Hemodynamics, fluids & transfusion

Exploring the orepinephrine to ngiotensin II onversion atio in atients with asodilatory ypotension: A ost-oc nalysis of the ARAMIS rial

J Crit CarePublished Post-hoc analysis of the ARAMIS randomised trial

Authors' conclusion

The norepinephrine to angiotensin II conversion dose ratio is 10:1 in a vasodilatory hypotension population.

Study context

Population
Patients with vasodilatory hypotension in the ARAMIS trial
Participants
37 patients
Comparison
High renin vs Low renin vs ARB vs Non-ARB
Primary endpoint
Conversion dose ratio between norepinephrine equivalent dose immediately prior to angiotensin II initiation and angiotensin II
Methodological detailssubgroup analyses
  • Subgroup analyses

Primary result

As reported in the abstract

Norepinephrine to angiotensin II conversion dose ratio

Median conversion dose ratio, norepinephrine bitartrate

10:1

Median conversion dose ratio, norepinephrine base

5:1

Further findings

Median

OutcomeHigh reninLow reninARBNon-ARB
Conversion ratio by baseline renin (subgroup)10 (IQR 7–21)12 (IQR 5–22)— not stated in the abstract— not stated in the abstract
Conversion ratio by prior ARB exposure (subgroup)— not stated in the abstract— not stated in the abstract7 (IQR 4–13)12 (IQR 7–22)

— not stated in the abstract

Conversion ratio by baseline renin (subgroup)

Conversion ratio not affected by baseline renin

Conversion ratio by prior ARB exposure (subgroup)

ARB exposure prior admission appeared to diminish the conversion ratio

Original publication

Exploring the orepinephrine to ngiotensin II onversion atio in atients with asodilatory ypotension: A ost-oc nalysis of the ARAMIS rial. J Crit Care. Published 26 October 2023. doi:10.1016/j.jcrc.2023.154453

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