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논문 기본 정보

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학술저널
저자정보
Oh Tae Hoon (Department of Emergency Medicine Incheon St. Mary’s Hospital College of Medicine The Catholic Unive) Woo Seon Hee (Department of Emergency Medicine Incheon St. Mary’s Hospital College of Medicine The Catholic Unive) Hong Sungyoup (Department of Emergency Medicine Daejeon St. Mary’s Hospital College of Medicine The Catholic Unive) Lee Carol (Department of Emergency Medicine David Geffen School of Medicine at UCLA VA Greater Los Angeles Hea) Lee Woon Jeong (Department of Emergency Medicine Incheon St. Mary’s Hospital College of Medicine The Catholic Unive) Jeong Si Kyoung (Department of Emergency Medicine Daejeon St. Mary’s Hospital College of Medicine The Catholic Unive)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.37 No.9
발행연도
2022.3
수록면
1 - 10 (10page)
DOI
10.3346/jkms.2022.37.e73

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Background: Since the implementation of the nationwide coronavirus disease 2019 (COVID-19) vaccination campaign, emergency departments (EDs) have had an increasing number of patients reporting postvaccination cardiovascular adverse effects. We investigated the clinical features of patients who visited the ED for cardiovascular adverse reactions after COVID-19 mRNA vaccination. Methods: We conducted a retrospective observational study in two EDs. Patients with cardiovascular adverse reactions after COVID-19 mRNA vaccination who visited EDs between June 1, 2021, and October 15, 2021, were selected. The clinical data of these patients were collected by reviewing medical records. Results: Among 683 patients, 426 (62.4%) were female. The number of patients in their 20s was the highest (38.9% of males, 28.2% of females) (P < 0.001). More patients visited the ED for adverse reactions following the first vaccine dose than following the second dose (67.6% vs. 32.2%). Chief complaints were chest pain/discomfort (74.4%), dyspnea (14.3%) and palpitation (11.3%). The final diagnosis was a nonspecific cause (63.1%), and 663 (97.1%) patients were discharged from the ED. The admission rate was higher in males than in females (3.9% vs. 1.9%). Myocarditis was diagnosed in four males, who showed mild clinical progression and were discharged within 5 hospital days. Conclusion: Most patients who visited the ED with cardiovascular adverse reactions were discharged from the ED, but some were admitted for other medical diseases as well as adverse vaccine reactions. Therefore, further surveillance and a differential diagnosis of cardiovascular adverse events after COVID-19 mRNA vaccination should be considered by emergency physicians.
#COVID-19 mRNA Vaccination #Adverse Reaction #Cardiovascular Symptoms #Emergency Department

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