COVID-19 | Malicious Medical Quackery
[Ed.: FEAR YOUR DOCTOR! Medicine is a disgraced profession. They cannot (and must not) be trusted any longer! Cultivate Nosocomephobia and iatrophobia. Spread ‘vaccine hesitancy’!]
In memory of those who “died suddenly” in the United States and worldwide, March 26-April 1 MARK CRISPIN MILLER
APR 03, 2024 – Athletes: US, Brazil, Chile, Argentina, UK (2), France (2), Latvia, Ethiopia, Australia (& coaches in US, Denmark, Kenya, India); doctors: Canada, Brazil (2), Paraguay, Italy, Nigeria, S. Korea; more
WHO coming down the home stretch with invasive testing and vaxxing requirements for tourists and others traveling legally across borders LEO HOHMANN
Part of a series of amendments being secretly negotiated and set to be put to a vote in late May at the annual World Health Assembly in Geneva, Switzerland.
APR 03, 2024 – The United Nations World Health Organization is secretly negotiating a set of amendments to the International Health Regulations (IHR) that would impose an invasive testing, vaccination and quarantine regimen on international travelers.
Ongoing negotiations on these amendments were kept secret for more than a year until California researcher and journalist James Rogoski uncovered the latest draft version of the amendments in February.
In a recent interview, Rogoski said these amendments to the International Health Regulations are not so much an attack on national sovereignty as they are a “dangerous expression of national sovereignty.”
Most nations, including the U.S., already claim through various laws to have these invasive powers over their own citizens. What the IHR amendments are about is giving nations these same testing and quarantining powers over foreign nationals who legally enter as a tourist, business traveler or for any other purpose.
Exiting the WHO, as the U.S. did under the presidency of Donald Trump, will also not provide any real answers to this power grab, Rogoski explained, stating that “Unless every nation exited the WHO these rules would still apply.”
That’s because the enforcement powers for these invasive methods are being given to nations not to exercise over their own citizens but over the citizens of every other country who are entering as foreign travelers.
The proposed amendments would include adding the terminology for so-called conveyance operators, which includes operators of planes, trains, subways, cruise lines, buses, etc.
These operators, both public and private, would have to comply with “health measures which may include isolation and quarantine as required, for application on board as well and embarkation and disembarkation.” That means you could be confronted both getting on and getting off of a plane, cruise ship or train, and asked to take a PCR test, or to show proof of vaccination against whatever disease they are looking for.
WATCH 15-MINUTE VIDEO ON RUMBLE
Proposed changes to Article 27 of the IHR’s would add the words “and quarantine” to the powers already granted at ports of entry.
“So, the concern is that if you are traveling, they want to be able to make you take a test, and if you want to get off the cruise boat or plane, they may make you go into quarantine…It essentially says they can compel the traveler to undergo vaccination or other prophylaxis.”
[Ed.: WHO? WHAT? WHERE? WHEN? WHY? And WTF??]
Top International Virologist Issues Dire Warning: “Massive, Massive Tsunami of Death Among Highly Vaccinated…is Imminent” By Cullen Linebarger
Apr. 2, 2024 3:40 pm – A world-leading virologist has issued a shocking warning to the American public that a “massive tsunami” of death will soon destroy the global COVID-19 vaccinated population.
As Slay News reported, the bone-chilling warning was issued by Dr. Geert Vanden Bossche, a respected Belgian virologist, during an appearance on the KunstlerCast podcast, which is hosted by James Kunstler, on Friday.
Dr. Bossche is certified in both Virology and Microbiology and is the inventor of a patent application for universal vaccines. He has also authored over 30 publications and currently works as an independent research consultant.
Dr. Bossche, however, is most famous for warning about the potential dangers of mass vaccination programs amid the COVID-19 pandemic. He warned that the programs could lead to “monster” COVID variants.
