Name (Synonyms) | Correlation | |
---|---|---|
drug81 | Angiotensin receptor blocker Wiki | 0.35 |
drug1387 | Thiazide or Thiazide-like diuretics Wiki | 0.35 |
drug208 | Blood samples Wiki | 0.35 |
drug1377 | The POP02 study is collecting bodily fluid samples (i.e., whole blood, effluent samples) of children prescribed the following drugs of interest per standard of care: Wiki | 0.35 |
drug502 | FMD Wiki | 0.35 |
drug326 | Clinical data Wiki | 0.35 |
drug277 | Calcium Channel Blockers Wiki | 0.35 |
drug1131 | Rarefaction Wiki | 0.35 |
drug29 | ABPM Wiki | 0.35 |
drug978 | PWV Wiki | 0.35 |
drug449 | ECG Wiki | 0.25 |
drug31 | ACE inhibitor Wiki | 0.25 |
drug370 | Convalescent plasma Wiki | 0.22 |
drug1280 | Standard of Care Wiki | 0.11 |
drug1146 | Remdesivir Wiki | 0.09 |
Name (Synonyms) | Correlation | |
---|---|---|
D001997 | Bronchopulmonary Dysplasia NIH | 0.35 |
D008595 | Menorrhagia NIH | 0.35 |
D006470 | Hemorrhage NIH | 0.35 |
D006929 | Hyperaldosteronism NIH | 0.35 |
D014552 | Urinary Tract Infections NIH | 0.35 |
D000309 | Adrenal Insufficiency NIH | 0.35 |
D054559 | Hyperphosphatemia NIH | 0.35 |
D007008 | Hypokalemia NIH | 0.35 |
D002318 | Cardiovascular Diseases NIH | 0.17 |
D003141 | Communicable Diseases NIH | 0.04 |
D018352 | Coronavirus Infections NIH | 0.03 |
D007239 | Infection NIH | 0.02 |
D045169 | Severe Acute Respiratory Syndrome NIH | 0.02 |
Name (Synonyms) | Correlation | |
---|---|---|
HP:0000822 | Hypertension HPO | 0.94 |
HP:0000132 | Menorrhagia HPO | 0.35 |
HP:0002905 | Hyperphosphatemia HPO | 0.35 |
HP:0002900 | Hypokalemia HPO | 0.35 |
HP:0000846 | Adrenal insufficiency HPO | 0.35 |
HP:0000859 | Hyperaldosteronism HPO | 0.35 |
HP:0001626 | Abnormality of the cardiovascular system HPO | 0.18 |
There are 8 clinical trials
There are currently no clinical studies reporting clinical characteristics difference between the hypertension patients with and without ACEI treatment when suffered with novel coronavirus infection in China.
Description: The percentage of patients admitted to the ICU at any time during the 28 days of onset COVID-19.
Measure: Occupancy rate in the intensive care unit (ICU) Time: up to 28 daysDescription: The number of patients requiring mechanical ventilation.
Measure: Mechanical Ventilation Time: up to 28 daysDescription: The number of patients who died of 2019-nCoV infection.
Measure: Death Time: up to 28 daysDescription: The number of died 2019-nCoV infected patients from any cause.
Measure: All cause mortality Time: up to 28 daysDescription: Time from onset of symptoms to admitted to the ICU, requiring mechanical ventilation, and death.
Measure: Time from onset of symptoms to main outcome and its components Time: up to 28 daysDescription: Time to Clinical Recovery
Measure: Time to Clinical Recovery Time: up to 28 daysThe study investigators are interested in learning more about how drugs, that are given to children by their health care provider, act in the bodies of children and young adults in hopes to find the most safe and effective dose for children. The primary objective of this study is to evaluate the PK of understudied drugs currently being administered to children per SOC as prescribed by their treating provider.
Some studies have shown that the main pathogenesis of patients with covid19 is related to ACE2 receptor. Lung is one of the main organs, and there are many ACE2 receptors in cardiovascular system. ACEI / ARB is the main target of antihypertensive drugs. Previous reports suggested that there were large number of patients with covid19 also suffered from hypertension, suggesting that patients with hypertension may be the susceptible to covid19. Therefore, we try to follow up the patients admitted to Hankou hospital to explore the impact of hypertension and hypertension treatment on the severity and prognosis of patients with covid19, so as to provide new methods for the treatment of patients with covid19 in the future.
