对艾滋病毒感染者的心力衰竭表型和医生判断的病因学的多中心研究
Nour Beydoun1, Robin M Nance2, Matthew S Durstenfeld3
1Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
AIDS (London, England)
|March 18, 2025
概括
艾滋病毒感染者的心力衰竭 (HF) 风险与艾滋病毒控制和传统风险因素有关. 非缺血性HF是最常见的,强调需要管理复杂的相互作用以预防.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 关于艾滋病毒 (PWH) 感染者心力衰竭 (HF) 现型的数据有限.
- 之前的多中心研究没有在PWH中由医生判定HF表型和病因.
研究的目的:
- 调查PWH中的HF表型和病因.
- 检查艾滋病毒特异性和心脏代谢风险因素与发生的高频率肺炎的关联.
主要方法:
- 在PWH队列 (2010-2021) 中,医生对HF事件和亚现象的判断.
- 考克斯比例危险回归分析事件HF的风险因素.
- 对缺血和非缺血HF病因的探索性分析.
主要成果:
- 较高的病毒载量和较低的CD4 T细胞计数与发生的HF相关.
- 老年,吸烟,高血压,糖尿病,心肌梗塞和功能不全增加了HF风险.
- 非缺血性HF和减少喷射分数 (HFrEF) 的HF更为常见.
结论:
- 艾滋病毒病毒,CD4 T细胞数量低,传统心血管疾病 (CVD) 风险因素和功能衰竭在PWH中增加HF风险.
- 非缺血性HF是主要的亚型.
- 在PWH中预防HF需要解决艾滋病毒和心血管疾病风险因素之间的相互作用.
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