Issues Related to Electrosurgery and COVID-19 Vaccination
Hello Dr.
He, last June I underwent radiofrequency ablation for premature ventricular contractions (PVCs).
The day before the procedure, I experienced a high frequency of PVCs, ranging from 16,000 to 20,000 beats, despite taking Dronedarone and Bisoprolol.
After the procedure, I had 24-hour Holter monitor tests in August last year and January this year, which showed 1,200 and 1,900 PVCs, respectively.
My doctor indicated that there has been improvement, so the medication dosage has been gradually reduced, and I am currently taking Bisoprolol every other day.
However, I have not yet received the COVID-19 vaccine and would like to know if it is advisable for me to get vaccinated under these circumstances.
If vaccination is recommended, is there a preferred choice between AstraZeneca and Moderna? Thank you for your patience in reading this, and I appreciate your help!
Jack, 30~39 year old female. Ask Date: 2021/08/05
Dr. He Dongjin reply Cardiology
Hello, the situation regarding the treatment of ventricular premature contractions with electrocautery has significantly improved.
You can receive either the AZ or Moderna vaccine, with a risk of approximately 1 in 100,000.
Changhua Hospital cares about your well-being.
Reply Date: 2021/08/05
More Info
Hello! Thank you for your question regarding the safety of COVID-19 vaccination following your cardiac ablation procedure. It's great that you're seeking clarity on this important topic, especially considering your medical history.
Firstly, it's essential to understand that individuals who have undergone cardiac procedures, such as ablation for ventricular premature contractions (VPCs), can generally receive COVID-19 vaccinations. The benefits of vaccination, particularly in the context of the ongoing pandemic, often outweigh the risks, especially for individuals with underlying heart conditions. Vaccination can help protect you from severe illness due to COVID-19, which can be particularly concerning for those with a history of heart issues.
Regarding your specific situation, since your VPCs have decreased significantly post-ablation and you are currently on a reduced medication regimen, it indicates that your condition is being managed effectively. However, it is crucial to consult with your cardiologist or healthcare provider before proceeding with vaccination. They can provide personalized advice based on your overall health status, the stability of your heart condition, and any other medications you may be taking.
When it comes to the choice of vaccine, both AstraZeneca (AZ) and Moderna have been shown to be effective in preventing COVID-19. However, there are some differences between the two:
1. AstraZeneca (AZ): This vaccine is a viral vector vaccine. It has been associated with a rare risk of blood clots, particularly in younger individuals. However, the overall risk is low, and the benefits of vaccination generally outweigh this risk.
2. Moderna: This is an mRNA vaccine, which has shown high efficacy rates and a favorable safety profile. It has not been associated with the same risk of blood clots as the AZ vaccine.
Given your history of heart issues, the mRNA vaccines like Moderna may be preferable due to their safety profile. However, the decision should ultimately be made in consultation with your healthcare provider, who can assess your individual risk factors and health status.
In addition to the vaccine choice, here are some general recommendations to consider:
- Monitor Your Symptoms: After vaccination, keep an eye on any new or worsening symptoms. It's not uncommon to experience mild side effects such as fatigue, headache, or soreness at the injection site. However, if you experience significant chest pain, shortness of breath, or palpitations, seek medical attention promptly.
- Stay Informed: Keep up to date with the latest guidelines from health authorities regarding COVID-19 vaccination, especially for individuals with underlying health conditions.
- Lifestyle Modifications: Continue to maintain a heart-healthy lifestyle, including a balanced diet, regular exercise (as advised by your doctor), and stress management techniques. These can help improve your overall cardiovascular health and well-being.
In conclusion, while it is generally safe for you to receive the COVID-19 vaccine post-cardiac ablation, it is crucial to have a detailed discussion with your healthcare provider to make an informed decision tailored to your specific health needs. Vaccination is a vital tool in protecting yourself and others from COVID-19, and your proactive approach to understanding your health is commendable. Thank you for reaching out, and I wish you the best in your health journey!
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