The virologist told Kunstler that shortly, a “massive tsunami” of death among the vaccinated would happen. This would start with far more cases of long COVID, which would replace the surge of cancers, and end with a “hyper-acute wave.”
“What I am predicting is a massive, massive tsunami of illness and death among highly vaccinated populations with compromised immune systems, Bossche said. “You will see what will happen, for example, in the next coming week is more and more cases of more serious long Covid.”
“They will start to replace the surge of the cancers,” he continued. “It will end with a hyper-acute phase, a huge, huge wave.”
Dr. Bossche goes on to cite his expertise, noting that he has been studying COVID for four years. He next warned that all layers of society would fall apart during this hyper-acute phase, causing complete chaos.
“The thing I want your audience to understand, what we will be facing in the hyper-acute Covid crisis that is imminent, is that we will have to build a completely new world,” said Bossche.
“It is very, very clear that when this starts, our hospitals will collapse. And that means the chaos in all kinds of layers of society — financial, economic, social, you name it — will be complete.
Dr. Bossche told Kunstler that the best hope for vaccinated individuals to protect themselves is to find a way to avoid reinfection from COVID-19. Given how contagious the virus is, this will prove quite a tall task.
“What I can advise to all these vaccinated people: they need to avoid reinfection,” the doctor said. “It is the reinfection of vaccinated people that is responsible for this situation.”
“The only difference is, you will not be able to wait to take anti-virals until you have symptoms,” he continued. “As soon as people see that in one of the other countries, or one of the other states in the United States when this starts with hospitalizations going up very rapidly, they need to take anti-virals prophylactically, not wait until they have any symptoms.”
CDC Backpedals, Excessive Hospital PCR Testing, Definition Softened as Vaccines Fail PETER A. MCCULLOUGH, MD, MPH
Grant Stinchfield Rips off the Band-Aid on Pandemic Response
APR 02, 2024 – Dallas podcaster and prime time anchor Grant Stinchfield is a staunch conservative and has been particularly tough on our public health agencies from the very beginning of the pandemic—for good reason.
Listen to his preparation and review of changes in CDC quarantine recommendations, hospital SARS-CoV-2 PCR testing, and how the CDC changed its definition of vaccine to reduce expectations of the novel injected products as mRNA vaccines failed to stop the infection, reduce transmission, or lessen the severity of illness. Stinchfield applies the data and sources the statements for each topic and I follow with answers to his questions.
U.S. Surgeon General Quietly Backpedaled on Water Fluoridation 5 Years Ago, Emails Reveal By Brenda Baletti, Ph.D.
After decades of pushing water fluoridation as one of the greatest public health accomplishments in U.S. history, the U.S. surgeon general’s office stopped issuing public statements of support after a National Toxicology Program report linked fluoride to children’s lower IQs.
For more than seven decades, U.S. public health officials steadfastly supported water fluoridation, claiming the practice is a key strategy for maintaining and improving dental health.
Even today, the Centers for Disease Control and Prevention calls water fluoridation one of the “ten great public health achievements of the 20th century.”
However, internal email communications shared with The Defender suggest that as early as 2020, officials at the highest levels of the U.S. Public Health Service — the Office of the Surgeon General — were having second thoughts.
“These emails show that despite public statements to the contrary, there is a lot of concern in the federal government about the potential link between fluoridated drinking water and lower IQs,” said Michael Connett.
Connett, an attorney, represents plaintiffs in a lawsuit against the U.S. Environmental Protection Agency (EPA). The suit seeks to end water fluoridation based on science linking low-level fluoride exposure to lower IQ scores in children.
The emails were obtained via a Freedom of Information Act (FOIA) request and shared with The Defender by plaintiffs in the lawsuit.
They reveal that in 2020, on the 75th anniversary of water fluoridation, U.S. Surgeon General Jerome Adams declined to make a statement endorsing water fluoridation, despite strong encouragement and behind-the-scenes organizing by his Chief Dental Officer Timothy Ricks.