Description: mortality in 28-day
Measure: Rate of Death Time: From date of admission until the date of death from any cause, up to 60 daysDescription: evaluate the severity of pneumonia according to CT scans and clinical manifestation
Measure: the severity of pneumonia Time: From date of admission until the date of discharge or death from any cause, up to 60 daysDescription: days from admission to discharge or death
Measure: the length of hospital stay Time: From date of admission until the date of discharge or death from any cause, up to 60 daysCoronavirus disease 2019 (COVID-19) is a pandemic infection caused by a virus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Because SARS-CoV-2 is known to require the angiotensin-converting enzyme 2 (ACE-2) receptor for uptake into the human body, there have been questions about whether medications that upregulate ACE-2 receptors might increase the risk of infection and subsequent complications. One such group of medications are anti-hypertensives that block the renin-angiotensin system, including both angiotensin converting enzyme inhibitors (ACEi) and angiotensin II receptor blockers (ARB). Both ACEi and ARB are widely used for the treatment of hypertension. Early reports from China and Italy suggest that many of those who die from COVID-19 have a coexisting history of hypertension. Consequently, there have been questions raised as to whether these 2 types of blood pressure medication might increase the risk of death among patients with COVID-19. However, it is well known that the prevalence of hypertension increases linearly with age. Therefore, it is possible that the high prevalence of hypertension and ACEi/ARB use among persons who die from COVID-19 is simply confounded by age (older people are at risk of both a history of hypertension and dying from COVID-19). Whether these commonly prescribed blood pressure medications increase the risk of COVID-19 or not remains unanswered. Statements from professional cardiology societies on both sides of the Atlantic have called for urgent research into this question. Our study aims to randomize patients with primary (essential) hypertension who are already taking ACEi/ARB to either switch to an alternative BP medication or continue with the ACEi/ARB that they have already been prescribed. Adults with compelling indications for ACEi/ARB will not be enrolled.
Description: Time from randomization to the first occurrence of any of the clinical events above
Measure: Number of Covid-19 positive participants who die, require intubation in ICU, or require hospitalization for non-invasive ventilation (NIV) Time: 12 monthsDescription: Time from randomization to the first occurrence of above
Measure: Number of Covid-19 positive participants who die Time: 12 monthsDescription: Time from randomization to the first occurrence of above
Measure: Number of Covid-19 positive participants who require intubation in intensive care unit (ICU) Time: 12 monthsDescription: Time from randomization to the first occurrence of above
Measure: Number of Covid-19 positive participants who require hospitalization for non-invasive ventilation (NIV) Time: 12 monthsDescription: Time from randomization to the first occurrence of above
Measure: Number of SARS-CoV-2 positive participants Time: 12 monthsDescription: Performed in a random sub-sample of the cohort (both study arms)
Measure: 24 hour mean systolic BP (mmHg) on ambulatory BP monitoring Time: 12 monthsDescription: Time from randomization to the first occurrence of above
Measure: All-cause mortality Time: 12 monthsMulticentric non-profit observational study, in patients with COVID-19 hospitalized in Italy, conducted through a pseudonymised survey.
Description: Using anamnestic data collected from the health record of the hospital or of the general practitioner, we will count the number of COVID-19 patients enrolled that were treated with ACE Inhibitors or ARB.
Measure: Numbers of COVID-19 patients enrolled that use ACE inhibitors and/or Angiotensin Receptor Blockers (ARB) as antihypertensive agents Time: 3 monthsDescription: This study want to observe whether the assumption of antihypertensive ACE inhibitors or ARB increases the severity of the clinical manifestation of COVID19
Measure: Numbers of COVID-19 patients enrolled with no symptoms, with moderate symptoms or with severe symptoms of pneumoni based on the WHO specification for ARDS that also used ACE inhibitors and/or Angiotensin Receptor Blockers (ARB) as antihypertensive agents Time: 3 monthsDescription: Collecting selected data from the health record and hospital charts of the patients we will assess whether among the recorded parameters there are any that can predict COVID19 prevalence and severity
Measure: Number and type of anthropometric and clinical parameters that associate with COVID19 and COVID-19 severity Time: 3 monthsHospitalized patients with COVID-19 will be included in the study in centers around Poland. After the hospitalization, a short questionnaire will be completed, including pre-hospitalization diagnoses, pre-hospitalization medications, clinical status on admission, the course, complication and the duration of hospitalization. The questionnaire will be available in paper form and on-line.
Description: Death, myocardial infarction, heart failure, myocarditis, acute renal failure, stroke
Measure: Adverse events Time: through study completion, an average of 2 weeksDescription: Number of participants with death, myocardial infarction, heart failure, myocarditis, acute renal failure, stroke analyzed separately for each of the endpoints
Measure: Number of participants with death, myocardial infarction, heart failure, myocarditis, acute renal failure, stroke Time: through study completion, an average of 2 weeksDescription: Ventilation during hospitalization
Measure: Ventilation during hospitalization Time: through study completion, an average of 2 weeksDescription: Number of participants with death, myocardial infarction, heart failure, myocarditis, acute renal failure, stroke analyzed separately for each of the endpoints
Measure: Number of participants with death, myocardial infarction, heart failure, myocarditis, acute renal failure, stroke Time: prolonged follow up, through study completion, an average of one yearBackground. Angiotensing converting enzyme type 2 (ACE2), a key enzyme of the renin-angiotensin-aldosterone system (RAAS), is the receptor of SARS-CoV-2 for cell entry into lungs. Because ACE2 may be modulated by RAAS inhibitors, such as angiotensin converting enzyme inhibitors (ACEi) and angiotensin II receptor blockers (ARBs), there is concern that patients treated with ACEi and ARBs may be at higher risk for COVID-19 infection and severity. Aim. To analyze the associations between COVID-19 and hypertension, and treatments with ACEi and ARBs. Methods. In this retrospective observational study, consecutive patients hospitalized for suspected COVID-19 pneumonia will be divided into 2 groups, whether or not COVID-19 is confirmed. The two groups will be compared for baseline characteristics, mainly prior treatment with ACEi and ARBs, and clinical outcome at 1-month follow-up. The main hypothesis is that ACEi and ARBs, which interact differently with ACE2, may have different relationships with COVID-19 infection or severity.
