Khiali Sajad, Rezagholizadeh Afra, Behzad Hossein, Bannazadeh Baghi Hossein, Entezari-Maleki Taher
Department of Clinical Pharmacy, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran.
Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Postgrad Med. 2023 Mar;135(2):102-120. doi: 10.1080/00325481.2022.2161249. Epub 2023 Jan 3.
Currently, the world is recovering from the shock of the coronavirus disease 2019 (COVID-19) pandemic; however, this situation is still fragile. Health authorities recommend administering COVID-19 vaccines as the safest and most reliable tool for eliminating COVID-19. Subsequent to the extensive administration of the COVID-19 vaccines, a series of cardiovascular adverse effects have been reported. This comprehensive review aimed to provide an update on the etiology, pathophysiology, clinical features, and management of the cardiovascular adverse events associated with COVID-19 vaccines, including myocarditis, pericarditis, thrombosis with thrombocytopenia syndrome, myocardial infarction, cardiac arrhythmias, hypertension, and stress-induced cardiomyopathy. The benefits of COVID-19 vaccination far outweigh the reported adverse events. It would be clinically important to provide diagnostic scoring systems to differentiate COVID-19-related cardiovascular adverse events from other causes and develop therapeutic approaches for their management. Further evaluation of cardiovascular adverse events of the COVID-19 vaccines is crucial for implementing vaccination programs and developing safer and more reliable vaccines.
目前,世界正在从2019冠状病毒病(COVID-19)大流行的冲击中恢复;然而,这种情况仍然脆弱。卫生当局建议接种COVID-19疫苗,将其作为消除COVID-19最安全、最可靠的工具。在广泛接种COVID-19疫苗之后,一系列心血管不良反应被报道。这篇综述旨在提供与COVID-19疫苗相关的心血管不良事件的病因、病理生理学、临床特征及管理方面的最新信息,这些不良事件包括心肌炎、心包炎、伴有血小板减少的血栓形成综合征、心肌梗死、心律失常、高血压和应激性心肌病。接种COVID-19疫苗的益处远远超过所报道的不良事件。提供诊断评分系统以区分COVID-19相关心血管不良事件与其他病因,并开发针对这些不良事件的治疗方法具有重要的临床意义。对COVID-19疫苗心血管不良事件的进一步评估对于实施疫苗接种计划以及研发更安全、更可靠的疫苗至关重要。