Pericarditis Dilemma
I'm at a disturbing turning point. I'm a 72 yo man with a RCA stent, & TAVR done in 2021. No heart attacks, but in Feb2024 I was hospitalized with Idiopathtic Pericarditis, Effusion, AFlutter. They drained the fluid and ablated the flutter. I fully recovered & I am exercising normally again, every day. No cause was determined.
I was CV19 boosting every 6 months being in the higher risk group. My last Pfizer vacine was in Sept2023. The vacine was not associated with my Idiopathic Pericarditis episode. Vacine induced Pericarditis typically presents within 5 days after the vacine.
I have not yet had CV19. The difficult turning point is my CV19 protection has now wained. It's been 10 months since I was last boosted with Pfizer. I've discussed this with my PCP. He is unsure & concerned about potentially triggering "inflammation", if I get boosted. My cardiologist is also reluctant to make a decision, as well. Both feel I should continue to boost but the Pericarditis is now a concern.
Choices seem:
1. Take my chances & see what happens if I get a CV19 infection, which can cause Percarditis.
2. Get a fresh booster which offers CV19 protection, but has an association with Pericarditis.
What is the medical specialty that can advise me best regarding this dilemma?
Thanks for any insights!
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A medical statistician might help. But I think you might be picking fly specks out of the pepper on this one.
The fact is that literally 100's of millions of humans have been vaccinated AND boosted at least once, and not always by Astrazenica, Pfizer, or Moderna vaccines. I have had two Pfizers and all the rest have been Moderna. Nobody I know, and nobody the local pathologist knows, has died in way that points the finger at any of the locally optional vaccines. This guy is a PhD in human pathology and microbiology, is a trained lawyer, and was a bush pilot in younger times. He very firmly cautioned me to keep up with vaccines for COVID-19 because he has done biopsies on tissue samples were the ruling was that people had presumably died due to complications of the illness itself.
So, if it were up to me, I'd urge you to take the next dose. I'd also say to wait until the fall when the latest concoctions are available with all their annual improvements and relevant protections to the latest variants.
Thanks for the thoughts on boosting! I'm also a proponent of vacination and had Pfizer & Moderna on a 6 month basis since they were first available. We are both in the same camp on that part, but now I'm forced to be more cautious. We are also good on our precautions. My wife & I haven't had CV19 yet.
The problem for us now is so far the Docs (PCP & Cardiologist & Inteventional Cardiologist) are all reluctant on advising one way or the other on boosting after a fairly recent serious case of Idiopathuc Pericarditis. I guess it might be easier to make a call if the cause was known, but that's not the case.
In any case, my wife & I are developing a plan to discuss further with the docs. I agree we should wait for the new Fall vacine formula and keep our prevention efforts high.
I'm going to ask the Docs to get a Echocardiogram for a current status on the pericardial healing & inflammation status so we have a current baseline prior to boosting, in case anything happens.
Also, plan to ask about premedicating with Ibuprofen or Colchicine to tamp down the inflammation response typical with boosting. It's potentially retriggering inflammation that raises the concerns in this case with a recent Idiopathic pericarditis bout. We are hoping my case was a one and done. However, reoccurring or chronic pericarditis, or chronic inflammation, is a serious and real concern that can potentially lead to surgery, cutting a pericardinal window or totally removing the pericardial sac. That development is life shortening in my case so boosting is not the easy decision it used to be. There are real nasty"flies" buzzing around here and Docs are pulling back on making a call.