Continuing versus suspending angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: Impact on adverse outcomes in hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/41422 |
Resumo: | Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil / Duke University Medical Center. Duke Clinical Research Institute. Durham, NC, USA / Brazilian Clinical Research Institute, São Paulo, SP, Brasil / Rede D'Or São Luiz, São Paulo, SP, Brasil. |
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Lopes, Renato D.Macedo, Ariane Vieira ScarlatelliSilva, Pedro Gabriel Melo de Barros eMoll-Bernardes, Renata JunqueiraFeldman, AndreD'Andréa Saba Arruda, GuilhermeSouza, Andrea Silvestre deAlbuquerque, Denilson Campos deMazza, LilianSantos, Mayara FragaSalvador, Natalia ZerbinattiGibson, C. MichaelGranger, Christopher B.Alexander, John H.Souza, Olga Ferreira de2020-05-27T15:47:20Z2020-05-27T15:47:20Z2020LOPES, Renato D. et al. Continuing Versus Suspending Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers: Impact on Adverse Outcomes in Hospitalized Patients With Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). American Heart Journal, p. 1-27, May 2020.0002-8703https://www.arca.fiocruz.br/handle/icict/4142210.1016/j.ahj.2020.05.002engElsevierContinuing versus suspending angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: Impact on adverse outcomes in hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleInstituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil / Duke University Medical Center. Duke Clinical Research Institute. Durham, NC, USA / Brazilian Clinical Research Institute, São Paulo, SP, Brasil / Rede D'Or São Luiz, São Paulo, SP, Brasil.Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil / Rede D'Or São Luiz. São Paulo, SP, Brasil / Santa Casa de São Paulo. São Paulo, SP, Brasil.Brazilian Clinical Research Institute, São Paulo, SP, Brasil.Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil.Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil / Rede D'Or São Luiz. São Paulo, SP, Brasil.Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil / Rede D'Or São Luiz. São Paulo, SP, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brazil.Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil / Harvard Medical School, Boston, MA, USA.Brazilian Clinical Research Institute, São Paulo, SP, Brasil.Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil.Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil.Harvard Medical School, Boston, MA, USA.Duke University Medical Center. Duke Clinical Research Institute. Durham, NC, USA.Duke University Medical Center. Duke Clinical Research Institute. Durham, NC, USA.Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil / Rede D'Or São Luiz. São Paulo, SP, Brasil.Angiotensin-converting enzyme-2 (ACE2) may increase due to upregulation in patients using angiotensin-converting enzyme inhibitors (ACEI) and angiotensin receptor blockers (ARB). Because renin-angiotensin system blockers increase levels of ACE2, a protein that facilitates coronavirus entry into cells, there is concern that these drugs could increase the risk of developing a severe and fatal form of COVID-19. The impact of discontinuing ACEI and ARBs in patients with COVID-19 remains uncertain.DESIGNBRACE CORONA is a pragmatic, multicenter, randomized, phase IV, clinical trial that aims to enroll around 500 participants at 32 sites in Brazil. Participants will be identified from an ongoing national registry of suspected and confirmed cases of COVID-19. Eligible patients using renin-angiotensin system blockers (ACEI/ARBs) with a confirmed diagnosis of COVID-19 will be randomized to a strategy of continued ACEI/ARB treatment versus temporary discontinuation for 30 days. The primary outcome is the median days alive and out of the hospital at 30 days. Secondary outcomes include progression of COVID-19 disease, all-cause mortality, death from vascular causes, myocardial infarction, stroke, transient ischemic attack, new or worsening heart failure, myocarditis, pericarditis, arrhythmias, thromboembolic events, hypertensive crisis, respiratory failure, hemodynamic decompensation, sepsis, renal failure, troponin, B-type natriuretic peptide, N-terminal-pro hormone and D-dimer levels.SARS-CoV-2ACE InhibitorAngiotensin Receptor BlockerCoronavirusCOVID-19SimAhead of Printinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; 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dc.title.pt_BR.fl_str_mv |
Continuing versus suspending angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: Impact on adverse outcomes in hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) |