Adams’ office also stopped Ricks from co-signing, with eight previous chief dental officers, and releasing a letter supporting community water fluoridation and celebrating the anniversary.
The U.S. surgeon general’s public support for water fluoridation has been considered key to boosting water fluoridation since the practice began.
Until 2020, every surgeon general had made oral or written statements supporting water fluoridation, according to the communications among previous chief dental officers — appointees who advise the surgeon general and the U.S. Department of Health and Human Services on the recruitment and development of oral health professionals.
However, on this important anniversary, Adams’ staff told Ricks the surgeon general was reluctant to make a pro-fluoridation statement because he knew government scientists at the National Toxicology Program (NTP) were about to publish a systematic review of the literature on fluoride and neurotoxicity in children.
The NTP report found that neonatal and childhood fluoride exposure had negative cognitive and neurodevelopmental effects for children.
Summary of the Evidence: Why States Can Assert that the WHO Has No Authority Over Them MERYL NASS
This is a compilation of the important info I have been dropping as individual tidbits over the past few days
MAR 31, 2024 – Why Can States Assert that the WHO Has No Authority Over Them?
· The Tenth Amendment of the US Constitution’s Bill of Rights states, “The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people.” This means that the regulation of healthcare falls to the states. For example, doctors, pharmacies and hospitals are administered by the state, not by the federal government.
· This is why Louisiana’s Senate unanimously passed a bill 37 to zero telling the world that neither the WHO, the UN nor the WEF could assert any jurisdiction over health or any other matter in the state of Louisiana.
· This is why the Florida legislature passed a bill last year allowing the WHO no authority over the state of Florida.
· On the last full day of the Obama administration, the Department of Health and Human Services’ Centers for Disease Control issued a Final Rule that changed the definition of a Public Health Emergency of international Concern. It was to be defined 5 ways, but 3 of those ways relied on a WHO decision.
· This rule was challenged in a petition to DHHS by 15 state Attorneys General in 2023. They pointed out that, “The rule exceeds the agency’s authority and infringes on US and state sovereignty by unlawfully delegating to the World Health Organization the authority to invoke health emergency powers solely based on decisions of the WHO.”
· The AGs further noted that Congress’ assent would be needed to delegate such authority via treaty ratification to the WHO. They assert that executive agreements, which “rely solely on the President’s authority in foreign relations… lack any domestic effect without an act of Congress,” and that the unratified WHO Constitution is not a binding treaty.
· Furthermore, according to the AGs, Congress approved participation with the WHO “with the understanding that nothing in the Constitution of the World Health Organization in any manner commits the United States to enact any specific legislative program regarding any matters referred to in said constitution,” referencing 22 U.S.C. 290d, while noting that 42 U.S.C. 264 (e) warns the federal government not to preempt state powers regarding control of infectious diseases.
· Finally, when the US federal government signed the WHO’s amended International Health Regulations in 2006, it filed a reservation acknowledging the states’ rights authority over some health matters. The reservation said, in part, “… these regulations to be implemented by the Federal Government or the state governments, as appropriate and in accordance with our Constitution, to the extent that the implementation of these obligations comes under the legal jurisdiction of the Federal Government. To the extent that such obligations come under the legal jurisdiction of the state governments, the Federal Government shall bring such obligations with a favorable recommendation to the notice of the appropriate state authorities.“
Therefore, there is a strong legal basis to assert that the states not only have authority over their citizens’ healthcare regulation, but that the federal government lacks the authority to delegate any such power to the WHO.
What Makes All Vaccines So Dangerous? A MIDWESTERN DOCTOR
Exploring the forgotten but critically important science of zeta potential
MAR 31, 2024
Story at a Glance:
•Since vaccines frequently cause a wide range of side effects this makes it challenging to identify what the common thread between those injuries. One of the best candidates that has been put forward is vaccination triggering microstrokes throughout the body—a process which I believe also underlies many other chronic diseases.
