Potential impact of hypertension and angiotensin converting enzyme inhibitors treatment on severe acute respiratory syndrome coronavirus 2 susceptibility and prognosis

GU Keyi1,WANG Huijing1,ZHAO Chao2,3

Journal of Microbes and Infections ›› 2020, Vol. 15 ›› Issue (5) : 316-321.

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Journal of Microbes and Infections ›› 2020, Vol. 15 ›› Issue (5) : 316-321. DOI: 10.3969/j.issn.1673-6184.2020.05.008
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Potential impact of hypertension and angiotensin converting enzyme inhibitors treatment on severe acute respiratory syndrome coronavirus 2 susceptibility and prognosis

  • GU Keyi1,WANG Huijing1,ZHAO Chao2,3
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Abstract

Two subgroups of coronavirus disease 2019(COVID-19) patients deserved special medical attention, one being hypertension patients, the other being hypertension patients treated with angiotensin converting enzyme inhibitors (ACEI). Relatively high susceptibility of hypertension patients to the disease and severe prognosis for the ones using ACEI indicate that there is a close relationship between virus infection and hypertension, which puts forward the demand for rational medication for the special group of patients with hypertension. In this paper, we analyzed the balance between angiotensin converting enzyme 2 (ACE2), the functional receptor of SARS-CoV-2, and ACE, and then discussed the relationship between hypertension and virus susceptibility, as well as the possible pathogenesis of COVID-19 in hypertension. Because the angiotensin converting enzyme inhibitors (ACEI) play an important role in the population of hypertension, we give guidance and suggestions on the medication of hypertension before and after virus infection in this population for clinical reference in this paper by the analysis of pharmacology and etiology.

Key words

Coronavirus disease 2019 / Hypertension / Angiotensin converting enzyme 2 / Angiotensin converting enzyme inhibitors

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GU Keyi1,WANG Huijing1,ZHAO Chao2,3. Potential impact of hypertension and angiotensin converting enzyme inhibitors treatment on severe acute respiratory syndrome coronavirus 2 susceptibility and prognosis[J]. Journal of Microbes and Infections. 2020, 15(5): 316-321 https://doi.org/10.3969/j.issn.1673-6184.2020.05.008
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