Preparation and behavior for patients with cardiovascular disease before vaccination against COVID-19 include:
Check the symptoms of the disease that is present or not. Patients with coronary artery disease must consider whether they have life-threatening symptoms, such as having acute coronary syndrome, having chest pain when exerting or exercising in the center of the chest or rupturing the left arm. and coronary artery disease with symptoms of acute heart failure, such as tired, unable to lie down, having to sleep on high pillows or with pulmonary edema
The patient had severe high blood pressure. If systolic blood pressure is greater than 160 mm Hg. It is necessary to control blood pressure first. The systolic blood pressure must be kept below 140 mm Hg on the day prior to vaccination.
Warfarin, if the INR is constant and INR is less than 4.0 within 1 week, or the previous INR has been below 3.0 (no need to stop or adjust dose and do not need to check INR before vaccination) can get vaccinated with COVID-19 can be obtained by using a small syringe 25G or 27G injected into the upper arm muscle Then press on the injection site for about 5 minutes, then may be followed by a cold compress with ice or cold gel.
Patients taking anticoagulants (NOACs) and antiplatelet drugs such as Aspirin, Clopidogrel, Ticagrelor or Prasugrel can be vaccinated without stopping the drug before injection. A small needle 25G or smaller should be used and the muscles should not be stretched after vaccination. Press the vaccination site for at least 5 minutes and make sure there is no abnormal bleeding. However, if an coronary angiography balloon or coronary artery bypass surgery is scheduled in cases where the disease is relatively calm or asymptomatic, a cardiologist should be consulted for a more detailed assessment if the chance of infection is high. If assessed, the benefits of vaccination are greater, should be vaccinated against infection first, which depends on the discretion of the doctor and the situation at the time.
In the aforementioned cardiovascular disease patients, if vaccinated Will allow the body to be able to disinfect when the immunity is high enough. Inhibits the division of the virus, making it unable to multiply in the body and the infection cannot spread to others. If everyone has immunity in the body COVID-19 will no longer be able to grow and reproduce. thus breaking the epidemic cycle and also breaking the mutation cycle of the infection.
