shingles rash

Recent research from South Korea raises the unsettling prospect that an attack of shingles is not only painful but scary. It could raise the risk of heart attack.

What Is Shingles?

Shingles, known medically as herpes zoster, is a one-sided rash that may appear decades after a person had chickenpox. The varicella zoster virus responsible for chickenpox gets reactivated. After that, it causes a very painful outbreak in a single line or on only one side of the body or the face. Before the rash develops, a person may notice an elevated temperature or a headache and feel unwell. The skin may tingle or itch for a few days in the area where the rash eventually appears. People suffer for a shorter time if they take antiviral drugs such as acyclovir, famciclovir or valacyclovir within the first few days of the attack.

Complications:

Doctors generally think of shingles as a temporary problem unless a person develops a complication. One is postherpetic neuralgia, excruciating pain that lasts long after the rash has disappeared. Shingles that spreads into the eye is another serious complication.

Shingles Linked to Risk of Heart Attack:

Now, however, physicians should consider shingles as a red flag for the heart. The Korean researchers titled their report: “Herpes Zoster Increases the Risk of Stroke and Myocardial Infarction.”

They used records from the South Korea National Health Insurance Service between 2003 and 2013. There were 519,880 people in the group they examined. During that time, 23,213 people developed shingles. The scientists matched these patients to other who served as the control subjects.

What Was Their Risk of Heart Attack?

Alarmingly, people who had shingles were 41 percent more likely to have a heart attack or stroke. The risk of stroke rose by 35 percent, while the risk of heart attack soared by 59 percent.

The investigators don’t know why shingles is linked to a risk of heart attack. They suggest, however, that primary care physicians whose patients have shingles should watch for other risk factors. People would than be able to take further steps, such as quitting smoking or starting an exercise program, that would mitigate their risk of cardiovascular disease.

Kim et al, Journal of the American College of Cardiology, July 11, 2017

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  1. Jane
    south
    Reply

    As to the question of how long does the elevated risk of heart attack and stroke last after a shingles attack, I read somewhere that the risk is elevated for the next year following the attack. Don’t know if this is correct or not but it makes sense.

  2. anonymous
    metro atlanta
    Reply

    Are you saying that the risk is elevated while enduring a shingles attack, or that having endured a shingles attack ever elevates risk of having a heart attack at some later date? Please clarify? Thank you so much.

  3. Joan
    Reply

    I just read about Shingles raising the risk of stroke and heart attacks. This does not come as a surprise to me as I remember back in the 1970s my late Father had them and his GP mentioning that shingles left their mark and raised the risk for several serious conditions including heart attacks and strokes and he monitored my dad for blood pressure etc.

    In fact, many people worried about the fall out from shingles, anything that hits the nerve pathway in the body has the potential to cause heart problems and any misalignments has the potential to do the same.

  4. Janet
    O'Fallon, MO
    Reply

    I had read that a person, who has already had Shingles, may have another episode of Shingles if they get a Shingles shot. Is there truth to that?

  5. Marge
    Florida
    Reply

    Had shingles years ago and it was very, very painful. After all these years, I still have to remove “bones” from bras. When a shingles shot was offered, I took it several years ago. Never want to go through another shingles attack!

  6. Marion
    Missouri
    Reply

    Heres a question: Is the heart attack/stroke risk increased during shingles episode or for a lifetime after shingles episode??

  7. Bob
    Tampa, Florida
    Reply

    So, are you at increased risk only during a shingles attack, or does that risk continue after the episode is over?

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