
| 10.1038/s41598-021-92734-7
http://scihub22266oqcxt.onion/10.1038/s41598-021-92734-7
 34172790!8233397!34172790
free
free
free
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Sci+Rep 2021 ; 11 (1): 13349 Nephropedia Template TP
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Pulmonary adverse drug event data in hypertension with implications on COVID-19 morbidity #MMPMID34172790Jaberi-Douraki M; Meyer E; Riviere J; Gedara NIM; Kawakami J; Wyckoff GJ; Xu XSci Rep 2021[Jun]; 11 (1): 13349 PMID34172790show ga
Hypertension is a recognized comorbidity for COVID-19. The association of antihypertensive medications with outcomes in patients with hypertension is not fully described. However, angiotensin-converting enzyme 2 (ACE2), responsible for host entry of the novel coronavirus (SARS-CoV-2) leading to COVID-19, is postulated to be upregulated in patients taking angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs). Here, we evaluated the occurrence of pulmonary adverse drug events (ADEs) in patients with hypertension receiving ACEIs/ARBs to determine if disparities exist between individual drugs within the respective classes using data from the FDA Spontaneous Reporting Systems. For this purpose, we proposed the proportional reporting ratio to provide a statistical summary for the commonality of an ADE for a specific drug as compared to the entire database for drugs in the same or other classes. In addition, a statistical procedure, multiple logistic regression analysis, was employed to correct hidden confounders when causative covariates are underreported or untrusted to correct analyses of drug-ADE combinations. To date, analyses have been focused on drug classes rather than individual drugs which may have different ADE profiles depending on the underlying diseases present. A retrospective analysis of thirteen pulmonary ADEs showed significant differences associated with quinapril and trandolapril, compared to other ACEIs and ARBs. Specifically, quinapril and trandolapril were found to have a statistically significantly higher incidence of pulmonary ADEs compared with other ACEIs as well as ARBs (P < 0.0001) for group comparison (i.e., ACEIs vs. ARBs vs. quinapril vs. trandolapril) and (P |*COVID-19 Drug Treatment[MESH]|*COVID-19/epidemiology[MESH]|*Hypertension/drug therapy/epidemiology[MESH]|Angiotensin Receptor Antagonists/*adverse effects[MESH]|Angiotensin-Converting Enzyme Inhibitors/*adverse effects[MESH]|Antihypertensive Agents/*adverse effects[MESH]|Comorbidity[MESH]|Hospital Mortality[MESH]|Humans[MESH]|Indoles/*adverse effects[MESH]|Quinapril/*adverse effects[MESH]
  
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