title |
Continuing versus suspending angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: Impact on adverse outcomes in hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) |
spellingShingle |
Continuing versus suspending angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: Impact on adverse outcomes in hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Lopes, Renato D. SARS-CoV-2 ACE Inhibitor Angiotensin Receptor Blocker Coronavirus COVID-19 |
title_short |
Continuing versus suspending angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: Impact on adverse outcomes in hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) |
title_full |
Continuing versus suspending angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: Impact on adverse outcomes in hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) |
title_fullStr |
Continuing versus suspending angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: Impact on adverse outcomes in hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) |
title_full_unstemmed |
Continuing versus suspending angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: Impact on adverse outcomes in hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) |
title_sort |
Continuing versus suspending angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: Impact on adverse outcomes in hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) |
author |
Lopes, Renato D. |
author_facet |
Lopes, Renato D. Macedo, Ariane Vieira Scarlatelli Silva, Pedro Gabriel Melo de Barros e Moll-Bernardes, Renata Junqueira Feldman, Andre D'Andréa Saba Arruda, Guilherme Souza, Andrea Silvestre de Albuquerque, Denilson Campos de Mazza, Lilian Santos, Mayara Fraga Salvador, Natalia Zerbinatti Gibson, C. Michael Granger, Christopher B. Alexander, John H. Souza, Olga Ferreira de |
author_role |
author |
author2 |
Macedo, Ariane Vieira Scarlatelli Silva, Pedro Gabriel Melo de Barros e Moll-Bernardes, Renata Junqueira Feldman, Andre D'Andréa Saba Arruda, Guilherme Souza, Andrea Silvestre de Albuquerque, Denilson Campos de Mazza, Lilian Santos, Mayara Fraga Salvador, Natalia Zerbinatti Gibson, C. Michael Granger, Christopher B. Alexander, John H. Souza, Olga Ferreira de |
author2_role |
author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Lopes, Renato D. Macedo, Ariane Vieira Scarlatelli Silva, Pedro Gabriel Melo de Barros e Moll-Bernardes, Renata Junqueira Feldman, Andre D'Andréa Saba Arruda, Guilherme Souza, Andrea Silvestre de Albuquerque, Denilson Campos de Mazza, Lilian Santos, Mayara Fraga Salvador, Natalia Zerbinatti Gibson, C. Michael Granger, Christopher B. Alexander, John H. Souza, Olga Ferreira de |
dc.subject.en.pt_BR.fl_str_mv |
SARS-CoV-2 ACE Inhibitor Angiotensin Receptor Blocker Coronavirus COVID-19 |
topic |
SARS-CoV-2 ACE Inhibitor Angiotensin Receptor Blocker Coronavirus COVID-19 |
description |
Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil / Duke University Medical Center. Duke Clinical Research Institute. Durham, NC, USA / Brazilian Clinical Research Institute, São Paulo, SP, Brasil / Rede D'Or São Luiz, São Paulo, SP, Brasil. |
publishDate |
2020 |
dc.date.accessioned.fl_str_mv |
2020-05-27T15:47:20Z |
dc.date.available.fl_str_mv |
2020-05-27T15:47:20Z |
dc.date.issued.fl_str_mv |
2020 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
LOPES, Renato D. et al. Continuing Versus Suspending Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers: Impact on Adverse Outcomes in Hospitalized Patients With Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). American Heart Journal, p. 1-27, May 2020. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/41422 |
dc.identifier.issn.pt_BR.fl_str_mv |
0002-8703 |
dc.identifier.doi.none.fl_str_mv |
10.1016/j.ahj.2020.05.002 |
identifier_str_mv |
LOPES, Renato D. et al. Continuing Versus Suspending Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers: Impact on Adverse Outcomes in Hospitalized Patients With Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). American Heart Journal, p. 1-27, May 2020. 0002-8703 10.1016/j.ahj.2020.05.002 |
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https://www.arca.fiocruz.br/handle/icict/41422 |
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eng |
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eng |
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Elsevier |
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Elsevier |
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