COVID-19 and ACE inhibitors 

If only all medical professionals could convey information in this manner. Truly excellent work. Thank you again doctor, very useful for an older and stubborn uncle of mine.

Your an amazing doctor and person. What a beautiful warm smile to calm us all. Thank you so much for explaining the ACE inhibitors with Coronavirus. Be safe❤️

Thank you so much for sharing what Physicians just won't talk about. your knowledge on Magnesium for heart arrhythmia was a blessing to me. I take one Magnesuim Taurate daily and have'nt anymore problems,

Thank you for taking the time to do this , i am on ACE inhibitors for my hypertension and whilst it is stable as is my type2 Diabetes. i had read an article about the virus possibly causing complication with people who take ACE inhibitors. you have good way of descring this process in clear terms and you have given me some peace of mind. i am very gratful to you.

I totally LOVE this guy. He does such a terrific job explaining stuff. He's really a gifted and very pleasant person.

Thank you. You are always answering my questions before I actually ask them.I fret about things, then I look on your channel and you've already given me the help I need. Thank you so very much.

Thank you... Recently just started back on an ACE...was supposed to have weekly basic metabolic lab done to see how my kidneys are handling the drug..had a problem before...but now no lab work is allowed unless a stat order from your doc because of the stress on our medical system. So, I am making the executive decision to go back on the calcium channel blocker.. Thank you for your time and very thoughtful, articulate videos.

Thank You Dr. I’ve been taking Lisinopril 10 mg for one year after having a hypertensive episode. I am doing well on this medication. Thank you for your explanation related to ace inhibitors and the covid19 virus 🦠 it was very helpful. Your calm voice helped me listen more intently and understand better.

So comforting to understand. You are capable of making the most unknowledgeable person understand.....a truly rare gift. Thankyou 😊

Thank you for working on this awful 😷epidemic. God Bless you and anyone else that is working with you . 👼🏻🙏🏼👼🏻❤️🇺🇸

Thank you so much for an excellent video, so well explained. I contracted a virus which gave me severe heart failure 13 years ago, so have been worried about keeping taking my ACE inhibitors, but knew I had to. I think your great.

Class room lecture, worth listening, particularly for elderly and other persons taking ACE inhibitors, from a calm, composed and comforting medical professor with his unforgetting smile, during this hard time. Together we prevail. May everyone stay safe around the globe.Thank you, Doctor Gupta.

As a retired family doctor (an old time GP) and on an ace inhibitor I appreciated your down to earth explanation. Thank you. David J. Wilcox, D.O.

Thankyou Dr, you a good man and we appreciate all you do for us. You take care too.

Thank you so much!! I take Lisinopril for AFib (afterload) and I'd never stop taking it! You put my mind at ease!

I called you about my apixiban and you took my call and advised me,what a leader to the cardiology world

Knowledgeable, honest, and a lovely spirit. Thank you for making things clearer and helping us navigate through these times. You are a blessing. ❤

Thank you so much for giving up your precious time to bring us this vitally important information. You are a very kind soul. Much gratitude to you my friend.

This is excellent. I’m a neurologist. Lancet respiratory were a bit irresponsible to publish the speculative letter that started the panic.

Many thanks as always Dr Gupta. The knowledge and comfort I and many others have gleaned from your comprehensive presentations is immeasurable. God bless you and your family. Thank yout for all you have done and continue to do.

Thank you DOCTOR for being so helpful and making people aware about concerns. Stay blessed.

WoW...you explained that so well! Thank you for your Service!

Excellent, thank you for a cardiology perspective on this. My dad went off his ARB a few months ago because he didn't need it anymore but I'm happy to learn what I can in case he ever needs to go back on it.

Thank you, as a repeat MI (bypass ) and Scad sufferer, I am glad to know my regime of drugs are the best thing to keep me healthy at the moment. Thank you

Thank you so much Dr. Gupta. I am in Washington, DC and under self isolation and self quarantine right now. The worst is yet to come according to the media here. You are reassuring and I am grateful.

Thank you from South Carolina, USA. I follow your explanations as they help me make better health decisions by helping me understand how my body functions.

Thank you so much Dr Gupta! Once again you have explained a subject so thoroughly I can understand and relax!! I enjoy your videos because they are filled with great insight and knowledge but also appreciate your caring personality and soothing manner. I hope you never stop! Be well...Gale

Dr I love your channel. I have subbed years ago. Don’t expect big pharma to help sort this out. They don’t care. We are all on our own. Let’s try upping our immune system. Along with all the usual precautions, this will REALLY help not getting too sick.

Thanks😉! Praying everyday 4 God protection and my family! I feel pretty good. Stop by my old boyfriend apt. We feel good. Take my meds, wash my hands,Thank Jesus Christ our Lord and savior 4 HIS GRACE AND MERCY! MY B/P was 114/ 69 2day Thank God l am 71yrs.