•In the in 1960s (and earlier) a large volume of forgotten research was produced showing that blood cells clumping together was the root cause of a variety of diseases. In parallel, Chinese medicine came to an identical conclusion which has recently been validated by modern scientific instrumentation.
•The science of colloidal chemistry and zeta potential has shown that the primary factor which causes blood cells to clump together are the electrical charges present around them. Many of the most harmful agents in existence (e.g., aluminum or the COVID spike protein) coincidentally also happen to contain a positive charge which is remarkably effective at clumping fluids together.
•I believe impaired zeta potential (especially in the modern era) is the root cause of a wide range of diseases and that treating zeta potential is one of the most effective means to address both acute and chronic illness. Likewise, a strong case can be made that many effective conventional and holistic therapies ultimately work by improving the physiologic zeta potential.
Note: this is a significantly revised version of an article I wrote two years ago on this topic.
Many problems in medicine are ultimately a product of the diagnostic paradigm a physician brings to the situation. This holds particularly true for complex illness, which due to their complexity cannot be solved by the majority of doctors and result in the patient continually struggling with their condition.
A hallmark of complex conditions is that the same disease can cause a wide variety of symptoms depending upon the person and likewise that numerous “complex illnesses” can present with very similar symptoms (e.g., fibromyalgia vs. chronic fatigue syndrome). Because the symptoms are so varied, severe, and inexplicable, doctors who have not been specifically trained to recognize them typically won’t and often will default to assuming they must be psychiatric in nature.
This very much characterizes vaccine injuries, as you can read hundreds reports from over a century ago (which I am currently compiling for an upcoming article) which describe many of the same inexplicable symptoms seen now in those with COVID-19 vaccine injuries, but simultaneously, there is immense variability between each individual report.
In turn, my interest has been in determining what the underlying mechanisms of harm could be. Presently, I believe there are four primary things which underlie vaccine injury:
“How a false hydroxychloroquine narrative was created, and more”–republishing because we must never forget this evidence of a terrible crime MERYL NASS
MAR 31, 2024 – This was my tour-de-force paper on the 50+ ways HCQ was suppressed during 2020. It followed several earlier, less comprehensive articles I wrote and was added to through mid 2021
Saturday, June 27, 2020 – It is remarkable that a large series of events taking place over the past months produced a unified message about hydroxychloroquine (HCQ), and produced similar policies about the drug in the US, Canada, Australia, NZ and western Europe. The message is that generic, inexpensive hydroxychloroquine (costing only $1.00 to produce a full course) is dangerous and should not be used to treat a potentially fatal disease, Covid-19, for which there are no (other) reliable treatments.
Hydroxychloroquine has been used safely for 65 years in many millions of patients. And so the message was crafted that the drug is safe for its other uses, but dangerous when used for Covid-19. It doesn’t make sense, but it seems to have worked.
In the US, “Never Trump” morphed into “Never Hydroxychloroquine,” and the result for the pandemic is “Never Over.” But while anti-Trump spin is what characterized suppression strategies in the US, the frauds perpetrated about hydroxychloroquine and the pandemic include most western countries.
Why do I say “Never Over”? I am expanding on this claim with a), b), c) on August 30, 2020. Later in the paper additional evidence is provided.
a) Because if people were treated with HCQ at the onset of their illness, over 99% would quickly resolve the infection, avoiding progression to the late stage disease characterized by cytokine storm, thrombophilia and organ failure. Despite claims to the contrary, this treatment is very safe. (Yet outpatient treatment is banned in many US states.) UPDATE Jan 15, 2021: The CDC forgot to rewrite its guidance on malaria and hydroxychloroquine during Covid. CDC says hydroxychloroquine “can be safely taken by pregnant women and nursing mothers…” Only “when it is used at higher doses for many years, a rare eye condition called retinopathy has occurred.“
b) If people were treated prophylactically with this drug (using only 2 tablets weekly) as is done in some areas and in some occupational groups in India, there would probably be at least 50% fewer cases after exposure. (Such treatment is currently banned in much of the US, including in my state of Maine.)
c) Protocols for in-hospital treatment (that were unknown during the initial peak of illness in the US and Europe) using HCQ and individually selected blood thinners, steroids, vitamins, zinc and other drugs such as used at NYU, have significantly reduced mortality of the very small number of people who might still progress to a serious illness. (The FDA, however, recommends against the use of HCQ outside of clinical trials, and the CDC and NIH recommend against it.)
