Depressive Symptoms and Left Ventricular Diastolic Dysfunction Among Men and Women with HIV

Claudia Martinez1, Nel Jason Haw2, Violeta J Rodriguez3

  • 1University of Miami Miller School of Medicine, Florida, USA.

European Medical Journal. Cardiology
|February 12, 2025
PubMed

Insights

Depressive symptoms were not significantly linked to left ventricular diastolic dysfunction (LVDD) in adults with or without HIV. Further research is needed to understand this relationship in the context of modern HIV treatment.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Psychiatry

Background:

  • Depressive symptoms are common in adults with HIV and linked to cardiovascular disease.
  • Left ventricular diastolic dysfunction (LVDD) is a cardiac condition that can affect heart function.

Purpose of the Study:

  • To investigate the association between depressive symptoms and LVDD in men and women living with and without HIV.

Main Methods:

  • Cross-sectional analysis of data from the Multicenter AIDS Cohort Study (MACS) and Women's Interagency HIV Study (WIHS).
  • Participants had controlled HIV (CD4 >350, viral load <499).
  • LVDD was assessed using the Characterizing Heart Function on Antiretroviral Therapy (CHART) criteria; statistical models adjusted for multiple factors.

Main Results:

  • The study included 874 men and 1,191 women; 22.5% had LVDD and 30.8% reported depressive symptoms.
  • Depressive symptoms were not significantly associated with LVDD overall.
  • Associations between individual LVDD components and depression were small to medium but generally not significant.

Conclusions:

  • The study did not find a significant association between depressive symptoms and LVDD in people with HIV on combination antiretroviral therapy.
  • Further research is warranted to explore this relationship in the current treatment era.
Abstract

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