# Impact of COVID-19 Vaccination on Cardiac Function and Survival in Maintenance Hemodialysis Patients

## TL;DR

This study found that the CoronaVac vaccine reduced mortality and preserved heart function in hemodialysis patients after COVID-19 infection.

## Contribution

The study provides evidence that CoronaVac vaccination benefits heart health and survival in maintenance hemodialysis patients.

## Key findings

- Vaccinated patients had a significantly lower mortality rate compared to unvaccinated patients.
- Vaccinated patients showed no significant deterioration in heart function after infection.
- Older age and heart abnormalities were key risk factors for mortality in unvaccinated patients.

## Abstract

Maintenance hemodialysis patients are at increased risk of cardiovascular complications and mortality following COVID-19 infection due to compromised immune function. This study aims to evaluate the impact of the COVID-19 vaccine (CoronaVac) on cardiac function and survival in this population. Background/Objectives: We aimed to examine whether CoronaVac vaccination affects heart function and survival rates in maintenance hemodialysis patients. Specifically, we assessed changes in heart ultrasound (echocardiographic) measurements, B-type natriuretic peptide (BNP) levels, and survival outcomes by comparing vaccinated and unvaccinated patients. Methods: A retrospective analysis was conducted on 531 maintenance hemodialysis patients, including 79 who received CoronaVac and 452 who did not. We compared the pre- and post-infection changes in heart function (echocardiographic parameters) and BNP levels between the two groups and assessed their association with the survival rates. Results: The vaccinated patients were younger (60.54  ±  13.51 vs. 65.21  ±  13.76 years, p = 0.006) and had shorter dialysis durations (56.04  ±  51.88 vs. 73.73  ±  64.79 months, p = 0.022). The mortality rate was also significantly lower in the vaccinated group (6.33% vs. 14.38%, p = 0.049). After infection, the unvaccinated patients showed significant declines in heart function and increased B-type natriuretic peptide levels, while the vaccinated patients demonstrated no significant deterioration. Older age, coronary artery disease, inflammation levels, and heart abnormalities were identified as the key risk factors for mortality. Conclusions: CoronaVac was linked to lower mortality and better heart function in maintenance hemodialysis patients. The vaccine may help to reduce infection severity, lower strain on the heart, and improve the overall prognosis.