Silent Vaccine-induced Myocarditis in a 38 year old female.

Could this be much more common than thought?

Could the longer term impact of vaccine-induced myocarditis have been significantly underestimated?

Paper from Germany looking at a heart biopsy case series of 15 patients, demonstrating that 93% of the cases had myocardial inflammation.

The paper highlights 15 cases of myocarditis temporally associated with the covid vaccines and confirmed by endomyocardial biopsy to have heart inflammation.

Here, we present a comprehensive histopathological analysis of EMBs from 15 patients with reduced ejection fraction (LVEF = 30 (14–39)%) and the clinical suspicion of myocarditis following vaccination...

Not an actual picture of the patient

Focused on a 38 year old female who most likely presented with symptoms of myocarditis and was found to have left ventricular ejection fraction of 40% on echocardiogram.

The normal heart will pump out up to about 75% of the blood in the left ventricle after each contraction.

This patient had no significant shortness of breath and could easily not gone to her doctor. Additionally, all the blood tests were normal. Credit to the German doctors for continuing to investigate.

Conclusion of study:

Although a causal relationship between vaccination and the occurrence of myocardial inflammation cannot be established based on the findings, the cardiac detection of spike protein, the CD4+ T-cell-dominated inflammation and the close temporal relationship argue for a vaccine-triggered autoimmune reaction.

Baumeier, Christian, et al. "Intramyocardial Inflammation after COVID-19 Vaccination: An Endomyocardial Biopsy-Proven Case Series." International Journal of Molecular Sciences 23.13 (2022): 6940.


How many other cases with minor symptoms but significant changes in heart function are present across the population?

Standard practice should include a routine echocardiogram for any patient with ongoing chest pains or breathlessness.

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Vejon COVID-19 Review
Vejon COVID-19 Review
Authors
Dr Philip McMillan