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    Flu Shots May Reduce Heart Attack Risk

    Study Shows Getting Flu Shots Early May Provide the Most Protection Against Heart Attacks
    WebMD Health News
    Reviewed by Laura J. Martin, MD

    Sept. 21, 2010 -- Yearly flu shots may do more than stave off the seasonal flu -- they may also prevent heart attacks, according to a new study in the Canadian Medical Association Journal. And the earlier you get the flu shot, the greater this protection, the study shows.

    "If substantiated, this finding has implications for timely supply and administration of influenza vaccine and could lead to changes in recommendations for timing of vaccination," concludes A. Niroshan Siriwardena, PhD of the University of Lincoln in the U.K.

    Heart attack risk tends to rise in the winter months, just like the flu, suggesting a link between the two conditions. Exactly how the flu shot may protect against first heart attack is not clear, but infection could somehow trigger plaque rupture in the arteries, resulting in a heart attack or stroke, the researchers suggest.

    The new study included 16,012 people who had a heart attack between Nov. 1, 2001 and May 31, 2007, and 62,694 sex- and age-matched people who did not have heart attacks. Those who got their flu shot during the past year had a 19% reduced risk for heart attack, compared with their counterparts who did not get a flu shot that year.

    The earlier in the flu season that participants got the flu shot, the lower their risk for first heart attack, the study showed. By contrast, the pneumonia vaccine did not provide protection against heart attack.

    Inflammation May Play a Role

    "Heart attacks increase during the winter time, and we think that the fact that there are more infections during the winter may be one of the reasons," says Stephen Nicholls, MD, PhD, a cardiologist at the Cleveland Clinic in Ohio.

    "The findings of the current study are interesting and important," he tells WebMD. "If you get the flu vaccine, and get it early, you are less likely to get the flu and less likely to have a heart attack."

    "If you have plaque that builds up in your artery walls and you get a viral infection, you do tend to have more inflammation, and when a plaque becomes inflamed, it's more likely to rupture and cause a heart attack," he says.

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