Hemodynamics, fluids & transfusion

Angiotensin-II and Thromboembolic Events: A Systematic Review*

Crit Care MedPublished Systematic review of randomised trials and comparative observational studies

Authors' conclusion

Published evidence does not currently support or refute an association between angiotensin-II and an increased risk of venous or arterial thromboembolic events.

Study context

Population
Adults receiving treatment for shock7 studies (2 RCTs, 5 nonrandomised)
Participants
1,461 adults
Comparison
Angiotensin-II vs comparator
Outcome
Venous and/or arterial thromboembolic events
Methodological detailsno quantitative synthesis, 1689 records screened by two independent investigators, Risk of bias assessed with RoB 2 and ROBINS-I tools
  • No quantitative synthesis
  • 1689 records screened by two independent investigators
  • Risk of bias assessed with RoB 2 and ROBINS-I tools

Pooled result

As reported in the abstract

Thromboembolic events

Venous thromboembolic events, angiotensin-II

8.8%

Venous thromboembolic events, controls

9.4%

Arterial thromboembolic events, angiotensin-II

11.3%

Arterial thromboembolic events, controls

12.7%

Further pooled results

Total event rates (primary publications vs FDA-adjusted trial data)

Total event rates broadly comparable with primary-publication data and FDA-adjusted data

Original publication

Angiotensin-II and Thromboembolic Events: A Systematic Review*. Crit Care Med. Published 15 October 2024. doi:10.1097/ccm.0000000000006433

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