Flu vaccine cuts heart attack risk

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A recent study published in the Journal of the American Medical Association indicates that influenza vaccination is linked to a reduced risk of major adverse cardiovascular events, particularly in patients with active coronary disease. The study highlights the need for further large-scale trials to explore these findings and evaluate specific cardiovascular outcomes. There is a discussion on whether the observed benefits are simply due to the general impact of moderate to severe illnesses on individuals already at risk for cardiovascular disease. It is noted that various infections can exacerbate existing cardiovascular conditions, and while the risks associated with specific stressors like influenza are important to measure, the broader implications of infections on long-term cardiovascular health are still being explored.
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Link to the original study (freely available) in the Journal of the American Medical Association:

http://jama.jamanetwork.com/article.aspx?articleid=1758749
 
From Ygggdrasil's link (bolding mine):

In a meta-analysis of RCTs, the use of influenza vaccine was associated with a lower risk of major adverse cardiovascular events. The greatest treatment effect was seen among the highest-risk patients with more active coronary disease. A large, adequately powered, multicenter trial is warranted to address these findings and assess individual cardiovascular end points.

(RCT = randomized controlled trial)

Could this just be the effect of any moderate to severe illness on people who are already at risk?
 
lisab said:
.....................

Could this just be the effect of any moderate to severe illness on people who are already at risk?

Yes. Almost any stressor has the potential to worsen existing cardiovascular disease (CVD). This includes both acute and chronic infections. It's not surprising that the risk of a cardiac event is increased in CVD patients with acute viral infections such as with varieties of the influenza virus. Links with other more chronic infections have been established such as with infections of chlamydial pneumonia (CP), chronic H pylori and chronic periodontitis. Nevertheless, it's always useful to measure the risk of specific common stressors, especially when they are well defined and an effective preventive is available.

http://www.publishing.waldenu.edu/cgi/viewcontent.cgi?article=1029&context=jsbhs

(see journal p 50)
 
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