Cardiomyopathy Associated with Anti-SARS-CoV-2 Vaccination: What Do We Know?

The SARS-CoV-2 pandemic has mobilized many efforts worldwide to curb its impact on morbidity and mortality. Vaccination of the general population has resulted in the administration of more than 6,700,000,000 doses by the end of October 2021, which is the most effective method to prevent hospitalizat...

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Main Authors: Alfredo Parra-Lucares, Luis Toro, Sebastián Weitz-Muñoz, Cristóbal Ramos
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/13/12/2493
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author Alfredo Parra-Lucares
Luis Toro
Sebastián Weitz-Muñoz
Cristóbal Ramos
author_facet Alfredo Parra-Lucares
Luis Toro
Sebastián Weitz-Muñoz
Cristóbal Ramos
author_sort Alfredo Parra-Lucares
collection DOAJ
description The SARS-CoV-2 pandemic has mobilized many efforts worldwide to curb its impact on morbidity and mortality. Vaccination of the general population has resulted in the administration of more than 6,700,000,000 doses by the end of October 2021, which is the most effective method to prevent hospitalization and death. Among the adverse effects described, myocarditis and pericarditis are low-frequency events (less than 10 per 100,000 people), mainly observed with messenger RNA vaccines. The mechanisms responsible for these effects have not been specified, considering an exacerbated and uncontrolled immune response and an autoimmune response against specific cardiomyocyte proteins. This greater immunogenicity and reactogenicity is clinically manifested in a differential manner in pediatric patients, adults, and the elderly, determining specific characteristics of its presentation for each age group. It generally develops as a condition of mild to moderate severity, whose symptoms and imaging findings are self-limited, resolving favorably in days to weeks and, exceptionally, reporting deaths associated with this complication. The short- and medium-term prognosis is favorable, highlighting the lack of data on long-term evolution, which should be determined in longer follow-ups.
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spelling doaj.art-ff2423a5d7ba43d39da7e2b72f35a1652023-11-23T10:58:42ZengMDPI AGViruses1999-49152021-12-011312249310.3390/v13122493Cardiomyopathy Associated with Anti-SARS-CoV-2 Vaccination: What Do We Know?Alfredo Parra-Lucares0Luis Toro1Sebastián Weitz-Muñoz2Cristóbal Ramos3Division of Critical Care Medicine, Department of Medicine, Hospital Clínico Universidad de Chile, Santiago 8380420, ChileDivision of Nephrology, Department of Medicine, Hospital Clínico Universidad de Chile, Santiago 8380420, ChileDivision of Internal Medicine, Department of Medicine, Hospital Clínico Universidad de Chile, Santiago 8380420, ChileDepartment of Radiology, Hospital Clínico Universidad de Chile, Santiago 8380420, ChileThe SARS-CoV-2 pandemic has mobilized many efforts worldwide to curb its impact on morbidity and mortality. Vaccination of the general population has resulted in the administration of more than 6,700,000,000 doses by the end of October 2021, which is the most effective method to prevent hospitalization and death. Among the adverse effects described, myocarditis and pericarditis are low-frequency events (less than 10 per 100,000 people), mainly observed with messenger RNA vaccines. The mechanisms responsible for these effects have not been specified, considering an exacerbated and uncontrolled immune response and an autoimmune response against specific cardiomyocyte proteins. This greater immunogenicity and reactogenicity is clinically manifested in a differential manner in pediatric patients, adults, and the elderly, determining specific characteristics of its presentation for each age group. It generally develops as a condition of mild to moderate severity, whose symptoms and imaging findings are self-limited, resolving favorably in days to weeks and, exceptionally, reporting deaths associated with this complication. The short- and medium-term prognosis is favorable, highlighting the lack of data on long-term evolution, which should be determined in longer follow-ups.https://www.mdpi.com/1999-4915/13/12/2493myocarditispericarditisvaccinesCOVID-19SARS-CoV-2epidemiology
spellingShingle Alfredo Parra-Lucares
Luis Toro
Sebastián Weitz-Muñoz
Cristóbal Ramos
Cardiomyopathy Associated with Anti-SARS-CoV-2 Vaccination: What Do We Know?
Viruses
myocarditis
pericarditis
vaccines
COVID-19
SARS-CoV-2
epidemiology
title Cardiomyopathy Associated with Anti-SARS-CoV-2 Vaccination: What Do We Know?
title_full Cardiomyopathy Associated with Anti-SARS-CoV-2 Vaccination: What Do We Know?
title_fullStr Cardiomyopathy Associated with Anti-SARS-CoV-2 Vaccination: What Do We Know?
title_full_unstemmed Cardiomyopathy Associated with Anti-SARS-CoV-2 Vaccination: What Do We Know?
title_short Cardiomyopathy Associated with Anti-SARS-CoV-2 Vaccination: What Do We Know?
title_sort cardiomyopathy associated with anti sars cov 2 vaccination what do we know
topic myocarditis
pericarditis
vaccines
COVID-19
SARS-CoV-2
epidemiology
url https://www.mdpi.com/1999-4915/13/12/2493
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AT sebastianweitzmunoz cardiomyopathyassociatedwithantisarscov2vaccinationwhatdoweknow
AT cristobalramos cardiomyopathyassociatedwithantisarscov2vaccinationwhatdoweknow