Impact of Influenza Vaccination on Mortality and Major Cardiovascular Events in Adults with Cardiovascular Disease: A

Sitah Alotaibi1, Mazen Bostaji2, Anas Alharbi3

  • 1Faculty of Nursing, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia.

Vaccines
|April 27, 2026
PubMed

Insights

Influenza vaccination significantly reduces cardiovascular events and cardiovascular mortality in adults with established cardiovascular disease (CVD). However, it does not significantly lower all-cause mortality, indicating its role in secondary CVD prevention.

Area of Science:

  • Cardiology
  • Immunology
  • Public Health

Background:

  • Cardiovascular disease (CVD) is a major global health burden.
  • Seasonal influenza outbreaks are known triggers for acute cardiovascular events.
  • The role of influenza vaccination in secondary CVD prevention requires clarification.

Purpose of the Study:

  • To evaluate the efficacy of influenza vaccination in reducing mortality and major cardiovascular events in adults with established CVD.
  • To synthesize evidence from randomized controlled trials (RCTs) on influenza vaccination's impact on cardiovascular outcomes.

Main Methods:

  • Systematic review and meta-analysis of RCTs.
  • Searched PubMed, Google Scholar, and CENTRAL up to November 2025.
  • Included RCTs comparing influenza vaccine to placebo or standard care in adults with established CVD.
  • Assessed study quality using the Cochrane Risk of Bias tool 2.

Main Results:

  • Eight RCTs met inclusion criteria.
  • Influenza vaccination significantly reduced a composite outcome of all-cause mortality, acute myocardial infarction, and stent thrombosis (OR 0.71).
  • Major adverse cardiovascular events were significantly decreased (OR 0.44).
  • Cardiovascular mortality was significantly lower in vaccinated individuals (OR 0.64).
  • All-cause mortality was not significantly reduced (OR 1.13).

Conclusions:

  • Influenza vaccination is associated with reduced cardiovascular events and cardiovascular mortality in adults with established CVD.
  • The vaccine's effect on all-cause mortality remains inconclusive.
  • Supports routine influenza vaccination as an adjunctive strategy for secondary CVD prevention.

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