaction of ACEI antihypertensive agent's administration with the inflammatory status at admission concerning COVID-19 clinical stay outcomes.

机构信息

Servicio de Medicina Interna, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.

Precision Nutrition Program, IMDEA-Food, UAM-CSIC, Madrid, Spain.

出版信息

Vascul Pharmacol. 2022 Apr;143:106955. doi: 10.1016/j.vph.2022.106955. Epub 2022 Jan 20.

Abstract

Interactions between anti-hypertensive agents (ACEI), comorbidities, inflammation, and stress status may impact hospital stay duration in COVID-19 patients. This retrospective study analyzed epidemiological data, comorbidities, metabolic/inflammatory markers, and clinical information from 165 SARS-CoV-2 positive patients. In a multiple linear regression model, an IL-6 higher than 100 mg/L, glucose at admission (baseline levels at the hospital entry), and the interaction between ACEI administration and LDH predicted the days of hospital admission (P < 0.001). In conclusion, hypertensive patients suffering more severe inflammatory condition assessed by LDH levels clinically benefited more and reduced the hospital stay when prescribed ACEI agents than those with lower systemic baseline inflammation at admission.

摘要

抗高血压药物(ACEI)、合并症、炎症和应激状态之间的相互作用可能会影响 COVID-19 患者的住院时间。这项回顾性研究分析了 165 例 SARS-CoV-2 阳性患者的流行病学数据、合并症、代谢/炎症标志物和临床信息。在多元线性回归模型中,IL-6 高于 100mg/L、入院时的血糖(入院时的基础水平)以及 ACEI 给药与 LDH 的相互作用预测了住院天数(P<0.001)。总之,与入院时全身基础炎症水平较低的患者相比,临床评估 LDH 水平显示炎症状态更严重的高血压患者服用 ACEI 药物后受益更多,住院时间更短。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fbd/8769875/e6908308c381/gr1_lrg.jpg

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