If we followed a), b) and c) the result would be much briefer periods of infectiousness, lower viral loads, less severe illness and considerably less transmission. The R zero (average number of people each case infects) would drop below one and the pandemic would soon die out.
Were acts to suppress the use of HCQ carefully orchestrated? You decide.
Might these events have been planned to keep the pandemic going? To sell expensive drugs and vaccines to a captive population? Could these acts result in prolonged economic and social hardship, eventually transferring wealth from the middle class to the very rich? Are these events evidence of a conspiracy?
SAY YOU ARE SORRY: Tucker Carlson Demands Doctors Apologize For Recommending Dodgy COVID Jab By Ben Kew
Mar. 31, 2024 11:00 am – Talk show host Tucker Carlson has demanded that doctors apologize for recommending the dodgy COVID-19 vaccine.
During an appearance on The Jimmy Dore Show, Carlson called on the tens of thousands of doctors who pushed the jab and other COVID related lies to apologize and admit they were wrong:
I think what’s so interesting is that doctors who clearly can read, I mean they’re literate by definition, they’re not stupid by definition, you hope, I think that’s true, they’re smart. Look at the evidence and fundamentally everything they said about the vax and it has hurt a lot of people. And some doctors, the three that you mentioned, and they’re great, but there are tens of thousands of doctors in the United States and why aren’t they standing up and saying oh my gosh I’m so sorry, I can’t believe I recommended it.
[Ed.: Doctors: ‘We’re sorry we only killed 14 million people. We needed to get closer to 7.5 billion. Patients were worth more to us dead than alive. We failed, we’re sorry.’]
Bill Maher Drops Stunning Monologue on the COVID “Experts” Who Got It Wrong [5:11] The Vigilant Fox
March 29, 2024 – “A lot of the dissenting opinions that were suppressed and ridiculed at the time have proven to be CORRECT.”
This includes, but is not limited to:
• COVID came from a lab
• Ivermectin worked
• Masks offered no benefit and were harmful
• Should have never kept kids out of school
• Natural immunity is better than vaccinated immunity
• Long COVID is often a symptom of long vax
• Hospitals murdered COVID patients
• COVID fatality rate and death count were highly inflated
• Unvaccinated were scapegoated for the failure of the shots
• Early treatment was suppressed to make way for a “vaccine”
• Risks of the jab were intentionally hidden from the public
• Vaccine mandates are wrong
• More shots = more risk of infection
• COVID shots are neither safe nor effective
‘Dissolving Illusions’ 10th Anniversary Edition Challenges Vaccine Narratives Analysis by Dr. Joseph Mercola
Just Released: New Proof Vaccines Aren’t Safe and Effective
March 31, 2024 – Explore the latest evidence detailing how the vaccine industry has intentionally deceived us about the risks and benefits to pad their own pockets, with complete disregard for the suffering they have caused untold numbers of victims. This is not anti-vax misinformation – it’s real science.
