Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technische Universität München, Lazarettstraße 36, 80636, Munich, Germany.
DZHK e. V. (German Centre for Cardiovascular Research), Partner site Munich Heart Alliance, Munich, Germany.
Herz. 2023 Jun;48(3):206-211. doi: 10.1007/s00059-023-05168-4. Epub 2023 Apr 25.
The COVID-19 pandemic led to an enormous burden on healthcare systems worldwide. Causal therapy is still in its infancy. Contrary to initial views that the use of angiotensin-converting enzyme inhibitors (ACEi)/angiotensin II receptor blockers (ARBs) may increase the risk for a deleterious disease course, it has been shown that these agents may actually be beneficial for patients affected by COVID-19. In this article, we provide an overview of the three most commonly used classes of drugs in cardiovascular disease (ACEi/ARB, statins, beta-blockers) and their potential role in COVID-19 therapy. More results from randomized clinical trials are necessary to identify patients that can benefit most from the use of the respective drugs.
新冠疫情给全球医疗系统带来了巨大的负担。病因治疗仍处于起步阶段。与最初认为使用血管紧张素转换酶抑制剂(ACEi)/血管紧张素 II 受体阻滞剂(ARB)可能增加疾病不良进程的观点相反,现已表明这些药物实际上可能对感染 COVID-19 的患者有益。在本文中,我们概述了心血管疾病中最常用的三类药物(ACEi/ARB、他汀类药物、β-受体阻滞剂)及其在 COVID-19 治疗中的潜在作用。需要更多随机临床试验的结果来确定哪些患者最能从使用相应药物中获益。