Original Investigation

Bivalent RSV Prefusion F Protein–Based Vaccine for Preventing Cardiovascular Hospitalizations in Older Adults

JAMA 10.1001/jama.2025.15405

August 30, 2025 at 8:15 AM EDT

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What is the effect of the bivalent respiratory syncytial virus prefusion F protein–based (RSVpreF) vaccine on cardiorespiratory and cardiovascular hospitalizations?In this randomized clinical trial including 131 276 adults aged 60 years or older, the incidence of all-cause cardiorespiratory hospitalization was significantly lower in the RSVpreF group compared with the control group (26.3 vs 29.2 events per 1000 participant-years). The incidence of all-cause cardiovascular hospitalization was 16.4 vs 17.7 events per 1000 participant-years, a nonsignificant difference.Among adults aged 60 years or older, use of the RSVpreF vaccine prevented cardiorespiratory hospitalizations.

Corresponding Author: Tor Biering-Sørensen, MD, MSc, MPH, PhD, Center for Translational Cardiology and Pragmatic Randomized Trials, Department of Cardiology, Copenhagen University Hospital–Herlev and Gentofte, Gentofte Hospitalsvej 8, 3.th., 2900 Hellerup, Denmark (tor.biering@gmail.com).

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