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Cardiology




                                            Myocarditis Is Rare After Vaccination,


                                                     According to New Research


          If you’ve been listening                      ing COVID-19 vaccination                                      dence of myocarditis after testing posi-
        to the news, you’ve proba-                      have been reported. This       Findings reported              tive for COVID-19. Importantly, patients
        bly heard people talking                        rare side effect has sparked                                  were at least 4x more likely to have
        about a condition called                        a lot of media attention,    in Nature Medicine:              myocarditis from COVID-19 infection
        myocarditis. Myocarditis is                     resulting in many rumors                                      than from the vaccine. Also, heart disease
        defined as inflammation of                      on social media and          • Post-vaccine myocarditis remains   from COVID-19 infection is more severe
        the heart muscle, and it can                    beyond. Research coordi-    rare, occurring between one and ten   and may require a longer hospitalization
        result from a viral infec-                      nated by the medical com-   times for every million patients.   or more involved treatment. In addition,
        tion,  immune-mediated                          munity    has  provided      • Post-vaccine myocarditis is more   the study observed an increased risk of
        disease, or immunomodu-                         answers to these questions.   likely to occur in patients younger   pericarditis and cardiac arrhythmias for
        latory treat ments.                               Notably, a large case     than 40.                          those who tested positive for COVID-19
          There can be a wide                           series out of England,       • Myocarditis is more likely to   infection.
        range at presentation, but   BY ELLIOT PEARSON,   including more than 38    occur after an mRNA vaccine.        Researchers and physicians generally
        symptoms generally in -                         million adults ages 16 and   • Patients were at least 4x more   agree that the vaccine is a safer option,
        clude chest pain, difficulty      MD            older, has studied the inci-  likely to have myocarditis from   when compared to the cardiac risks of
        breathing, and/ or palpita-                     dence of myocarditis in     COVID-19 infection than from the   getting the COVID-19 infection itself.
        tions. Mild presentations of myocarditis   patients after COVID-19 vaccine or   vaccine.                      Nowadays, there is a lot of misinforma-
        can resolve with minimal to no treat-  infection. This is the largest study to date   • Heart disease from COVID-19   tion which can be misleading or confus-
        ment. Severe myocarditis can reduce the   of cardiac outcomes after COVID-19 vac-  infection is more severe and may   ing. When it comes to making an impor-
        heart’s ability to pump, elicit abnormal   cination or infection, and the findings   require a longer hospitalization or   tant decision about your health, be sure
        rhythms of the heart (arrhythmias), and   are published in the December 2021   more involved treatment.       to talk to your own doctor about any
        result in permanent damage.          issue of Nature Medicine.                                                questions or concerns you may have.
          This condition has been reported to   Fortunately, post-vaccine myocarditis                                 They should be able to answer most
        affect the heart in adolescent boys after   remains rare, with occurrence ranging   after receiving an mRNA vaccine, and   questions about the vaccine and help you
        Covid-19 vaccination. Clinical trials of   between one and ten for every million   most occurred within the first week after   determine which option is best for you.
        the COVID-19 vaccines lacked sufficient   patients, depending upon the type of   vaccination. However, the myocarditis
        power to detect this rare complication.   vaccine and patient demographic. Post-  was typically mild, with symptoms
        Now that more than 6 billion doses of   vaccine myocarditis was more likely to   resolving in a short time frame and with        Dr. Elliot Pearson is
        the vaccine have been administered   be seen in patients younger than 40   minimal treatment.                    a Pediatric Cardiologist at KIDZ Medical
        worldwide, cases of myocarditis follow-  years. It was also more likely to occur   The study also reports on the inci-         in Palm Beach County.





























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        South Florida Hospital News                                                              southfloridahospitalnews.com                                                        February 2022                         25
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