作者
Rhian M Touyz, Marcus OE Boyd, Tomasz Guzik, Sandosh Padmanabhan, Linsay McCallum, Christian Delles, Patrick B Mark, John R Petrie, Francisco Rios, Augusto C Montezano, Robert Sykes, Colin Berry
发表日期
2021/10/1
来源
CJC open
卷号
3
期号
10
页码范围
1257-1272
出版商
Elsevier
简介
The current COVID-19 pandemic, caused by the severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) virus, represents the largest medical challenge in decades. It has exposed unexpected cardiovascular vulnerabilities at all stages of the disease (pre-infection, acute phase, and subsequent chronic phase). The major cardiometabolic drivers identified as having epidemiologic and mechanistic associations with COVID-19 are abnormal adiposity, dysglycemia, dyslipidemia, and hypertension. Hypertension is of particular interest, because components of the renin–angiotensin system (RAS), which are critically involved in the pathophysiology of hypertension, are also implicated in COVID-19. Specifically, angiotensin-converting enzyme-2 (ACE2), a multifunctional protein of the RAS, which is part of the protective axis of the RAS, is also the receptor through which SARS-CoV-2 enters host cells, causing viral …
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