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Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
[Prevalence of cardiovascular risk factors in HIV-infected patients]
C Jericó1, H Knobel, M L Sorli
1Servicio de Medicina Interna y Enfermedades Infecciosas, Hospital del Mar, Universidad Autónoma de Barcelona, Barcelona, España.
Insights
In human immunodeficiency virus (HIV)-infected patients, smoking and low high-density lipoprotein (HDL) cholesterol are the most common cardiovascular risk factors. This study highlights key areas for intervention in HIV care.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- Cardiovascular disease (CVD) is a significant concern in human immunodeficiency virus (HIV)-infected populations.
- Understanding the prevalence of CVD risk factors in HIV patients is crucial for effective management.
Purpose of the Study:
- To determine the prevalence of various cardiovascular risk factors among HIV-infected patients.
- To identify the most common risk factors within this specific cohort.
Main Methods:
- A cross-sectional study was conducted with 760 HIV-infected patients aged 20 and above.
- Data collected included clinical and epidemiological characteristics, and cardiovascular risk factors.
Main Results:
- The average patient had 1.5 cardiovascular risk factors.
- Smoking was the most prevalent risk factor (66.8%), followed by age/gender (26.4%) and family history (14.3%).
- Hypertension (13.2%), diabetes (4.3%), and abnormal high-density lipoprotein (HDL) cholesterol levels were also observed.
Conclusions:
- Smoking and abnormal HDL cholesterol levels were identified as the primary cardiovascular risk factors in this HIV-infected cohort.
- These findings underscore the importance of addressing these specific risk factors in HIV patient care.
Introduction:
To determine the prevalence of cardiovascular risk factors in human immunodeficiency virus (HIV)-infected patients.
Patients And Method:
A cross-sectional study was performed with HIV-infected patients aged 20 or over managed at the outpatient Infectious Disease Unit during 2003. Clinical and epidemiological characteristics of HIV infection and cardiovascular risk factors were evaluated.
Results:
The final 760 patients included in the study had a mean of 1.5 cardiovascular risk factors, with smoking being the most prevalent (66.8%; CI 95%: 63.4-70.2). The cardiovascular risk factor of age and gender was present in 26.4% (CI 95%: 23.3-29.7) of patients and family history of premature coronary heart disease in 14.3% (CI 95%: 11.8-16.9). The prevalence of hypertension and diabetes mellitus was 13.2% (CI 95%: 10.8-15.8) and 4.3% (CI 95%: 3.0-6.0), respectively. High density lipoprotein (HDL) cholesterol concentration under 40 mg/dl was found in 29.3% (CI 95%: 26.1-32.7) and above 60 mg/dl in 16.3% (CI 95%: 13.8-19.1). Twenty-five patients (3.3%; CI 95%: 2.1-4.8) had suffered overt cardiovascular disease.
Conclusion:
Smoking and HDL cholesterol were the main cardiovascular risk factors in this HIV-infected cohort.
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