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Volume 352:1151-1153 March 17, 2005 Number 11
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Vascular Events after Acute Infection or Vaccination

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 by Smeeth, L.
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To the Editor: In their article about cardiovascular events after acute infections (Dec. 16 issue),1 Smeeth et al. do not discuss alternative, time-honored explanations for the occurrence of cardiovascular events within three days after acute infections. A reasonable explanation could be that fever and the accompanying tachycardia trigger such events, not to mention the procoagulant effects an acute infection can have. The hypoxemia that accompanies a respiratory (but not urinary) infection can adversely affect vulnerable tissue, not to mention have procoagulant effects.2 A less common phenomenon is a myocardial infarction masquerading as a respiratory infection. In one recent study, more . . . [Full Text of this Article]




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