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新冠疫苗的心血管并发症

Cardiovascular Complications of COVID-19 Vaccines.

作者信息

Liu Runyu, Pan Junbing, Zhang Chunxiang, Sun Xiaolei

机构信息

Department of General Surgery (Vascular Surgery), The Affiliated Hospital of Southwest Medical University, Luzhou, China.

Key Laboratory of Medical Electrophysiology, Ministry of Education and Medical Electrophysiological Key Laboratory of Sichuan Province, Collaborative Innovation Center for Prevention and Treatment of Cardiovascular Disease of Sichuan Province, Institute of Cardiovascular Research, Southwest Medical University, Luzhou, China.

出版信息

Front Cardiovasc Med. 2022 Mar 18;9:840929. doi: 10.3389/fcvm.2022.840929. eCollection 2022.

Abstract

Coronavirus disease 2019 (COVID-19) has become a global public health catastrophe. Vaccination against severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is proven to be the most effective measure to suppress the pandemic. With the widespread application of the four vaccines, namely, ChAdOx1, Ad26.COV2.S, BNT162b2, and mRNA-1273.2, several adverse effects have been reported. The most serious type of complication is cardiovascularly related, including myocarditis, immune thrombocytopenia (ITP), cerebral sinus venous thrombosis, among others. All these adverse events undermine the health of the vaccinees and affect the administration of the vaccines. As the distribution of COVID-19 vaccines is surrounded by suspicion and rumors, it is essential to provide the public with accurate reports from trusted experts and journals. Monitoring the safety of COVID-19 vaccines is an important and ongoing process that is also urgent. Thus, we summarized the cardiovascular complications of the major types of COVID-19 vaccines, including mRNA vaccines, which are now generally considered to be innovative vaccines, and the future for vaccination against COVID-19, in addition to the underlying pathogenesis and potential therapeutics.

摘要

2019冠状病毒病(COVID-19)已成为一场全球公共卫生灾难。事实证明,接种严重急性呼吸综合征冠状病毒2(SARS-CoV-2)疫苗是抑制这一疫情的最有效措施。随着四种疫苗,即腺病毒载体疫苗ChAdOx1、Ad26.COV2.S、信使核糖核酸疫苗BNT162b2和mRNA-1273.2的广泛应用,已报告了若干不良反应。最严重的并发症类型与心血管有关,包括心肌炎、免疫性血小板减少症(ITP)、脑静脉窦血栓形成等。所有这些不良事件都损害了疫苗接种者的健康,并影响了疫苗的接种工作。由于COVID-19疫苗的分发受到怀疑和谣言的影响,向公众提供来自可信专家和期刊的准确报告至关重要。监测COVID-19疫苗的安全性是一个重要且持续的过程,也是当务之急。因此,我们总结了主要类型COVID-19疫苗的心血管并发症,包括目前普遍被认为是创新疫苗的信使核糖核酸疫苗,以及COVID-19疫苗接种的未来发展,此外还介绍了潜在的发病机制和治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dac/8971371/71f7ddcccd2e/fcvm-09-840929-g0001.jpg

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