2025 Expert Consensus Recommendations on Vaccinations in Adults with High Cardiovascular Risk and Cardiovascular Disease: A Report of the Task Force of the Taiwan Society of Cardiology and the Infectious Diseases Society of Taiwan.
Journal
Acta Cardiologica Sinica
Journal Volume
41
Journal Issue
3
Start Page
271
End Page
287
ISSN
1011-6842
Date Issued
2025-05
Author(s)
Lin, Wei-Wen
Lin, Po-Lin
Chi, Hsin
Shen, Ching-Fen
Chao, Ting-Hsing
Yeh, Hung-I
Hsieh, I-Chang
Chang, Feng-Yee
Li, Yi-Heng
Abstract
Cardiovascular disease (CVD) is a leading cause of death worldwide, and infections often worsen the clinical condition of these patients. Respiratory infections, either bacterial or viral sources, are important causes of high morbidity and mortality in older adults. Beyond the burden of infection-related complications, they are also associated with non-infection-related complications such as cardiovascular (CV) events. For example, herpes zoster is associated with an increased risk of stroke and myocardial infarction. Vaccination is an effective preventive strategy for patients with CVD by reducing viral and bacterial infections, and minimizing systemic inflammatory responses to support plaque stability and reduce the likelihood of CV events in high-risk patients, thereby reducing the risks of CV and non-CV hospitalizations and mortality. Despite evidence on the effectiveness, safety, and benefits of vaccines and recommendations to vaccinate older patients and those with risk factors, vaccination rates remain sub-optimal in this population. The Taiwan Society of Cardiology and the Infectious Diseases Society of Taiwan recently appointed a task force to formulate a consensus on vaccinations for adults with high CV risk or CVD. Based on the most up-to-date information, the consensus provides current evidence-based important recommendations.
Subjects
Cardiovascular disease
Immunization
Inflammation
Lower respiratory tract infection
Preventive medicine
Taiwan
Vaccination
Type
journal article