STORY AT-A-GLANCE
- The updated and expanded 10th anniversary edition of “Dissolving Illusions: Disease, Vaccines, and the Forgotten History,” by Dr. Suzanne Humphries and Roman Bystrianyk, empowers readers with information, encourages critical examination of vaccine policies and advocates for informed consent in medical decisions
- “Dissolving Illusions” is a seminal book that critically examines vaccine science and history
- The new edition includes 200 additional pages, offering updated insights and deepening the historical context of vaccine development and its societal impacts
- The book challenges widely accepted views on vaccines, highlighting discrepancies between public health promises and actual outcomes, including the history of polio and smallpox vaccinations
- Through extensive research, Humphries and Bystrianyk present evidence suggesting that improvements in sanitation and hygiene, rather than vaccines, played a pivotal role in the decline of certain infectious diseases
Is Justice Coming For Victims of COVID Wrongful Deaths? by Paul S. Gardiner
Mar. 30, 2024 6:40 pm – Tens of thousands of American families continue to demand justice for what they believe are the wrongful deaths (murders) of loved ones during the COVID-19 pandemic.
Such justice soon may be coming due in large part to the dedicated efforts of two attorneys in Florida (working pro bono) to thoroughly research the criminal codes of 25 states to identify crimes committed by various high-level officials and organizations prior to and during the COVID-19 pandemic.
One of the attorneys, a former prosecutor, prepared extensive legal briefs (documenting strong evidence of crimes) that have been submitted to the attorneys general of Texas and Florida—the brief was subsequently filed with the Florida Department of Law Enforcement.
In Texas, a total of 22 county district attorneys have received the 27-page brief plus exhibits for review and action. Similar filings soon will be made with the Louisiana and South Carolina attorneys general and perhaps several other state attorneys general. Further information about the Texas brief is here and information about the Florida brief is here.
In the briefs, the alleged crimes are according to each state’s criminal code. The legal briefs/filings request each attorney general to thoroughly investigate the evidence of alleged crimes and if found probable, convene a grand jury, present the evidence, issue criminal indictments, and prosecute the accused to the full extent of the law.
The Texas legal brief, for example, filed at the request of 46 next-of-kin Texas families, lists the following accused persons as subjects of a criminal investigation:
- Anthony Fauci, ex-Director, National Institute of Allergy and Infectious Diseases
- Cliff Lane, Deputy Director, National Institute of Allergy and Infectious Diseases
- Francis Collins, ex-Director, National Institutes of Health
- Deborah Birx, ex-White House COVID Response Coordinator & former Director of DOD HIV Research at Walter Reed Army Institute of Research
- Rochelle Walensky, ex-Director, Centers for Disease Control and Prevention
- Stephen Hahn, ex-Commissioner, Federal Drug Administration
- Robert Redfield, ex-Director, Centers for Disease Control and Prevention
- Peter Daszak, President, Eco-Health Alliance
- Rick Bright, Director of the Biomedical Advanced Research and Development Authority
- The Administrators and Healthcare Providers of hospital systems and facilities providing care to patients in Texas, including but not limited to Baylor, Scott, & White Hospital System (“BSW”)
Alleged crimes per Texas penal code include:
- Capital Murder – Tex. Penal Code §19.03(a)(7)
- Murder – Tex. Penal Code §19.02(b)
- Manslaughter – Tex. Penal Code §19.04
- Trafficking of Persons – Tex. Penal Code §20A.02
- Participation in enterprise through racketeering or unlawful debt collection – Tex. Penal Code 72.04 by Engaging in Organized Criminal Activity – Tex. Penal Code §71.02
- Injury to a child, elderly individual, or disabled individual – Tex. Penal Code §22.04
- Abandoning or endangering a child, elderly individual, or disabled individual – Tex. Penal Code §22.041(c)
- Unlawful Restraint – Tex. Penal Code §20.02.
This effort to investigate Anthony Fauci and other accused persons is supported by donations from individuals and organizations such as the Fight Like A Flynn PAC run by former National Security Advisor retired Lieutenant General Mike Flynn.
Based on the strong evidence of crimes presented in the legal briefs prepared by the Florida attorneys, it is indeed time for state attorneys general to conduct their own investigations.
If the evidence supports criminal charges and indictments, the victims of covid wrongful deaths and their suffering families may finally receive accountability and justice for the egregious crimes committed against them.
