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新冠病毒疫苗能否改善心血管结局?

Can COVID-19 vaccines improve cardiovascular outcomes?

机构信息

School of Pharmacy, International Medical University, Kuala Lumpur, Malaysia.

School of Pharmacy, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia.

出版信息

Travel Med Infect Dis. 2022 Jul-Aug;48:102350. doi: 10.1016/j.tmaid.2022.102350. Epub 2022 Apr 29.

Abstract

Thus far, the investigations on the efficacy of the COVID-19 vaccines in randomized trials [8,9] have been centered around reducing the risk of severe infection and mortality. We opine investigations on the efficacy of the COVID-19 vaccines to reduce the risk of cardiovascular outcomes should be performed to understand if COVID-19 vaccination has cardiovascular benefits. Such investigations could also develop more confidence toward the acceptance of COVID-19 vaccines by the public, especially when some of the COVID-19 vaccines (particularly the mRNA vaccines such as BNT162b2 and mRNA-1273 vaccines) have been associated with the rare occurrence of cardiovascular complications, including myocarditis and pericarditis [10,11]. While the infrequency and the mild nature of the myocarditis and pericarditis cases after vaccination greatly exceed the small increased risk, specious reports on social media are still fueling the COVID-19 vaccine hesitancy. Therefore, we urge the performance of prospective investigations to establish the relationship between COVID-19 vaccines and cardiovascular outcomes.

摘要

到目前为止,随机试验[8,9]中对 COVID-19 疫苗疗效的研究主要集中在降低严重感染和死亡的风险上。我们认为,应该进行 COVID-19 疫苗降低心血管结局风险的疗效研究,以了解 COVID-19 疫苗是否具有心血管益处。这些研究还可以增强公众对 COVID-19 疫苗的接受程度,特别是当一些 COVID-19 疫苗(特别是 mRNA 疫苗,如 BNT162b2 和 mRNA-1273 疫苗)与罕见的心血管并发症(包括心肌炎和心包炎)相关联时[10,11]。虽然接种疫苗后心肌炎和心包炎的发病率较低且性质较轻,但大大超过了微小的风险增加,社交媒体上虚假的报道仍在助长 COVID-19 疫苗犹豫情绪。因此,我们敦促进行前瞻性研究,以确定 COVID-19 疫苗与心血管结局之间的关系。

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