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Published on: January 12, 2016
[Stroke in HIV-infected patients]
Ireneia Lino1, António Sousa, José Correia
1Serviço de Medicina 2, Hospital do Espírito Santo, Evora.
Insights
Human immunodeficiency virus (HIV) infection is now a chronic condition due to new treatments. This review examines the increased risk of stroke in HIV patients, especially those on highly active antiretroviral therapy (HAART).
Area of Science:
- Neurology
- Infectious Diseases
- Cardiology
Context:
- The management of human immunodeficiency virus (HIV) infection has evolved, shifting it towards a chronic disease model.
- Historically, stroke in HIV patients was attributed to opportunistic infections or tumors.
- Emerging evidence suggests vascular diseases, including stroke, pose a significant threat to patients undergoing highly active antiretroviral therapy (HAART).
Purpose:
- To review the complex association between HIV infection and stroke.
- To analyze the evolving risk factors for stroke in the context of modern HIV treatment regimens.
- To highlight the impact of HAART on cerebrovascular disease in HIV-positive individuals.
Summary:
- This paper synthesizes current knowledge on the relationship between HIV and stroke.
- It investigates how advancements in HIV treatment, particularly HAART, may influence stroke risk.
- The review analyzes the changing landscape of HIV disease spectrum and its implications for vascular health.
Impact:
- Provides a comprehensive overview of HIV-associated stroke, crucial for clinicians managing these patients.
- Highlights the need for increased vigilance regarding cardiovascular risk in HIV-positive individuals on HAART.
- Informs future research directions into the mechanisms and prevention of stroke in the context of HIV infection.
Abstract:
The spectrum of human immunodeficiency virus infection (HIV) is changing. New drug treatments have reduced morbidity and mortality of this disease, therefore it is necessary to start treating the HIV infection as a chronical disease. The association of the stroke with the HIV infection was inicially thought to be a result of other opportunistic infeccions and tumors. However, the vascular disease associated with HIV infection has been a subject of research and debate. New evidence shows that the vascular diseases could be a threat for the pacients doing highly active antirretroviral therapy (HAART). In this paper, we review the association between the HIV infection and stroke. Furthermore, we have done an analysis of the risk for the stroke on pacients with HIV infection considering the changes of the infection spectrum by the introduction of HAART.
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