| アブストラクト | Atrial fibrillation (AF) has been described in COVID-19 patients. Recently, some case reports and US pharmacovigilance analyses described AF onset as a rare adverse event following COVID-19 vaccination. The possible correlation is unclear. We systematically analyzed the reports of AF related to COVID-19 vaccines collected in the European pharmacovigilance database, EudraVigilance (EV), from 2020 to November 2022. We carried out descriptive and disproportionality analyses. Moreover, we performed a sensitivity analysis, excluding the reports describing other possible alternative AF causes (pericarditis, myocarditis, COVID-19, or other drugs that may cause/exacerbate AF). Overall, we retrieved 6226 reports, which represented only 0.3% of all those related to COVID-19 vaccines collected in EV during our study period. AF reports mainly referred to adults (in particular, >65 years old), with an equal distribution in sex. Reports were mainly related to tozinameran (54.04%), elasomeran (28.3%), and ChAdOx1-S (14.32%). The reported AF required patient hospitalization in 35% of cases and resulted in a life-threatening condition in 10% of cases. The AF duration (when reported) was highly variable, but the majority of the events had a short duration (moda = 24 h). Although an increased frequency of AF reporting with mRNA vaccines emerges from our study, other investigations are required to investigate the possible correlation between COVID-19 vaccination and the rare AF occurrence. |
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| ジャーナル名 | Biomedicines |
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| 投稿日 | 2023/6/28 |
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| 投稿者 | Ruggiero, Rosanna; Donniacuo, Maria; Mascolo, Annamaria; Gaio, Mario; Cappetta, Donato; Rafaniello, Concetta; Docimo, Giovanni; Riccardi, Consiglia; Izzo, Imma; Ruggiero, Donatella; Paolisso, Giuseppe; Rossi, Francesco; De Angelis, Antonella; Capuano, Annalisa |
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| 組織名 | Campania Regional Centre for Pharmacovigilance and Pharmacoepidemiology, 80138;Naples, Italy.;Department of Experimental Medicine, University of Campania L. Vanvitelli, 80138;Department of Biological and Environmental Sciences and Technologies, University;of Salento, 73100 Lecce, Italy.;Department of Advanced Medical and Surgical Sciences, University of Campania L.;Vanvitelli, 80138 Naples, Italy. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/37371680/ |
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