Cardiovascular Risk Factors, Angiographical Features and Short-Term Prognosis of Acute Coronary Syndrome in People Living with Human Immunodeficiency Virus: Results of a Retrospective Observational Multicentric Romanian Study.
Mircea BajdechiAdriana GurgheanVlad BatailaAlexandru Scafa-UdristeRoxana RadoiAnca Cristiana OpreaAdrian MarinescuStefan IonValentin Puiu ChioncelAlina NiculaAchilleas AnastasiouGeorgiana-Elena BajdechiIlinca Savulescu-FiedlerIrina Magdalena DumitruSorin RuginaPublished in: Diagnostics (Basel, Switzerland) (2023)
People living with human immunodeficiency virus have increased cardiovascular risk due to a higher prevalence of traditional and particular risk factors such as chronic inflammation, immune dysregulation, endothelial dysfunction, coagulation abnormalities and antiretroviral therapy. In developed countries, coronary artery disease has become the most frequent cardiovascular disease and an important cause of mortality in these patients. The symptomatology of an acute coronary syndrome can be atypical, and the prevalence of each type of acute coronary syndrome is reported differently. Regarding coronary artery disease severity in people living with HIV, the literature data indicates that the presence of single-vessel disease is akin to that of HIV-negative patients, and their short-term prognosis is unclear. This study aims to assess the clinical characteristics, biological parameters, angiographical features and short-term prognosis of acute coronary syndrome in a cohort of Romanian people living with human immunodeficiency virus.
Keyphrases
- human immunodeficiency virus
- antiretroviral therapy
- acute coronary syndrome
- hiv infected
- hepatitis c virus
- risk factors
- hiv positive
- hiv aids
- end stage renal disease
- cardiovascular disease
- percutaneous coronary intervention
- hiv infected patients
- cardiovascular risk factors
- coronary artery disease
- coronary artery
- chronic kidney disease
- ejection fraction
- antiplatelet therapy
- newly diagnosed
- cardiovascular events
- prognostic factors
- peritoneal dialysis
- pulmonary artery
- heart failure
- oxidative stress
- coronary artery bypass grafting
- patient reported outcomes
- atrial fibrillation
- cross sectional