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Pre-eclampsia: does cardiac function differ in HIV-positive and -negative women?
Raeesa Bhorat1, Ismail Bhorat2, Olive P Khaliq3
1Department of Cardiology, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa.
Insights
This review examines how pre-eclampsia and HIV infection impact cardiac function, noting their combined effects and potential bidirectional pathophysiology. Further research is crucial for developing new treatments for these interrelated cardiovascular health challenges.
Area of Science:
- Cardiology
- Infectious Diseases
- Obstetrics
Background:
- Cardiovascular diseases complicate pregnancies affected by HIV and pre-eclampsia.
- Pre-eclampsia is linked to both systolic and diastolic cardiac dysfunction.
- A dual, bidirectional pathophysiology may link placental factors, cardiac function, and pre-eclampsia risk.
Purpose of the Study:
- To establish the impact of pre-eclampsia and HIV infection on cardiac function.
- To explore the interrelated pathophysiology of cardiovascular disease, HIV, and pre-eclampsia.
- To identify areas for future research and therapeutic interventions.
Main Methods:
- Literature review synthesizing existing research on pre-eclampsia, HIV, and cardiac function.
- Analysis of pathophysiological links between cardiovascular disease, HIV, and pre-eclampsia.
- Identification of the influence of antiretroviral therapy on cardiac function.
Main Results:
- Both pre-eclampsia and HIV infection contribute to cardiac dysfunction.
- Antiretroviral therapy also impacts cardiac function.
- The interplay between these conditions presents significant cardiovascular challenges.
Conclusions:
- Pre-eclampsia and HIV infection significantly affect cardiac function.
- Understanding the bidirectional pathophysiology is key for future interventions.
- Further research is needed to develop novel therapeutic strategies for these complex conditions.
Abstract:
This review aimed to establish the impact of pre-eclampsia and HIV infection on cardiac function. Cardiovascular diseases have been reported to affect pregnancies complicated by both HIV and pre-eclampsia. Pre-eclampsia has been found to be associated with both systolic and diastolic dysfunction. Currently it has been found that there may be a dual, bidirectional pathophysiology, where placenta-mediated factors can influence cardiac function, or pre-existing cardiovascular disease can predispose to pre-eclampsia. Cardiovascular disease, HIV and pre-eclampsia are major health challenges individually and are interrelated with regard to pathophysiology. It has been found that both pre-eclampsia and HIV contribute to cardiac dysfunction as does the impact of antiretroviral therapy. Further research is needed to investigate the link between these diseases for the development of novel therapeutic interventions.
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