Acute Cardiovascular Events Associated With Influenza in Hospitalized Adults

LettersApril 2021Acute Cardiovascular Events Associated With Influenza in Hospitalized AdultsAmi Schattner, MDAmi Schattner, MDHebrew University and Hadassah, Jerusalem, IsraelSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L21-0017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR: Chow and colleagues' study (1) evaluated the spectrum of 9046 acute cardiovascular events identified among 80 261 adults hospitalized with confirmed influenza (11.5%) and their effect (23.7% of all in-hospital deaths had an associated acute cardiovascular event). It was fascinating to read and a substantial addition to the literature. However, a few noteworthy points were missing from the discussion.First, the risk for acute ischemic stroke is also significantly increased during infection with influenza (2) and may share pathogenetic mechanisms with acute IHD noted in 4412 of Chow and colleagues' patients. Moreover, a substantial proportion of ischemic strokes ...References1. Chow EJ, Rolfes MA, O’Halloran A, et al. Acute cardiovascular events associated with influenza in hospitalized adults. A cross-sectional study. Ann Intern Med. 2020;173:605-13. [PMID: 32833488]. doi: 10.7326/M20-1509 LinkGoogle Scholar2. Smeeth L, Thomas SL, Hall AJ, et al. Risk of myocardial infarction and stroke after acute infection or vaccination. N Engl J Med. 2004;351:2611-8. [PMID: 15602021] CrossrefMedlineGoogle Scholar3. Kytömaa S, Hegde S, Claggett B, et al. Association of influenza-like illness activity with hospitalizations for heart failure: the Atherosclerosis Risk in Communities study. JAMA Cardiol. 2019;4:363-9. [PMID: 30916717] doi: 10.1001/jamacardio.2019.0549 CrossrefMedlineGoogle Scholar4. O’Halloran AC, Lu PJ, Williams WW, et al. Influenza vaccination coverage among people with high-risk conditions in the U.S. Am J Prev Med. 2016;50:e15-26. [PMID: 26238603] doi: 10.1016/j.amepre.2015.06.008 CrossrefMedlineGoogle Scholar5. Schattner A. Cardiovascular-targeted patient education and uptake of influenza vaccination in elderly patients. Patient Educ Couns. 2020;103:1052-4. [PMID: 31883819] doi: 10.1016/j.pec.2019.12.008 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Hebrew University and Hadassah, Jerusalem, IsraelDisclosures: The author has reported no disclosures of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L21-0017. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAcute Cardiovascular Events Associated With Influenza in Hospitalized Adults Eric J. Chow , Melissa A. Rolfes , Alissa O'Halloran , Evan J. Anderson , Nancy M. Bennett , Laurie Billing , Shua Chai , Elizabeth Dufort , Rachel Herlihy , Sue Kim , Ruth Lynfield , Chelsea McMullen , Maya L. Monroe , William Schaffner , Melanie Spencer , H. Keipp Talbot , Ann Thomas , Kimberly Yousey-Hindes , Carrie Reed , and Shikha Garg Acute Cardiovascular Events Associated With Influenza in Hospitalized Adults Eric J. Chow , Alissa O’Halloran , Melissa A. Rolfes , Carrie Reed , and Shikha Garg Acute Cardiovascular Events Associated With Influenza in Hospitalized Adults Shauna L. Newton and James Song-Jeng Yeh Metrics Cited byMoving the Needle on Atherosclerotic Cardiovascular Disease and Heart Failure with Influenza Vaccination April 2021Volume 174, Issue 4Page: 583 ePublished: 20 April 2021 Issue Published: April 2021 Copyright & PermissionsCopyright © 2021 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...