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Coronavirus SARS-Cov-2 and arterial hypertension - facts and myths
StanisŁaw Surma1, Monika Romańczyk1, Krzysztof Łabuzek2
1Faculty of Medical Sciences in Katowice, Medical University of Silesia in Katowice, Poland.
Insights
Arterial hypertension is common in COVID-19 deaths. While SARS-CoV-2 uses ACE2, evidence doesn't link hypertension drugs like ACE inhibitors and ARBs to increased infection risk.
Area of Science:
- Cardiology
- Infectious Diseases
- Virology
Background:
- Arterial hypertension is a prevalent comorbidity in patients with fatal SARS-CoV-2 infections.
- Observational studies suggest a link between hypertension, its treatments, and SARS-CoV-2 infection.
- SARS-CoV-2 entry into cells involves the ACE2 enzyme, but other entry factors are unknown.
Purpose of the Study:
- To review key information regarding arterial hypertension and COVID-19.
- To examine the relationship between hypertension treatments and SARS-CoV-2 risk.
- To discuss potential therapeutic roles of ACE2 in COVID-19.
Main Methods:
- Literature review of observational and experimental studies.
- Analysis of existing evidence on SARS-CoV-2 and the renin-angiotensin system.
- Synthesis of data on comorbidities and viral infection.
Main Results:
- No clear evidence links ACE inhibitors (ACE) or angiotensin receptor blockers (ARB) to increased SARS-CoV-2 risk.
- Recombinant ACE2 may offer therapeutic benefits by blocking viral entry.
- Monitoring blood glucose and lipid profiles is crucial during SARS-CoV-2 infection.
Conclusions:
- The relationship between arterial hypertension and COVID-19 requires careful consideration.
- Current evidence does not support increased SARS-CoV-2 risk with ACE or ARB use.
- Further research is needed to clarify the role of ACE2 and other factors in SARS-CoV-2 pathogenesis.
Abstract:
Arterial hypertension is the most common comorbid disease in patients who died as a result of SARS-Cov-2 infection. Numerous observational studies indicate a relationship between arterial hypertension and its treatment and SARS-Cov-2 coronavirus infection. It is known from experimental studies that SARS-Cov-2 enters the cells by interacting with the ACE2 enzyme, while it is not known whether ACE2 is the only factor that allows the virus to enter the cell. There is no clear evidence of a link between the use of medications such as ACE and ARB and an increased risk of SARS-Cov-2 infection. It has been shown that the use of recombinant ACE2 can be potentially beneficial in COVID-19 therapy by limiting the entry of the virus into the cell. Blood glucose as well as lipid profile should be monitored during SARS-Cov-2 coronavirus infection. This article attempts to gather key information on arterial hypertension and COVID-19.
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