Evidence map›Paper›PMID 32391169›Full record

ReviewClinical hypertension2020

Is the use of RAS inhibitors safe in the current era of COVID-19 pandemic?

Sungha Park, Hae Young Lee, Eun Joo Cho, Ki Chul Sung, Juhan Kim, Dae-Hee Kim, Sang-Hyun Ihm, Kwang-Il Kim, Il-Suk Sohn, Wook-Jin Chung and 5 more

Open access · diamondAbstract readReview
In one paragraph

Review in Clinical hypertension, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.4field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Article
  3. Disaster hypertension and cardiovascular events in disaster and COVID-19 pandemic.Journal of clinical hypertension (Greenwich, Conn.) · 2021
    Review
  4. Observational
  5. Article
  6. Review
  7. Article
  8. Observational
  9. Review
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 11 institutions in 1 country.

Sungha Park1Division of Cardiology, Severance Cardiovascular Hospital and Severance Cardiovascular Hospital and Integrated Research Center for Cerebrovascular and Cardiovascular diseases, Yonsei University College of Medicine, Seoul, South Korea.
Hae Young Lee2Division of Cardiology, Department of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.
Eun Joo Cho3Division of Cardiology, Department of Internal Medicine, Yeouido St. Mary's Hospital., College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Ki Chul Sung4Division of Cardiology, Department of Internal Medicine, Kangbuk Samsung Hospital, Seoul, South Korea.
Juhan Kim5Division of Cardiology, Department of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
Dae-Hee Kim6Department of Cardiology, Asan Medical Center, College of Medicine, Ulsan University, Seoul, South Korea.
Sang-Hyun Ihm7Division of Cardiology, Department of Internal Medicine, Bucheon St. Mary's Hospital., College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Kwang-Il Kim8Division of Geriatrics, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Il-Suk Sohn9Division of Cardiology, Department of Internal Medicine, Kyung Hee University at Gangdong, Seoul, South Korea.
Wook-Jin Chung10Division of Cardiology, Department of Internal Medicine, Gil Hospital, Gachon University, Incheon, South Korea.
Hyeon Chang Kim11Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, South Korea.
Sung Kee Ryu12Division of Cardiology, Department of Internal Medicine, Nowon Eulji Medical Center, Eulji University, Seoul, South Korea.
Wook Bum Pyun13Division of Cardiology, Department of Internal Medicine, Ewha Womans University Seoul Hospital, Seoul, South Korea.
Jinho Shin14Division of Cardiology, Department of Internal Medicine, Hanyang University Medical Center, 222 Wangsimni-ro Sungdong-gu, Seoul, South Korea.
Korean Society of Hypertension
Yonsei University · KREwha Womans University · KRSeoul National University Bundang Hospital · KRAsan Medical Center · KRChonnam National University Hospital · KRHanyang University Medical Center · KRKangbuk Samsung Hospital · KRKyung Hee University Hospital at Gangdong · KRSeoul National University Hospital · KRSeverance Hospital · KRUniversity of Ulsan · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antihypertensive drugs are one of the most widely used pharmacologic agent in the world and it is predominantly used in the elderly subjects. Pneumonia is the most common cause of death in the extremely old subject. During infection and its complication such as sepsis, hypotension could be exacerbated by antihypertensive drugs because homeostasis mechanisms such as sodium balance, renin angiotensin aldosterone system and/or sympathetic nervous system can be mitigated by antihypertensive drug therapy. Severe Acute Respiratory Syndrome-Coronavirus-1 and 2 viral surface protein is known to attach angiotensin converting enzyme 2 (ACE2) on the cell membrane to facilitate viral entry into the cytoplasm. Despite the theoretical concerns of increased ACE2 expression by Renin-Angiotensin-Aldosterone system (RAS) blockade, there is no evidence that RAS inhibitors are harmful during COVID-19 infection and have in fact been shown to be beneficial in animal studies. Therefore, it is recommended to maintain RAS blockade during the current corona virus pandemic.

Indexed as

2019 novel coronavirusACE2ACE inhibitorAngiotensin receptor blockerAntihypertensive drugsCOVID-19HypertensionInfectionPandemicSARSSARS-CoV-2Sepsis

Identifiers

PMID32391169
PMCPMC7202902
OpenAlexW3022361475

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.