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 ?]

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Ressource 1Download: RMS_693_1003.pdf (13144.17 [Ko])
State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_C2FECE47276D
Type
Article: article from journal or magazin.
Publication sub-type
Editorial
Collection
Publications
Institution
Title
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 ?]
Journal
Revue medicale suisse
Author(s)
Pechère-Bertschi A., Ponte B., Wuerzner G.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
13/05/2020
Peer-reviewed
Oui
Volume
16
Number
693
Pages
1003-1007
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
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.
Keywords
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
Create date
28/05/2020 14:37
Last modification date
25/07/2023 7:15
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