You are great. Wish all doctors are like you. Thank you so much for your time.

Thank you. I am on Ramipril after Mitral valve repair 16 months ago and this question was a big concern and I could not find away of getting an informed answer. Now I understand why I am taking that med, how it works and the what the concern actually is. Thank you.

Dr Gupta, your teaching style is remarkably easy to understand and retain. Thank you for generosity in providing these informative and helpful videos. Wish you well and please keep up the great work.

Thank you for such an easy to understand explanation. I knew I shouldn’t stop taking an ACE inhibitor but now I know why at a more technical level.

Many, many "thanks' for your very generous, important information. Stay healthy!

I have been taking Ace inhibitors for years, and not including Covid 19 your explanation of Ace inhibitors and how they work is the best I have ever heard

Thank you for all your work during this pandemic. You are very much appreciated. Stay well and safe!

Thankyou very much for talking to us , keep safe

Thanks Doc !!! Continue meds, fluids and keep walking even if just indoors !

Thank you doctor. This was a very interesting video. Your a great doctor with so much compassion for humanity!

You're a wonderful doctor👍🏾 Thank you for all your efforts and commitment to helping us.👏🏾👏🏾👏🏾

When I first learned how the corona virus attached into the lung cells I became very concerned about the involvement of ACE in that mechanism. And since I take an ACE inhibitor I have been worried about how that would combine with Coronavirus. You put me at ease. I hope to not get it, but I will know what the right thing to do with regard to my medication. Gratitude for your kindness, thank you.

Thank you, Dr. Gupta. Your presentations are always so clear and concise. Best wishes to you and all our "cousins" in the UK. Stay safe and hold fast.

I have diabetes and I have high blood pressure also. And I am 73 years old. This video is very useful for me. Just what I need to know. Thank you! and I subscribed this channel.

Thank you for your information! I will certainly be keeping these facts in mind as this crisis progresses!

Thank you so much for addressing this so thoroughly. It’s a question that has been on my mind! I hope you realize how much you are appreciated!!

Thank you for the excellent explanation. DCM runs in my family so I appreciate your advise on this.

I'm not sure if this is what the Dr. said, but what I heard is this: * Patient P has diabetes or another long term condition * as a result too little blood reaches the kidneys * the kidneys compensate by secreting ACE hormones resulting in more blood reaching the kidneys, satisfying the kidneys' craving for blood * because the condition is long term, over time this stresses the heart * so the medical community prescribes ACE inhibitors to inhibit the kidneys' efforts to obtain more blood * this thwarts the kidneys' corrective action and relieves the heart of the long term stress of providing the kidneys with more blood * the result of defeating the kidneys' efforts to obtain more blood results in more ACE hormone in the body * in theory, since the corona virus' "crown" latches onto the ACE pathway in order to invade the cells of the lungs, it would suggest that stopping the use of ACE inhibitors would be the smart play * however, there is no HARD evidence that this is the case * and, since there is hard evidence that having a heart weakened by prolonged production of my blood at the behest of the kidneys' injection of ACE hormones makes one more prone to heart failure during a bout of corvid-19, the current recommendation of the cardiac professionals is to stick with pharmaceutical compensation to undermine the natural compensation of the kidneys Am I understanding that correctly? If so, am I also correct that the hypothesis that by not taking ACE inhibitors during a corvid-19 pandemic one is better positioned against the corona virus has NOT been shown to be false but is simply unproven and thus not recommended? If so, wouldn't it simply be allowing the kidneys to naturally compensate for disease and get the blood it needs without the risk of long term stress on the heart, since you are only quitting the pharmaceutical compensation during the pandemic? IE: The long term stress to the heart is not a factor? Personally, I think there is possibly (and I'm speaking simply as an uneducated, non-medically trained internet opiner) a disturbing parallel in the short term thinking of the cardiac pro community's approach to pharmaceutical "compensating" versus "decompensating" to that of dragging away fallen tree limbs to prevent small fires resulting in uncontrollable huge fires (in forestry). Again, this is simply food for thought, not medical advice. Related: medicalsciences.stackexchange.com/questions/21571/ace2-inhibition-as-therapeutic-candidate

You are a credit to those looking after us. Thank you. Well explained. What a lovely person you are.

Thank you for all of your informative videos.

As always a voice of reason. Thank you.

Love this physicians videos, so much to learn from!

Thank you for explaining it in easy to understand terms 🙏💝🌞💪🕊

Thank you for the clarification.. I really enjoy your videos.. I use them often..

Huge thanks! A friend of mine is very healthy but takes lisinopril. He wanted to stop. I told him to watch this video. He was relieved and continues to take the medication.

Great information and an excellent explanation of what has become a concern for many! Many thanks for this very timely video!

