Les bloqueurs du système rénine-angiotensine-aldostérone en temps de pandémie Covid-19 : amis ou ennemis ? [Renin-angiotensin-aldosterone blockers and Covic-19 infection : friends or enemies ?]

Détails

Ressource 1Télécharger: RMS_693_1003.pdf (13144.17 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY-NC-ND 4.0
ID Serval
serval:BIB_C2FECE47276D
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Editorial
Collection
Publications
Institution
Titre
Les bloqueurs du système rénine-angiotensine-aldostérone en temps de pandémie Covid-19 : amis ou ennemis ? [Renin-angiotensin-aldosterone blockers and Covic-19 infection : friends or enemies ?]
Périodique
Revue medicale suisse
Auteur⸱e⸱s
Pechère-Bertschi A., Ponte B., Wuerzner G.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
13/05/2020
Peer-reviewed
Oui
Volume
16
Numéro
693
Pages
1003-1007
Langue
français
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
ACE2 is not only an enzyme that counters the effects of the renin-angiotensin-aldosterone system (RAAS) but is also the entry receptor for SARS-CoV-2, the virus of the Covid-19 pandemic. Some experimental data suggest that ACE inhibitors and ARBs increase ACE2 levels, thus raising concerns on their security in Covid-19 positive patients. However, some studies have shown protection by these drugs in lower tract respiratory infections and ARDS. The actual consensus is to continue the treatment with RAAS inhibitors, abrupt withdrawal, especially in patients with cardiac or renal conditions, being hazardous in terms of cardiovascular outcomes, except in patients hospitalized in intensive care with hemodynamic instability. This position statement is actually unanimous among all international learned societies.
Mots-clé
Aldosterone, Angiotensin-Converting Enzyme 2, Angiotensin-Converting Enzyme Inhibitors/adverse effects, Angiotensin-Converting Enzyme Inhibitors/therapeutic use, Angiotensins, Betacoronavirus, COVID-19, Coronavirus Infections/drug therapy, Humans, Pandemics, Peptidyl-Dipeptidase A/physiology, Pneumonia, Viral/drug therapy, Renin, Renin-Angiotensin System/drug effects, Renin-Angiotensin System/physiology, SARS-CoV-2, COVID-19 Drug Treatment
Pubmed
Création de la notice
28/05/2020 14:37
Dernière modification de la notice
25/07/2023 7:15
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