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Renin-Angiotensin-Aldosterone Inhibitors and COVID-19
Insights
Renin-angiotensin-aldosterone system (RAAS) blockers do not worsen COVID-19 outcomes. Continued use of RAAS blockers is recommended to prevent cardiovascular complications, especially in stable patients.
Area of Science:
- Cardiology
- Infectious Diseases
- Pharmacology
Background:
- Concerns exist regarding renin-angiotensin-aldosterone system (RAAS) blockers and COVID-19 susceptibility.
- RAAS blockers are crucial for managing various cardiovascular conditions.
Purpose of the Study:
- To evaluate the impact of RAAS blockers on COVID-19 course.
- To provide evidence-based recommendations on RAAS blocker use during the pandemic.
Main Methods:
- Review of existing literature and clinical data.
- Analysis of patient outcomes based on RAAS blocker treatment.
Main Results:
- No evidence suggests RAAS blockers worsen COVID-19 severity.
- Discontinuation of RAAS blockers may lead to worsening of cardiovascular comorbidities.
Conclusions:
- RAAS blockers should be continued in patients with stable conditions.
- The benefits of RAAS blockers in managing cardiovascular disease outweigh theoretical risks associated with COVID-19.
Abstract:
•There is a concern that renin-angiotensin-aldosterone system (RAAS) blockers increase susceptibility to coronavirus 2019 (COVID-19).•There no evidence that treatment with RAAS blockers worsens the course of COVID-19.•Discontinuation of RAAS blockers may exacerbate cardiovascular comorbidities.•RAAS blockers should be continued in patients with otherwise stable conditions.
Related Concept Videos
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Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors
Antihypertensive Drugs: Angiotensin II Receptor Blockers
Hormonal Regulation
Heart Failure Drugs: Diuretics

