急性感染與心肌梗塞之回顧

Review: Acute Infection and The Risk of Myocardial Infarction

吳濬宇(Chun-Yu Wu) ； 洪培豪(Peir-Haur Hung) ； 陳宗賢(Tsung-Hsien Chen) ； 張瑞月(Rei-Yeuh Chang)

《北市醫學雜誌》 16卷4期 (2019/12) Pp. 281-290

https://doi.org/10.6200/TCMJ.201912_16(4).0001

摘要

隨著人類壽命的延長和評估心肌損傷技術的發展，已逐漸發現心血管疾病與感染症之關係。本文探討病毒和細菌之急性感染與短期、中期和長期心肌梗塞發生風險增加之關聯性。流行性感冒、肺炎、急性支氣管炎、泌尿道感染和菌血症等，皆造成心肌梗塞風險的增加，胸部的感染所造成的風險增加最為明顯。隨著感染的嚴重程度，可能會造成超過感染後十年期間的心肌梗塞風險增加。然而，接種流行性感冒疫苗與肺炎鏈球菌多醣體疫苗，可降低發生心血管疾病的風險。

關鍵字

急性感染 ； 心肌梗塞 ； 流行性感冒 ； 疫苗

並列摘要

With the extension of human lifespan and the development of techniques for the assessment of myocardial damage, the relationship between myocardial damage and infectious diseases have gradually been revealed. This article explores the association between acute viral and bacterial infections and increased risk of short-, intermediate-, and long-term myocardial infarction. Influenza, pneumonia, acute bronchitis, urinary tract infections, and bacteremia cause an increased risk of myocardial infarction, and the risk of chest infection is most pronounced. With the severity of the infection, there may be an increased risk of myocardial infarction within 10 years post-infection. However, influenza and pneumococcal polysaccharide vaccination reduces the risk of cardiovascular events.

並列關鍵字

acute infection ； myocardial infarction ； influenza ； vaccine