The cardiovascular manifestations of influenza: a systematic review

Zahra Raisi Estabragh1, Mamas A Mamas

  • 1Manchester Royal Infirmary, Central Manchester NHS Foundation Trust, Oxford Road, Manchester M13 9WL, UK.

Insights

Influenza infection can cause serious cardiovascular complications, including myocarditis and increased heart attack risk. Vaccination may reduce cardiovascular mortality in high-risk individuals.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • Influenza causes millions of severe illnesses and hundreds of thousands of deaths annually.
  • Cardiovascular complications are a significant concern associated with influenza infection.
  • These complications arise from direct viral effects on the heart or exacerbation of existing cardiovascular conditions.

Purpose of the Study:

  • To review the spectrum of cardiovascular complications linked to influenza.
  • To describe the presentation, clinical course, and management of these complications.
  • To highlight the impact of influenza on cardiovascular health and the role of vaccination.

Main Methods:

  • This is a review article.
  • Literature search on influenza and cardiovascular complications.
  • Synthesis of existing data on clinical presentation, outcomes, and management.

Main Results:

  • Influenza can lead to myocarditis, ranging from asymptomatic to fatal cases.
  • Pre-existing coronary artery disease patients face increased cardiovascular mortality during influenza epidemics.
  • Influenza outbreaks are associated with higher rates of myocardial infarction; vaccination shows protective effects.

Conclusions:

  • Influenza poses a significant risk for cardiovascular complications.
  • Early recognition and management are crucial for patients experiencing cardiac issues during influenza.
  • Influenza vaccination is a key strategy for reducing cardiovascular mortality in at-risk populations.

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