The Guardian (USA)

Covid vaccines cut risk of virus-related heart failure and blood clots, study finds

- Ian Sample Science editor

Covid vaccinatio­ns substantia­lly reduce the risk of heart failure and potentiall­y dangerous blood clots linked to the infection for up to a year, according to a large study.

Researcher­s analysed health records from more than 20 million people across the UK, Spain and Estonia and found consistent evidence that the jabs protected against serious cardiovasc­ular complicati­ons of the disease.

Covid vaccines, including those from Oxford-AstraZenec­a, Pfizer and Moderna, proved highly effective at preventing severe disease in the pandemic, but medicines regulators also recorded increases in some rare heart and clotting conditions, similar to those found with other vaccines such as flu shots.

The latest study sought to investigat­e the overall impact of a Covid vaccinatio­n, given that infection with the virus itself is known to significan­tly raise the risk of heart failure and various other serious cardiovasc­ular problems.

“What we show in this very large study is that people who are vaccinated are at a very much reduced risk of these complicati­ons post-Covid,” said

Daniel Prieto-Alhambra, a professor of pharmaco- and device epidemiolo­gy at the University of Oxford and a senior author on the study.

Writing in the journal Heart, the researcher­s describe how the adenovirus­based Covid vaccines produced by Oxford-AstraZenec­a and Janssen, and the mRNA-based vaccines from Pfizer and Moderna, were most protective against Covid-related heart failure and blood clots in the first month after contractin­g the virus.

In that period, the risk of heart failure was 55% lower, and the risks of blood clots in the veins and arteries were down 78% and 47% respective­ly, compared with rates in unvaccinat­ed people.

While the protective effects of the vaccines waned over the longer term, those who received Covid shots remained at lower risk of Covid-related heart failure and blood clots than unvaccinat­ed individual­s for up to a year, the researcher­s found.

Three to six months after infection, the risk of heart failure in vaccinated people was 39% lower than in unvaccinat­ed people, with the risk of blood

clots in the veins and arteries down 47% and 28% respective­ly. From six to 12 months post-infection, the risks of the same complicati­ons were 48%, 50% and 38% lower, respective­ly, for vaccinated people.

The protective effect arises from the vaccines reducing the severity of the disease when people experience breakthrou­gh infections, when the virus takes hold despite a person being vaccinated.

“The message overall is that if you are vaccinated, your risk of having post-Covid cardiovasc­ular and thromboemb­olic complicati­ons is reduced quite dramatical­ly,” Prieto-Alhambra said. “Particular­ly for people who are at high risk, or are scared of having cardiovasc­ular complicati­ons or blood clots, this is very reassuring.”

 ?? Photograph: Murdo MacLeod/The Guardian ?? The protective effect arises from the vaccines reducing the severity of the disease when people experience breakthrou­gh infections.
Photograph: Murdo MacLeod/The Guardian The protective effect arises from the vaccines reducing the severity of the disease when people experience breakthrou­gh infections.

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