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Published on: August 14, 2019
Call to action: cardiologists should promote influenza vaccination
Insights
Cardiologists should promote seasonal influenza vaccination. Studies show influenza significantly increases heart attack risk, and the flu vaccine is effective in preventing these cardiovascular complications.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- COVID-19 highlights the vulnerability of patients with cardiac conditions.
- Influenza is a known risk factor for cardiovascular complications, including acute myocardial infarction.
- Seasonal influenza vaccination is crucial for protecting high-risk cardiac patients.
Purpose of the Study:
- To emphasize the importance of influenza vaccination for patients with cardiovascular disease.
- To review the association between influenza and acute myocardial infarction.
- To advocate for cardiologists to promote seasonal flu vaccination.
Main Methods:
- Literature review on influenza and cardiovascular complications.
- Analysis of studies reporting the risk of acute myocardial infarction after influenza infection.
- Comparison of influenza vaccine effectiveness with secondary preventive therapies for cardiovascular disease.
Main Results:
- Laboratory-confirmed influenza is associated with a 6.05-8.89 times higher risk of hospital admission for acute myocardial infarction within 7 days.
- Influenza vaccination demonstrates approximately 29% effectiveness in preventing acute myocardial infarction.
- This effectiveness is comparable to or exceeds that of statins, antihypertensives, and smoking cessation.
Conclusions:
- Influenza vaccination is a vital preventive measure for patients with cardiovascular disease.
- Cardiologists play a key role in promoting seasonal influenza vaccination among their patients.
- Promoting flu shots can significantly reduce the incidence of cardiovascular complications.
Abstract:
The COVID-19 pandemic has spurred clinical and scientific interest in the cardiology community because of the significantly enhanced vulnerability of patients with underlying cardiac diseases. COVID-19 vaccination is therefore of vital importance to the patients we see in our clinics and hospitals every day and should be promoted by the medical community, especially cardiologists. In view of vaccine-preventable diseases, the association between influenza and cardiovascular complications has been widely investigated. Several studies have found a substantially elevated risk of hospital admission for acute myocardial infarction in the first 7 days after laboratory-confirmed influenza, with incidence ratios ranging from 6.05-8.89. The effectiveness of the influenza vaccine to protect against acute myocardial infarction is about 29%. This effectiveness is comparable to or even better than that of existing secondary preventive therapies, such as statins (prevention rate approximately 36%), antihypertensives (prevention rate approximately 15-18%), and smoking cessation (prevention rate approximately 26%). As the influenza season is rapidly approaching, this Point of View article serves as a call to action: Cardiologists should promote influenza vaccination and actively advice their patients to get the seasonal influenza vaccination.
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