Title: Angtiotensin II in Septic Shock<br/>Author: Daniel Haase<br/><a href='http://umem.org/profiles/faculty/1447/'>[Click to email author]</a><hr/><p>
--Primary treatment of vasodilatory (septic) shock is catecholamine (norepinephrine) and vasopressin infusion followed by a variety of controversially efficacious treatments </p>
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--Stimulation of the renin-aldosterone-angiotensin system (RAAS) has been shown to improve hypotension in septic shock in porcine models and human pilot study</p>
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--A randomized, double-blinded, placebo-controlled trial (ATHOS-3) compared angiotensin II infusion versus placebo for impoving hypotension</p>
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--The angiotensin II group improved BP and had lower cardiovascular SOFA scores at 48 hours without significant difference in major adverse outcomes</p>
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--Angiotensin II may have a role in treatment of vasodilatory shock</p>
<fieldset><legend>References</legend>
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Khanna A, English SW, et al; ATHOS 3 Investigators. Angiotensin II for the Treatment of Vasodilatory Shock. NEJM. 2017 May 21. </p>
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