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.

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