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10.1097/HPC.0000000000000246

http://scihub22266oqcxt.onion/10.1097/HPC.0000000000000246
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33031192!8132546!33031192
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suck abstract from ncbi


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pmid33031192      Crit+Pathw+Cardiol 2021 ; 20 (2): 100-102
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  • Angiotensin II Administration in Patients With COVID-19 Shock #MMPMID33031192
  • Ofosu-Barko K; Liu Y; Alkhatib Tamimi F; Al Husami W; Ganatra S; Resnic F; Shah SP
  • Crit Pathw Cardiol 2021[Jun]; 20 (2): 100-102 PMID33031192show ga
  • PURPOSE: To understand the hemodynamic effect of angiotensin II as a vasopressor in patients with shock secondary to COVID-19 infection. METHODS: A retrospective analysis was performed on all patients at a single center with COVID-19 infection and shock who were treated with angiotensin II. The hemodynamic response to angiotensin II was estimated by recording the mean arterial pressure, norepinephrine equivalent dose (NED) and urine output. RESULTS: Ten patients with COVID-19 related shock were treated with angiotensin II. Over the initial 6 hours, the average the NED decreased by 30.4% (from 64.6 to 44 microg/min) without a significant change in the mean arterial pressure (0.7% decrease). Six patients experienced at least a 25% reduction in NED by 6 hours, and 2 experienced at least a 50% reduction. CONCLUSIONS: On average, the hemodynamic response to angiotensin II in COVID-19 related shock was favorable. Two patients had a marked rapid improvement. Given the relationship of SARS-CoV-2 with the renin-angiotensin-aldosterone system, further evaluation of angiotensin II for the treatment of COVID-19 related shock is warranted.
  • |Aged[MESH]
  • |Angiotensin II/*therapeutic use[MESH]
  • |Arterial Pressure[MESH]
  • |COVID-19/*complications/physiopathology/therapy[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Retrospective Studies[MESH]
  • |Shock/*drug therapy/physiopathology/virology[MESH]


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