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Cardiovascular risk factors and probability for cardiovascular events in HIV-infected patients. Part II: gender
Till Neumann1, T Woiwod, A Neumann
1Department of Cardiology, University of Duisburg-Essen, Medical School, Germany. till.neumann@uni-essen.de
Insights
HIV-infected males have a higher cardiovascular disease risk due to unfavorable lipid profiles and higher blood pressure compared to females. This study highlights significant gender differences in cardiovascular risk factors among HIV patients.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- Antiretroviral therapy (ART) and increased survival in HIV patients raise concerns about cardiovascular disease (CVD).
- Understanding gender-specific cardiovascular risk profiles in HIV-infected individuals is crucial.
Purpose of the Study:
- To analyze the cardiovascular risk profile and 10-year probability of cardiovascular events in HIV-infected patients.
- To investigate gender differences in cardiovascular risk factors and outcomes.
Main Methods:
- Analysis of cardiovascular risk factors in 309 HIV-infected adults (240 males).
- Evaluation of 10-year cardiovascular event probability using the Framingham algorithm.
Main Results:
- HIV-infected males showed higher rates of smoking, lower HDL-cholesterol, higher triglycerides, and elevated systolic blood pressure compared to females.
- The 10-year probability of cardiovascular events was significantly higher in males (8.7%) than in females (1.7%).
- No significant gender difference in HbA1c levels was observed.
Conclusions:
- Significant gender disparities exist in the cardiovascular risk profiles of HIV-infected individuals.
- HIV-infected males face a substantially elevated risk of premature atherosclerosis and cardiovascular events.
Objective:
Due to the side effects of antiretroviral therapy and long term survival there is an increasing concern of an elevated rate of cardiovascular diseases in HIV-infected patients. The present study analysed the cardiovascular risk profile and the probability of cardiovascular events in HIV-infected patients, due to differences of gender.
Methods:
Cardiovascular risk factors of 309 HIV-infected adults, including 240 males were analysed. Overall 10-years probability for cardiovascular events was evaluated by the Framingham algorithm.
Results:
Gender differences were detected in cardiovascular risk factors such as lipid values, blood pressure and the rate of smoking. Tobacco use was much more common in HIV-infected males compared with HIV-infected females (67.5% vs. 49.3%; p<0.001). Although no significant difference was noticed in total cholesterol (5.49 +/- 0.09 vs. 5.53 +/- 0.19 mmol/L, p = 0.84), the HDL-cholesterol concentration was significantly lower (1.09 +/- 0.03 vs. 1.36 +/- 0.06 mmol/L, p < 0.001) and the triglyceride concentration higher (3.01 +/- 0.21 vs. 2.06 +/- 0.26 mmol/L, p = 0.02) in HIV-infected males compared to HIV-infected females. Additionally, systolic blood pressure was higher in HIV-infected males compared with HIV-infected females (123.1 +/- 1.1 vs. 115.4 +/- 2.1 mmHg, p < 0.01). No significant differences were detected in HbA1c concentrations between both groups (5.15 +/- 0.07 vs. 5.31 +/- 0.11, p = 0.26). The overall 10-years probability for cardiovascular events was 8.7% (median) in HIV-infected males and 1.7% in HIV-infected females (p < 0.0001).
Conclusions:
In the present study, we observed gender differences in the cardiovascular risk profile of HIV-infected individuals. The risk of premature atherosclerosis and associated cardiovascular events was significantly higher in HIV-infected males.
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