Correspondence Influenza Vaccination or Treatment for Influenza- Associated

leagues provide further evidence that an association exists between influenza, hos-pitalization, and death from acute myo-cardial infarction (AMI) [1]. Their earlier review [2] and an editorial commentary by Finelli and Chaves accompanying their article [3] document many studies of different design that support their find-ings. Yet acute respiratory infections due toother pathogens, including Streptococcus pneumoniae and Staphylococcus aureus, can also be followed within a few days by AMI [4,5]. Inflammatory changes induced by infection can disrupt the surface of coronary plaques, exposing underlyin