Hromić-Jahjefendić Altijana, Sezer Abas, Aljabali Alaa A A, Serrano-Aroca Ángel, Tambuwala Murtaza M, Uversky Vladimir N, Redwan Elrashdy M, Barh Debmalya, Lundstrom Kenneth
Department of Genetics and Bioengineering, Faculty of Engineering and Natural Sciences, International University of Sarajevo, Hrasnicka cesta 15, 71000 Sarajevo, Bosnia and Herzegovina.
Department of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmacy, Yarmouk University, P.O. Box 566, Irbid 21163, Jordan.
Biomedicines. 2023 May 17;11(5):1469. doi: 10.3390/biomedicines11051469.
COVID-19 vaccines have been widely used to reduce the incidence and disease severity of COVID-19. Questions have lately been raised about the possibility of an association between COVID-19 vaccines and myocarditis, an inflammatory condition affecting the myocardium, or the middle layer of the heart. Myocarditis can be caused by infections, immune reactions, or toxic exposure. The incidence rate of myocarditis and pericarditis was calculated to be 5.98 instances per million COVID-19 vaccine doses delivered, which is less than half of the incidences after SARS-CoV-2 infection. Myocarditis rates in people aged 12 to 39 years are around 12.6 cases per million doses following the second dose of mRNA vaccination. Adolescent men are more likely than women to develop myocarditis after receiving mRNA vaccines. The objectives of this systematic review and meta-analysis are to find out how often myocarditis occurs after receiving the COVID-19 vaccine, as well as the risk factors and clinical repercussions of this condition. Nevertheless, the causal relationship between vaccination and myocarditis has been difficult to establish, and further research is required. It is also essential to distinguish between suggested cases of myocarditis and those confirmed by endomyocardial biopsy.
新冠病毒疫苗已被广泛用于降低新冠病毒疾病的发病率和严重程度。最近有人提出疑问,新冠病毒疫苗与心肌炎(一种影响心肌或心脏中层的炎症性疾病)之间是否可能存在关联。心肌炎可由感染、免疫反应或接触毒素引起。经计算,每接种100万剂新冠病毒疫苗,心肌炎和心包炎的发病率为5.98例,这不到感染新冠病毒后发病率的一半。在12至39岁人群中,接种第二剂信使核糖核酸(mRNA)疫苗后,心肌炎发病率约为每100万剂12.6例。接种mRNA疫苗后,青春期男性比女性更易患心肌炎。本系统评价和荟萃分析的目的是查明接种新冠病毒疫苗后心肌炎的发病频率,以及该疾病的风险因素和临床影响。然而,疫苗接种与心肌炎之间的因果关系一直难以确定,还需要进一步研究。区分疑似心肌炎病例和经心内膜心肌活检确诊的病例也至关重要。