Cardiovascular events following coronavirus disease 2019 vaccination in adults: a nationwide Swedish study
2024

Cardiovascular Events After COVID-19 Vaccination in Sweden

Sample size: 8070674 publication Evidence: high

Author Information

Author(s): Yiyi Xu, Huiqi Li, Ailiana Santosa, Björn Wettermark, Tove Fall, Jonas Björk, Mats Börjesson, Magnus Gisslén, Fredrik Nyberg

Primary Institution: University of Gothenburg

Hypothesis

Does COVID-19 vaccination increase the risk of cardiovascular events in adults?

Conclusion

COVID-19 vaccination is associated with a transient increase in the risk of mild cardiovascular events but significantly reduces the risk of severe cardiovascular outcomes.

Supporting Evidence

  • Vaccination reduces the risk of severe cardiovascular conditions.
  • Transient increases in myocarditis and pericarditis were observed after vaccination.
  • Decreased risks of myocardial infarction and heart failure were noted post-vaccination.
  • Data was collected from a large, nationwide cohort of Swedish adults.
  • Findings align with previous studies indicating protective effects of COVID-19 vaccination.

Takeaway

Getting vaccinated against COVID-19 might cause some temporary heart issues, but it helps prevent serious heart problems later on.

Methodology

Nationwide register-based cohort study assessing cardiovascular risks post-vaccination using Cox regression models.

Potential Biases

Possible survivor bias affecting the results for the third vaccine dose.

Limitations

Potential misclassification of COVID-19 infection and lack of data on primary care diagnoses.

Participant Demographics

Adults in Sweden aged 18 and older, with a median age of 48 years; 49.9% male and 50.1% female.

Statistical Information

Confidence Interval

95% CI reported for hazard ratios.

Digital Object Identifier (DOI)

10.1093/eurheartj/ehae639

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication