[Cardiovascular risk in HIV infected patients]

Pedro Raimundo1, A Miranda, J Ribeiro

  • 1Serviço de Medicina Interna - Unidade Funcional 1.2, Hospital São José (CHLC), Lisboa.

Acta Medica Portuguesa
|August 7, 2010
PubMed

Insights

HIV infection and its treatment increase cardiovascular risk. Endothelial dysfunction and metabolic issues contribute to early atherosclerosis, necessitating tailored prevention and optimized therapies.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pharmacology

Background:

  • HIV infection is associated with increased cardiovascular risk.
  • Antiretroviral therapy (ART) may also contribute to cardiovascular complications.
  • Endothelial dysfunction and metabolic abnormalities are key mechanisms involved.

Purpose of the Study:

  • To highlight the elevated cardiovascular risk in patients with HIV.
  • To discuss the underlying mechanisms linking HIV and ART to cardiovascular disease.
  • To emphasize the need for improved prevention and treatment strategies.

Main Methods:

  • Review of existing literature on HIV, ART, and cardiovascular risk.
  • Analysis of the pathophysiological links between HIV infection, ART, and atherosclerosis.
  • Discussion of current and potential therapeutic interventions.

Main Results:

  • Both HIV infection and ART are implicated in heightened cardiovascular risk.
  • Endothelial dysfunction and metabolic disturbances predispose to premature atherosclerosis.
  • Early identification of risk is crucial for effective management.

Conclusions:

  • Patients with HIV are at increased risk for cardiovascular events.
  • Management strategies should focus on preventing atherosclerosis.
  • Optimizing ART and utilizing lipid-lowering agents are key therapeutic approaches.

Related Concept Videos

Sexually Transmitted Infections01:26

Sexually Transmitted Infections

Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
Retrovirus Life Cycles01:10

Retrovirus Life Cycles

Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the retrovirus to...
Pulmonary Tuberculosis I01:29

Pulmonary Tuberculosis I

Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
Cryptococcal Meningitis01:27

Cryptococcal Meningitis

Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...
Ischemic Heart Disease: Overview01:17

Ischemic Heart Disease: Overview

Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and narrowing...