Further information about this justice seeking effort can be obtained by contacting the Vires Law Group at https://vireslaw.group/
Paul S. Gardiner is a retired US Army officer, Vietnam veteran, and avid lover of America. He has assisted in locating and communicating with next-of-kin family members in different states who desire accountability and justice for their lost loved ones during the COVID-19 pandemic.
[Ed.:
K Paul Stoller’s excellent well-written paper on the danger of mRNA technology that is in the mRNA COVID vaccines; it is a bioweapon, it is deadly, it was made to kill; a non-sterilizing vaccine DR. PAUL ALEXANDER
Delivering non-lethal force on the target pathogen/antigen where the non-lethal sub-optimal vaccinal antibody pressure drives Darwinian natural selective pressure selecting most ‘fittest’ variants
MAR 30, 2024
‘The Modified Messenger RNA Platform and the Creation of Unintended Proteins: A Genocidal Trojan Horse’
What Stoller is saying in effect, and I have written repeatedly on, including my Canadian colleague Byram Bridle (great brilliant vaccinologist out of Guelph U Canada that at this time is still hunting him down and harassing him and destroying his career) as well as giants like Geert Vanden Bossche (we stand on his shoulders) is that if you want more and more infectious sub-variants to emerge, then you keep administering this mismatched vaccine spike to dominant circulating spike antigen;
all you get when there is elevated infectious pressure (while pathogen circulates) and not enough time for the vaccinal antibodies to ‘mature’ and reach maximal binding affinity to the target antigen, is non-lethal force on the antigen that drives evolutionary adaptations and selection of the ‘hardiest’ and fittest variants to be ‘selected’ and become enriched in the environment and then dominant.
‘The Modified Messenger RNA Platform and the Creation of Unintended Proteins: A Genocidal Trojan Horse’
The Trojan Horse
The nucleoside-modified messenger RNA (modRNA) is a synthetic messenger RNA Trojan Horse that has and will continue to cause untoward deaths and disability. This is not just about the spike protein, a known pathogen [1]. Furthermore, it does not require a degree in immunology to appreciate that if you have the cells of the human body make foreign proteins – especially a pathogen – one’s immune system will attack those cells. The creation of this gene-altering injection was done with malicious intent.
COVID-19 Vaccine Myocarditis Not Healing > 1 Year after Diagnosis PETER A. MCCULLOUGH, MD, MPH
Serial MRI Study Finds 47% Cases Do Not Resolve
MAR 30, 2024 – As a cardiologist, my two greatest fears concerning COVID-19 vaccine myocarditis are: 1) sudden cardiac death, 2) permanent damage to the heart resulting in scar. The reason why scar is important is because it puts the patient at risk for two late complications: 1) malignant arrhythmias and cardiac arrest, 2) development of dilated cardiomyopathy and heart failure.
In clinical practice I have observed a few patients with small areas of damage (<15% of the left ventricle with late gadolinium enhancement) return to normal on follow-up cardiac MRI. However I remain concerned about patients with larger areas of damage.
Warren and colleagues studied patients with COVID-19 vaccine myocarditis with serial MRI data and the following abstract results:
“Sixty-seven patients with C-VAM (mean age 30 ± 13 years, 72% male) underwent CMR evaluation. Median time from vaccination to CMR was 548 (range 398-603) days. Twenty patients (30%) had persistent LGE, most frequently found in the basal inferolateral segment (n = 11). At diagnosis, nine patients (13%) were classified as definite and 58 (87%) as probable myocarditis. With integration of CMR LGE data, 16 patients (28%) were reclassified from probable to definite myocarditis. Persistent LGE on CMR occurs in one third of patients with C-VAM. Without CMR at diagnosis, almost one third of patients are misclassified as probable rather than definite myocarditis.”
However, it was Table 3 that caught my eye—particularly those with baseline and follow up MRI scans completed out to 556 days.