Description: Prevalence of a previous treatment by angiotensin converting enzyme inhibitors in patients with and without confirmed Covid-19 pneumonia.
Measure: Prior treatment by ACEi Time: at admission to hospitalDescription: Prevalence of a previous treatment by angiotensin II type 1-receptor blockers in patients with and without confirmed Covid-19 pneumonia.
Measure: Prior treatment by ARB Time: at admission to hospitalDescription: Association between COVID-19 infection status and other baseline characteristics and comorbidities (age, sex, history of hypertension, chronic heart disease, diabetes mellitus, COPD, asthma, obesity, allergies)
Measure: Baseline characteristics and comorbidities Time: at admission to hospitalDescription: Association between previous treatment by ACEi and ARBs and clinical course of COVID-19 (one-month mortality, hospitalization in intensive care unit, duration of hospital stay, early discharge to home)
Measure: Major Clinical Adverse Events Time: One month follow-upThe current COVID-19 pandemic (caused by the SARS-CoV-2 virus) represents the biggest medical challenge in decades. Whilst COVID-19 mainly affects the lungs it also affects multiple organ systems, including the cardiovascular system. There are documented associations between severity of disease and risk of death and To provide all the information required by review bodies and research information systems, we ask a number of specific questions. This section invites you to give an overview using language comprehensible to lay reviewers and members of the public. Please read the guidance notes for advice on this section. 5 DRAFT Full Set of Project Data IRAS Version 5.13 advancing age, male sex and associated comorbid disease (hypertension, ischaemic heart disease, diabetes, obesity, COPD and cancer). The most common complications include cardiac dysrhythmia, cardiac injury, myocarditis, heart failure, pulmonary embolism and disseminated intravascular coagulation. It is thought that the mechanism of action of the virus involves binding to a host transmembrane enzyme (angiotensin- converting enzyme 2 (ACE2)) to enter some lung, heart and immune cells and cause further damage. While ACE2 is essential for viral invasion, it is unclear if the use of the common antihypertensive drugs ACE inhibitors or angiotensin receptor blockers (ARBs) alter prognosis. This study aims to look closely at the health of the vascular system of patients after being treated in hospital for COVID-19 (confirmed by PCR test) and compare them to patients who had a hospital admission for suspected COVID-19 (negative PCR test) . Information from this study is essential so that clinicians treating patients with high blood pressure understand the impact of the condition and these hypertension medicines in the context of the current COVID-19 pandemic. This will allow doctors to effectively treat and offer advice to patients currently prescribed these medications or who are newly diagnosed with hypertension.
Description: Ambulatory Blood Pressure Monitoring systolic blood pressure
Measure: ABPM systolic blood pressure Time: 24 hours (all day and night)Description: Ambulatory Blood Pressure Monitoring diastolic blood pressure
Measure: 24-hr ABPM DBP Time: 24 hours (all day and night)Description: Day Ambulatory Blood Pressure Monitoring systolic blood pressure
Measure: day ABPM SBP Time: 8am to 8pmDescription: Day Ambulatory Blood Pressure Monitoring diastolic blood pressure
Measure: day ABPM DBP Time: 8am to 8pmDescription: Night Ambulatory Blood Pressure Monitoring systolic blood pressure
Measure: night ABPM SBP Time: 8pm to 8amDescription: Night Ambulatory Blood Pressure Monitoring diastolic blood pressure
Measure: night ABPM DBP Time: 8pm to 8amDescription: The fall in pressure, called the "dip", is defined as the difference between daytime mean systolic pressure and nighttime mean systolic pressure expressed as a percentage of the day value
Measure: dipping status Time: 24 hours (all day and night)Description: he morning surge was defined as the difference between the mean systolic blood pressure during the 2 hours after waking and arising minus the mean systolic blood pressure during the hour that included the lowest blood pressure during sleep.
Measure: morning surge Time: 24 hours (all day and night)Description: 24 hour Ambulatory Blood Pressure Monitoring heart rate
Measure: 24 hour ABPM HR Time: 24hr (all day and night)Description: Day Ambulatory Blood Pressure Monitoring heart rate
Measure: day ABPM HR Time: 8 am to 8 pmDescription: Night Ambulatory Blood Pressure Monitoring heart rate
Measure: night ABPM HR Time: 8pm to 8 am