[HN Gopher] The Incidence of Myocarditis and Pericarditis in Unv...
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       The Incidence of Myocarditis and Pericarditis in Unvaccinated Covid
       Patients
        
       Author : rgrieselhuber
       Score  : 8 points
       Date   : 2022-11-07 21:49 UTC (1 hours ago)
        
 (HTM) web link (pubmed.ncbi.nlm.nih.gov)
 (TXT) w3m dump (pubmed.ncbi.nlm.nih.gov)
        
       | stuntkite wrote:
       | I got OG Covid very early in 2020. I had something like a heart
       | attack about six months later. It has not reoccurred. I suspect I
       | had something kind of like a stroke a bit ago. I've only noticed
       | small motor function loss on my left side and some memory
       | impairments. Since 2020 I have had what I call a "dinner plate in
       | my chest". It goes away with some cardio exercise.
       | 
       | I can feel my vascular system radiating from the center of my
       | chest up the sides of my neck and out through my shoulders. It's
       | got a bit of a slow ache when it's flaring up. When it's bad,
       | sometimes I wake up with numbness that radiates from my chest out
       | to my finger tips on the top sides of my arms.
       | 
       | I have no problems taking deep breaths. The injury does not seem
       | to be growing.
       | 
       | After the cardiac issue I had in 2020, my bloodwork showed signs
       | that there was a possible event. My EKG was fine. This was days
       | after. I have a constant dull to really shitty headache in the
       | top front inside my head that has been persistent from the thing
       | that seemed like a mini-stroke. I have never really had headaches
       | without a serious hangover for all of my life. I couldn't see my
       | regular GP, still haven't been able to, but the doc I did see
       | basically told me she thought it was vertigo and I needed to
       | clean my ears. She checked my reflexes and some other things and
       | said she could not recommend any further action without more
       | events.
       | 
       | I'm 6' broad shouldered, and 210lbs. A bit chubby. I don't
       | exercise a ton, but do some exercise, especially when the dinner
       | plate flairs up. I don't smoke.
       | 
       | I've had a chest x-ray and it shows what looks like scarring in
       | vascular structures radiating from my lungs. The forms kind of
       | look on x-ray like the "ground glass nodules" that some people
       | are experiencing. It's VERY hard to get a doctor that wants to do
       | anything with me about this stuff. The fact that cardio makes
       | things better and not worse is counter intuitive from traditional
       | issues that look the same like Angina Pectoris. I've said since I
       | recovered the first time (I've had it at least once more post
       | vaccination but nothing was quite as near death as the first)
       | that I felt cognitively and physically like I was 10 years older.
       | I turn 40 next year. New research has been coming out showing
       | that some people suffering from long COVID show aging of their CV
       | systems of about 10 years.
       | 
       | It is going to take a long time to figure out what Long Covid is
       | really doing to people. Some people that never showed symptoms
       | get these things. Children are showing it too. The diagnostic
       | criteria is really difficult and there is almost no treatment
       | aside from some success with similar treatments used for
       | Encephalomyelitis/Chronic Fatigue Syndrome[0]. I have found that
       | most doctors don't want to touch it with a 200ft poll. The Read
       | Cross says I should join an online support group [1].
       | 
       | [0]
       | https://www.frontiersin.org/articles/10.3389/fmed.2020.60682...
       | 
       | [1]https://www.heart.org/en/news/2022/03/31/after-
       | covid-19-expe...
        
       | someNameIG wrote:
       | From the full text:
       | 
       | > It has recently been reported that the incidence of myocarditis
       | and pericarditis is increased in COVID-19 patients during the
       | acute illness [12]. However; whether or not myocarditis and
       | pericarditis after the recovery period are a part of the long
       | COVID-19 syndrome is yet unknown. Herein, we studied the
       | incidence of myocarditis and pericarditis in a large cohort of
       | COVID-19 patients after recovering from the acute infection.
       | 
       | It's looking at myocarditis and pericarditis not in the acute
       | phase, but post. And iirc there has been other papers showing
       | there is an increased risk in a 12 month followup.
        
         | baxtr wrote:
         | You did not include the most relevant part of the paper's
         | abstract:
         | 
         |  _> We did not observe an increased incidence of neither
         | pericarditis nor myocarditis in adult patients recovering from
         | COVID-19 infection._
        
           | someNameIG wrote:
           | I was more just pointing out that this was in the recovery
           | phase, not during the acute infection. I've seen people use
           | this paper as evidence that a covid infection does not
           | increase the risk of CV incidents.
           | 
           | And this seems to be an outlier anyway:
           | 
           | > In conclusion, either symptomatic or asymptomatic SARS-
           | CoV-2 infection is associated with an increased risk for late
           | CV outcomes and has a causal effect on all-cause mortality in
           | a late post-COVID-19 period.
           | 
           | https://www.ajconline.org/article/S0002-9149(22)00655-5/full.
           | ..
           | 
           | > In summary, using a national cohort of people with
           | COVID-19, we show that risk and 12-month burden of incident
           | cardiovascular disease are substantial and span several
           | cardiovascular disease categories (ischemic and non-ischemic
           | heart disease, dysrhythmias and others). The risks and
           | burdens of cardiovascular disease were evident even among
           | those whose acute COVID-19 did not necessitate
           | hospitalization.
           | 
           | https://www.nature.com/articles/s41591-022-01689-3
           | 
           | > The 12-month risk of incidental cardiovascular diseases is
           | substantially higher in the COVID-19 survivors than the non-
           | COVID-19 controls. Clinicians and patients with a history of
           | COVID-19 should pay attention to their cardiovascular health
           | in long term.
           | 
           | https://www.thelancet.com/journals/eclinm/article/PIIS2589-5.
           | ..
        
             | rgrieselhuber wrote:
             | > First, we censored cohort participants at the time of
             | receiving the first dose of any COVID-19 vaccine. Second,
             | we adjusted for vaccination as a time-varying covariate.
             | 
             | What does this mean, specifically?
        
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