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Updated: Oct 5, 2025

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Delivery of Modified mRNA in a Myocardial Infarction Mouse Model
Published on: June 11, 2020
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2020年12月から2021年8月までの米国におけるmRNAベースのCOVID-19ワクチン接種後に報告された心筋炎症例
Matthew E Oster1,2,3, David K Shay1, John R Su1
1US Centers for Disease Control and Prevention, Atlanta, Georgia.
JAMA
|January 25, 2022
まとめ
COVID-19のワクチン接種は,特に青少年および若者において,二回目の接種後に心筋炎のリスクの増加と関連しています. このリスクはワクチン接種がもたらす 重要な公衆衛生上の利益と比べなければならない.
科学分野:
- 心臓病科
- 免疫学
- 公衆衛生
背景:
- COVID-19 ワクチン接種は公衆衛生上の利点をもたらしますが,心筋炎を含む潜在的なリスクも伴います.
- COVID-19ワクチン接種後の心筋梗塞に関連する正確なリスクと結果は不明である.
研究 の 目的:
- 米国におけるmRNAベースのCOVID-19ワクチン接種後の心筋炎とその関連報告率を調査し報告する.
- ワクチン接種後の30歳未満の個体における心筋炎の臨床的特徴と早期のアウトカムを記述する.
主な方法:
- 2020年12月から2021年8月までの間にワクチン不良事象報告システム (VAERS) に提出された心筋梗塞の報告を分析した記述的研究です.
- 原始的な報告率は,クレームデータを用いて計算され,予想される比率と比較されました. 30歳未満の患者の臨床データをレビューした.
主要な成果:
- 投与された3億5400万回以上のmRNA COVID-19ワクチンの投与量のうち,1626例が心筋炎の定義に適合した.
- 報告率は,様々な人口集団で予想される割合を超えており,第二回ワクチン接種後の青少年男性 (12-17歳) と若者男性 (18-24歳) で最も高い.
- 臨床情報がある30歳未満の個体では,98%のトロポニンが上昇し,96%が入院し,大半は症状の解消を経験した.
結論:
- mRNA COVID-19ワクチン接種後の心筋梗塞のリスクは,複数の年齢および性別グループ,特に第2回接種後の青少年および若者において高まります.
- この特定されたリスクは,COVID-19ワクチン接種の確立された利点とともに考慮されるべきである.
- ワクチン接種後の心筋炎の長期的な影響と管理を完全に理解するには,さらなる研究が必要である.
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