Association Between COVID-19 Vaccination and Atrial Arrhythmias in Individuals with Cardiac Implantable Electronic Devices
Guest: Malini Madhavan, M.B.B.S.
Host: Anthony H. Kashou, M.D.
In a study of over 7000 individuals with a cardiac implanted device in the Biotronik CERTITUDE registry, the burden of device detected AF was noted to be higher in the 3 months after covid vaccination compared to the 3 months preceding vaccination. A similar trend was observed for Influenza vaccinated individuals. However, when comparing a propensity matched group of controls without COVID vaccination, the trend towards increased burden of AF was similar in the 2 groups. This led the authors to conclude that the observed increase in AF burden represents the natural progression of AF risk rather than vaccine related changes.
Topics Discussed:
- The study of atrial fibrillation burden after COVID vaccination, including the conclusion.
- How the incidence of AF after COVID 19 vaccination compares to that after influenza vaccination.
- Other studies that have investigated arrhythmia occurrence after COVID vaccination.
- Safety for patients with cardiovascular disease to get vaccinated for COVID 19.
References:
https://www.heartrhythmjournal.com/article/S1547-5271(22)00914-6/fulltext
https://onlinelibrary.wiley.com/doi/epdf/10.1111/jce.16372
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