Assessment of cardiac diastolic dysfunction in HIV-infected people without cardiovascular symptoms in China

被引:21
作者
Luo, L. [1 ]
Ye, Y. [2 ,3 ]
Liu, Z. [1 ]
Zuo, L. [1 ]
Li, Y. [1 ]
Han, Y. [1 ]
Qiu, Z. [1 ]
Li, L. [2 ,3 ]
Zeng, Y. [2 ,3 ]
Li, T-S [1 ]
机构
[1] Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Infect Dis, Beijing 100730, Peoples R China
[2] Chinese Acad Med Sci, Dept Cardiovasc Dis, Beijing 100730, Peoples R China
[3] Peking Union Med Coll, Beijing 100021, Peoples R China
关键词
HIV; HAART; echocardiography; zidovudine; diastolic dysfunction; REVERSE-TRANSCRIPTASE INHIBITORS; POSITIVE PATIENTS; VENTRICULAR DYSFUNCTION; ANTIRETROVIRAL THERAPY; MITOCHONDRIAL-DNA; DISEASE; MEN; ABNORMALITIES; MULTICENTER; IMPACT;
D O I
10.1258/ijsa.2010.010168
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
This study assessed cardiac diastolic dysfunction (DD) in HIV-infected subjects without cardiovascular symptoms in China. Eighty-four HIV-infected patients without cardiovascular symptoms were recruited and compared with 30 HIV-negative control subjects. Cardiac DD was evaluated using echocardiography including tissue Doppler imaging. DD was detected in 47.6% of AIDS patients and 42.8% of HIV-positive patients, which was significantly higher than in HIV-negative controls. After logistic regression analysis, HIV infection was independently correlated with cardiac DD (P < 0.05). Among HIV-positive subjects, logistic regression analysis showed that zidovudine exposure was associated with higher prevalence of DD (P < 0.05). Asymptomatic cardiac DD was observed frequently in HIV-infected subjects. HIV infection itself and zidovudine exposure were correlated with a higher prevalence of cardiac DD.
引用
收藏
页码:814 / 818
页数:5
相关论文
共 30 条
[1]   Early impairment of systolic and diastolic function in asymptomatic HIV-positive patients: A multicenter echocardiographic and echo-Doppler study [J].
Barbaro, G ;
Barbarini, G ;
DILorenzo, G .
AIDS RESEARCH AND HUMAN RETROVIRUSES, 1996, 12 (16) :1559-1563
[2]   RETRACTED: Incidence of dilated cardiomyopathy and detection of HIV in myocardial cells of HIV-positive patients (Retracted Article. See vol 347, pg 140, 2002) [J].
Barbaro, G ;
Di Lorenzo, G ;
Grisorio, B ;
Barbarini, G .
NEW ENGLAND JOURNAL OF MEDICINE, 1998, 339 (16) :1093-1099
[3]   Cardiovascular and cerebrovascular events in patients treated for human immunodeficiency virus infection [J].
Bozzette, SA ;
Ake, CF ;
Tam, HK ;
Chang, SW ;
Louis, TA .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (08) :702-710
[4]   Left ventricular dysfunction in human immunodeficiency virus (HIV)-infected patients [J].
Cardoso, JS ;
Moura, B ;
Martins, L ;
Mota-Miranda, A ;
Gonçalves, FR ;
Lecour, H .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 1998, 63 (01) :37-45
[5]   Adverse effects of antiretroviral therapy [J].
Carr, A ;
Cooper, DA .
LANCET, 2000, 356 (9239) :1423-1430
[6]   Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) [J].
Cleeman, JI ;
Grundy, SM ;
Becker, D ;
Clark, LT ;
Cooper, RS ;
Denke, MA ;
Howard, WJ ;
Hunninghake, DB ;
Illingworth, DR ;
Luepker, RV ;
McBride, P ;
McKenney, JM ;
Pasternak, RC ;
Stone, NJ ;
Van Horn, L ;
Brewer, HB ;
Ernst, ND ;
Gordon, D ;
Levy, D ;
Rifkind, B ;
Rossouw, JE ;
Savage, P ;
Haffner, SM ;
Orloff, DG ;
Proschan, MA ;
Schwartz, JS ;
Sempos, CT ;
Shero, ST ;
Murray, EZ .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 285 (19) :2486-2497
[7]   A probable primary HIV infection associated with acute non-specific myocarditis causing severe dilated cardiomyopathy [J].
Eerens, F ;
Van Cleemput, J ;
Peetermans, WE .
ACTA CLINICA BELGICA, 1999, 54 (04) :220-222
[8]   Cardiovascular disease risk factors in HIV patients -: association with antiretroviral therapy.: Results from the DAD study [J].
Friis-Moller, N ;
Weber, R ;
Reiss, P ;
Thiébaut, R ;
Kirk, O ;
Monforte, AD ;
Pradier, C ;
Morfeldt, L ;
Mateu, S ;
Law, M ;
El-Sadr, W ;
De Wit, S ;
Sabin, CA ;
Phillips, AN ;
Lundgren, JD .
AIDS, 2003, 17 (08) :1179-1193
[9]   New Doppler echocardiographic applications for the study of diastolic function [J].
Garcia, MJ ;
Thomas, JD ;
Klein, AL .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1998, 32 (04) :865-875
[10]   Assessment of cardiac function with Doppler tissue imaging in asymptomatic HIV-infected patients [J].
Karavidas, Apostolos ;
Foukarakis, Manolis ;
Lazaros, George ;
Chini, Maria ;
Fotiadis, Ioannis ;
Arapi, Sophia ;
Gialernios, Theodoros ;
Potarnitis, Nicolaos ;
Gargalianos, Panos ;
Matsakas, Evangellos ;
Stefanadis, Christodoulos .
INTERNATIONAL JOURNAL OF STD & AIDS, 2008, 19 (04) :227-231