COVID-19

Overview

Diagnosis

Preparation

Clinical considerations

ACEi/ARB

https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(21)00003-5/fulltext

  • Concern
    • SARS-CoV-2 gains entry into cells by binding to a ACE2
    • ACEi/ARB could lead to increased cellular expression of ACE2
  • Counter hypothesis
    • Might actually protect against severe outcomes from COVID-19 by upregulating ACE2, resulting in protective, anti-inflammatory effects in the lung.
  • Result
    • REPLACE COVID trial – no difference
    • BRACE CORONA study – no difference

Vasculitis

https://www.thelancet.com/journals/lanrhe/article/PIIS2665-9913(20)30420-3/fulltext

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