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Amplifying and Quantifying HIV-1 RNA in HIV Infected Individuals with Viral Loads Below the Limit of Detection by Standard Clinical Assays
Published on: September 26, 2011
What happens to cardiovascular system behind the undetectable level of HIV viremia?
Gabriella d'Ettorre1, Giancarlo Ceccarelli1, Paolo Pavone1
1Department of Public Health and Infectious Diseases, University of Rome "Sapienza", Viale del Policlinico 155, Rome, Italy.
Insights
Despite improvements in HIV treatment, cardiovascular diseases remain a significant concern for infected individuals. This review explores new insights into managing non-AIDS-related heart conditions in patients with suppressed HIV.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- Combined antiretroviral therapy (cART) has improved HIV patient longevity and quality of life.
- HIV-infected individuals still face reduced survival rates compared to the general population, largely due to non-infectious illnesses like cardiovascular diseases.
- Studies show an elevated risk of coronary atherosclerotic disease and myocardial infarction in HIV patients on cART.
Purpose of the Study:
- To review current understanding and new insights into non-AIDS-related cardiovascular diseases in HIV patients with suppressed viral load.
- To address the challenges in managing cardiovascular comorbidities in the context of HIV infection.
Main Methods:
- This is a review article, synthesizing existing research and literature.
- Focuses on factors contributing to cardiovascular disease pathogenesis in HIV patients.
- Examines clinical management strategies for cardiovascular issues in this population.
Main Results:
- Multiple factors contribute to cardiovascular problems in HIV patients, including lifestyle, metabolic parameters, genetics, viral factors, immune activation, chronic inflammation, and cART side effects.
- These factors complicate the clinical management of cardiovascular diseases in HIV-infected individuals.
- Non-infectious illnesses, particularly cardiovascular diseases, represent an emerging challenge for physicians treating HIV patients.
Conclusions:
- Cardiovascular disease management in HIV patients with suppressed viremia requires a comprehensive approach.
- Understanding the multifactorial pathogenesis is crucial for effective treatment.
- Further research and clinical strategies are needed to mitigate cardiovascular risks in the HIV-infected population.
Abstract:
Despite the combined antiretroviral therapy has improved the length and quality of life of HIV infected patients, the survival of these patients is always decreased compared with the general population. This is the consequence of non-infectious illnesses including cardio vascular diseases. In fact large studies have indicated an increased risk of coronary atherosclerotic disease, myocardial infarction even in HIV patients on cART. In HIV infected patients several factors may contribute to the pathogenesis of cardiovascular problems: life-style, metabolic parameters, genetic predisposition, viral factors, immune activation, chronic inflammation and side effects of antiretroviral therapy. The same factors may also contribute to complicate the clinical management of these patients. Therefore, treatment of these non-infectious illnesses in HIV infected population is an emerging challenge for physicians. The purpose of this review is to focus on the new insights in non AIDS-related cardiovascular diseases in patients with suppressed HIV viremia.
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