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Published on: June 12, 2021
Cardioprotective effects of vaccination in hospitalized patients with COVID-19
Julian Madrid1, Prerana Agarwal2, Katharina Müller-Peltzer2
1Department of Cardiology, Pneumology, Angiology, Acute Geriatrics and Intensive Care, Ortenau Klinikum, Klostenstraße 19, 77933, Lahr/Schwarzwald, Germany. julian.madrid@ortenau-klinikum.de.
Insights
COVID-19 vaccination significantly reduces acute cardiac events and lowers cardiac biomarkers in hospitalized patients. This highlights the cardioprotective benefits of vaccination against severe COVID-19 outcomes.
Area of Science:
- Cardiology
- Infectious Diseases
- Vaccinology
Background:
- COVID-19 vaccination is established to prevent and mitigate COVID-19 severity.
- Hospitalized COVID-19 patients face risks of cardiac complications.
- The cardioprotective effects of COVID-19 vaccination in this population require further investigation.
Purpose of the Study:
- To investigate the cardioprotective impact of COVID-19 vaccination among hospitalized COVID-19 patients.
- To assess the association between vaccination status and acute cardiac events.
- To evaluate the effect of vaccination on cardiac biomarker levels in hospitalized COVID-19 patients.
Main Methods:
- Retrospective, single-center cohort study.
- Inclusion of hospitalized COVID-19 patients with confirmed vaccination status (July 2021-February 2022).
- Assessment of acute cardiac events, cardiac biomarker levels (troponin T), and risk factors (diabetes, pre-existing cardiac disease).
Main Results:
- Vaccinated patients showed a reduced relative risk for acute cardiac events (RR: 0.33).
- Vaccinated individuals exhibited diminished troponin T levels (Cohen's d: -0.52).
- Type 2 diabetes and pre-existing cardiac diseases were significant risk factors for acute cardiac events.
Conclusions:
- COVID-19 vaccination appears to offer cardioprotective benefits to hospitalized patients.
- Vaccination may provide both direct and indirect protective effects against cardiac complications in COVID-19.
- Identifying risk factors like diabetes and cardiac disease is crucial for managing hospitalized COVID-19 patients.
Abstract:
COVID-19 vaccination has been shown to prevent and reduce the severity of COVID-19 disease. The aim of this study was to explore the cardioprotective effect of COVID-19 vaccination in hospitalized COVID-19 patients. In this retrospective, single-center cohort study, we included hospitalized COVID-19 patients with confirmed vaccination status from July 2021 to February 2022. We assessed outcomes such as acute cardiac events and cardiac biomarker levels through clinical and laboratory data. Our analysis covered 167 patients (69% male, mean age 58 years, 42% being fully vaccinated). After adjustment for confounders, vaccinated hospitalized COVID-19 patients displayed a reduced relative risk for acute cardiac events (RR: 0.33, 95% CI [0.07; 0.75]) and showed diminished troponin T levels (Cohen's d: - 0.52, 95% CI [- 1.01; - 0.14]), compared to their non-vaccinated peers. Type 2 diabetes (OR: 2.99, 95% CI [1.22; 7.35]) and existing cardiac diseases (OR: 4.31, 95% CI [1.83; 10.74]) were identified as significant risk factors for the emergence of acute cardiac events. Our findings suggest that COVID-19 vaccination may confer both direct and indirect cardioprotective effects in hospitalized COVID-19 patients.
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