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Published on: October 6, 2016
Cardiovascular risk assessment for persons living with HIV
Emily G Burke1, Joan Nelson, Jeffrey Kwong
1Sheridan Health Services, Denver, CO, USA.
Insights
Cardiovascular risk assessment is crucial for people with HIV (PLWH) due to increased life expectancy and shared comorbidities. Implementing systematic risk assessment, like the Framingham Risk score, helps identify and manage these risks effectively.
Area of Science:
- Public Health
- Infectious Diseases
- Cardiology
Background:
- Increased survival for people living with HIV (PLWH) due to effective antiretroviral therapy (ART) leads to aging populations sharing general comorbidities.
- Cardiovascular disease (CVD) is a leading cause of death in the US and poses a significant risk to the aging PLWH population.
- Accurate cardiovascular risk assessment is essential for effective risk reduction strategies in PLWH.
Purpose of the Study:
- To highlight the importance of systematic cardiovascular risk assessment in persons living with HIV (PLWH).
- To present findings from a quality-improvement (QI) initiative focused on implementing cardiovascular risk assessment in an infectious-disease practice.
- To evaluate the use of the Framingham Risk (FR) score for assessing cardiovascular risk in PLWH.
Main Methods:
- Literature review on the importance of cardiovascular risk assessment for PLWH.
- Description of a quality-improvement (QI) initiative.
- Implementation of systematic cardiovascular risk assessment using the Framingham Risk (FR) score within an infectious-disease practice.
Main Results:
- The study emphasizes the growing need for cardiovascular risk assessment in PLWH.
- Findings from the QI initiative demonstrate the feasibility of implementing systematic assessment.
- The Framingham Risk (FR) score was utilized to assess cardiovascular risk in the PLWH population.
Conclusions:
- Systematic cardiovascular risk assessment is vital for the aging PLWH population.
- Quality improvement initiatives can successfully integrate tools like the Framingham Risk score into clinical practice for PLWH.
- Proactive risk identification is the first step towards mitigating cardiovascular disease in persons living with HIV.
Abstract:
Systematic assessment of cardiovascular risk among persons living with HIV (PLWH) has become more important as HIV survival has increased. Since the advent of effective antiretroviral therapy (ART), PLWH often enjoy life expectancies equal to those of the general population. PLWH then share the same comorbidities as the general population, with some increased risks due to HIV and ART. One comorbidity, cardiovascular disease, is the leading cause of death in the United States. As the current population of PLWH ages, reducing cardiovascular risk will become even more important. Before cardiovascular risk reduction can take place, providers must first know the patient's risks. This paper describes the importance of cardiovascular risk assessment for PLWH based on current literature and presents findings from a quality-improvement (QI) initiative designed to implement systematic cardiovascular assessment using the Framingham Risk (FR) for PLWH in an infectious-disease practice.
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