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Published on: June 11, 2019
HIV-related cardiac complications: CT and MRI findings
Takahiko Nakazono1, Jean Jeudy, Charles S White
1Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, USA. nakazot@hotmail.co.jp
Insights
Cardiovascular complications in patients with HIV infection are diverse and challenging to diagnose. Computed tomography (CT) and magnetic resonance imaging (MRI) aid in noninvasively evaluating these HIV-related heart conditions.
Area of Science:
- Cardiology
- Infectious Diseases
- Radiology
Background:
- HIV infection can lead to various cardiovascular complications affecting the heart muscle, valves, lining, and blood vessels.
- These complications arise from direct HIV effects, opportunistic infections, HIV-associated malignancies, and antiretroviral therapy side effects.
Purpose of the Study:
- To review computed tomography (CT) and magnetic resonance imaging (MRI) findings associated with cardiovascular diseases in individuals with HIV infection.
- To highlight the utility of advanced imaging in diagnosing complex cardiovascular manifestations of HIV.
Main Methods:
- Review of existing literature and imaging findings.
- Analysis of CT and MRI characteristics in patients with known HIV.
Main Results:
- HIV-related cardiovascular diseases encompass a spectrum of myocardial, endocardial, pericardial, and vascular pathologies.
- Imaging findings can be subtle and overlap, complicating diagnosis.
Conclusions:
- Cardiovascular complications in HIV patients often present with overlapping features, posing diagnostic challenges.
- CT and MRI are valuable noninvasive tools for assessing the diverse cardiovascular manifestations of HIV infection.
Objective:
Cardiovascular complications in patients with HIV infection include myocardial, endocardial, pericardial, and vascular diseases. The complications are caused by the HIV infection itself, opportunistic infections, HIV-related tumors, and the side effects of highly active antiretroviral therapy. The article reviews the CT and MRI findings suggestive of HIV-related cardiovascular diseases.
Conclusion:
The cardiovascular complications of HIV infection frequently overlap, making the diagnosis difficult. CT and MRI are useful for the noninvasive evaluation of these complications.
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