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review · Infection and Drug Resistance

<p>ACEIs and ARBs and Their Correlation with COVID-19: A Review</p>

202027 citationsOpen accessDebre Berhan University

In plain language

This review examines the conflicting evidence surrounding the use of Angiotensin-Converting Enzyme Inhibitors (ACEIs) and Angiotensin Receptor Blockers (ARBs) in the context of COVID-19. While some animal studies suggested these drugs could help prevent or treat the effects of COVID-19 infection, other findings indicated they might worsen the infection's deleterious conditions. This creates a paradoxical situation, highlighting the need for extensive further investigation. The review concludes that more research is required to establish the efficacy and conduct a benefit-risk analysis of ACEIs/ARBs during COVID-19, particularly for patients with comorbidities such as hypertension, heart failure, and renal disease linked to diabetes.

Key takeaways

  • Some animal studies suggested ACEIs/ARBs could help prevent or treat COVID-19 effects.
  • Conversely, other evidence indicated that ACEIs/ARBs might exacerbate the harmful conditions of COVID-19 infection.
  • The role of ACEIs/ARBs during COVID-19 presents a paradoxical issue that requires extensive further investigation.
  • More research is needed to assess the efficacy and conduct a benefit-risk analysis of these drugs in COVID-19 patients.
  • Special attention should be given to patients with comorbidities like hypertension, heart failure, and renal disease associated with diabetes.

Why it matters

This research is important because it addresses a critical question about the safety and effectiveness of commonly prescribed medications, ACEIs and ARBs, for patients with COVID-19. Clarifying their role is vital for guiding clinical decisions and ensuring optimal care, especially for individuals with pre-existing health conditions.

Commercialisation angle

The abstract does not indicate an application pathway. It highlights a need for further research to clarify the role of existing drugs in a specific disease context. This is early-stage research focused on understanding drug interactions rather than developing new products or services, and it is far from real-world use.

AI-generated from the published abstract. Always read the original work before citing.

Abstract

Although some animal studies suggested that the use of ACEIs/ARBs could contribute for the prevention and treatment of the effects of the COVID-19 infection, there are also contradictory scenarios indicating that their use may exacerbate the deleterious conditions of the infection. As a result of the paradoxical issue of using ACEIs/ARBs during COVID-19, it is still an area requiring extended investigation to prove. Additionally, a trial evidence of their efficacy and the possible benefit risk analysis of these conventional drugs during COVID-19 in connection with other comorbidities like hypertension, heart failure, and renal disease associated with diabetes should also be addressed.

Research topics

  • COVID-19 Clinical Research Studies
  • Long-Term Effects of COVID-19
  • SARS-CoV-2 and COVID-19 Research

Sustainable Development Goals

Read the original research

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DOI: 10.2147/idr.s264882

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