Can I Get the BNT Vaccine After Atrial Fibrillation and Stroke? - Cardiology

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History of cerebral embolism due to arrhythmia?


I am 54 years old.
Around the time of the Qingming Festival, I was hospitalized due to a cerebral embolism, and it was later discovered that it was caused by arrhythmia leading to a minor stroke.
I underwent cardiac ablation surgery in July.
I am currently taking anticoagulants and cholesterol-lowering medication.
Since I fall under the ninth category, I am now eligible to receive the BNT vaccine.
When I previously discussed this with my doctor, BNT was not yet available, and the doctor advised against receiving the AZ or Medigen vaccines.
However, I still have concerns about whether I can receive the BNT vaccine.
I would like to ask if I am eligible to receive the BNT vaccine.

Wang, 50~59 year old female. Ask Date: 2021/09/25

Dr. Wu Xueming reply Cardiology


There is no research indicating that the BNT vaccine increases the risk of arrhythmias or strokes; however, if you still have concerns, it is advisable to consult a specialist.

Reply Date: 2021/09/25

More Info


Based on your medical history, including atrial fibrillation and a stroke caused by it, you are understandably concerned about receiving the BNT (BioNTech/Pfizer) vaccine. It is crucial to address your concerns with accurate information and guidance.

Firstly, it is important to note that the BNT vaccine has not been shown to increase the risk of arrhythmias or strokes. The vaccine is designed to stimulate the immune system to recognize and fight the SARS-CoV-2 virus, which causes COVID-19. Given that you have a history of atrial fibrillation and have undergone a cardiac ablation procedure, it is essential to consider your current health status and any medications you are taking.

You mentioned that you are currently on anticoagulants and cholesterol-lowering medications. These medications are commonly prescribed to manage the risk of stroke and heart disease, particularly in patients with a history of atrial fibrillation. The BNT vaccine does not have any known interactions with these medications, which means that you should be able to receive the vaccine without any significant concerns regarding drug interactions.

However, it is always advisable to consult with your healthcare provider before getting vaccinated. They can assess your overall health, review your medical history, and consider any potential risks associated with vaccination in your specific case. Your healthcare provider may also want to monitor you closely after vaccination, especially considering your history of heart issues.

In addition to the vaccine's safety, it is also important to consider the benefits of vaccination, particularly for individuals with underlying health conditions. Vaccination can significantly reduce the risk of severe illness, hospitalization, and death from COVID-19, which is particularly important for individuals with cardiovascular issues. The benefits of vaccination often outweigh the risks, especially in the context of the ongoing pandemic.

If you have any lingering doubts or concerns, it is crucial to have an open discussion with your healthcare provider. They can provide personalized advice based on your health status and help you make an informed decision regarding the BNT vaccine.

In summary, based on the available evidence and your current medications, you should be able to receive the BNT vaccine. However, it is essential to consult with your healthcare provider to ensure that it is safe for you, considering your medical history and current health status. Vaccination is a vital step in protecting yourself from COVID-19, especially given your underlying health conditions.

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