Great job at explaining how it works and what it does, thank you!

I'm not a neurologist and was worried about this after hearing about it. Thanks for keeping things in perspective. Feeling better now. :)

This is the best explanation I've heard. Thanks for the education on this topic.

Great amount of good information thank you for your kind caring disposition really helps out right now. Stay well🙏

My wife is on ACE inhibitors. Our family doctor agreed with this doctor. She is continuing the medication. Thanks for posting. Scary world we now live in. I thought humans had become the dominant species on Earth.....maybe not. Beat of luck to you all.

Thanks for this info. I take Benazepril. Your explanation was perfect. Yes, as indicated by others, you do have a calming effect. All the best to you.

I concentrated!!! and must thank you for the information re ACE and this horrid virus. I dont take any medication although I probably need some!!!! Please take care you and your family... You are very Special and very 'Precious'. Stay Safe. x

Dr. Gupta, this is exactly what I've been wanting to learn about. Covid 19 attacks the respiratory system and experts include diabetes and hypertension as part of the high risk group. Wanting to understand how these are related I've had to piece together bits of information from many various sources without much success. Here you give us very thorough information.

Awesome content as always Doc! Could you please do a video on dealing with the ‘fatigue/tired’ side effects of Non- Selective Beta blockers (Propranolol) please! Thank you 🙏

Hypertension??? Anybody would get high blood pressure from what's going on in the world today. I take diltiazem but I have controlled hypertension.

Thanks Doc, listened to Dr. Ford Brewer here on YT yesterday and was explaining the same thing. He has plenty of his patients on ACE inhibitors and not taking them off but at this time is not putting any new patients on them. Please take good care and many thanks.

Thank you....I’ve been trying to get these answers for a long time. So helpful!!!

Dr Gupta - I'm an RN and, for a long time, have been trying to get a better understanding of what exactly drives the pathologic activation of RAAS that is targeted by ACEIs/ARBs. I heard about renal hypoperfusion, but it never quite made sense -- most of these patients have just hypertension, not heart failure? But your 2 minute explanation made so much more sense. The kidneys are very sensitive to small drops in perfusion. That makes so much more sense, and it clarifies why RAAS activation could be chronic and pathologic. THANK YOU! One question -- what causes the slight hypoperfusion in hypertension? Is it just an increase in afterload that is not entirely compensated for?

Thank you again Dr. Great info. I had heard about that potential problem. Stay well ! 🙏

Really helpful to get expert advice like this rather than media scare stories.

Thank you so much Doc, I was waiting for your take on this!

Thank you for taking the time to evaluate a poor assumption. I appreciate your help.

Thank you very much for posting this! I was directed to discontinue an ACE inhibitor by my doctor based on hearsay as i can see now. I am very grateful for bringing clarity into this issue. I am going to stick with Telmisartan until I know better!

I wish you AND your colleagues the very best in this very difficult time.

Thank you, Respected Doctor Sahib.

You are not just an excellent doctor but also an amazing human being. Please stay safe, the same for your family and your sweet doggie.

Great work. I often rewatch your vids when I get palps just to ease my mind :)

Very useful info that I will pass round.. Such a great description and easy to understand.. Thank you

Thank you Doctor ! Good health to you as well !

Thank you very much for this presentation.

Thank you for sharing. I always tune in to what you have to say on news and always appreciate your wisdom. I'm currently pregnant and was placed on a Beta blocker as a precaution due to increasing blood pressure. It's labetalol. I'm trying to not stress about it or anything but being pregnant brings certain anxieties during this time. Keep safe.🌹

Your advice is greatly appreciated

Thanks for the info DR. my cardiologist has not said a word to me about anything ....many many thanks for all the vids you do if you ever make down to Texas we need to meet so I can take u fishing Thanks again Benn Mandel

Thank you, Doctor

Very Informative, I feel more at ease now. Thank you

Thanks Doctor for the great explanation, please stay safe,,cheers.

Thank you. I will stick with my program now.

Grateful to you for you taking the time to educate us all. Thankyou Stay Safe....

This was very helpful and informative for my situation. Thank you

Thank so much for not doing a long arduous intro!

Thank you so much I really enjoy your videos. Your very thorough and caring. I have high blood pressure and need help with my diet

Thank you for explaining this at a good level. I think I am in danger of understanding.

What an excellent explanation, especially of what an ACE inhibitor is and how it works. I was put on Metoprolol after my by-pass surgery last April and wondered what it actually did.

Very educational presentation.

Good clear explanation. Thank you for this video.

Thanks for your help.

First I'm in love with your wall of books💗 Second ... you can hear the caring that you have for people in your voice.... NAMASTE Stay healthy and safe.

Thank you and be safe you too.🙏🙏

Excellent presentation. Thank you.

Thank you Dr.