Cardiac Catheterization Procedures in Patients with HIV: A Retrospective Analysis.
Bertrand EbnerLouis VincentJelani K GrantClaudia MartinezPublished in: Journal of cardiovascular development and disease (2021)
With the advent of effective antiretroviral therapies, there has been a decrease in HIV-related mortality, but an increase in non-AIDS-related comorbidities including cardiovascular disease (CVD). We sought to investigate current status of cardiac catheterization (CC) procedures in people with HIV (PWH). This is a retrospective study done at a University Hospital in South Florida between 2017 and 2019. Medical records from 985 PWH indicated that CC was performed in 1.9% of the cases. Of the PWH who underwent CC, 68% were found to have obstructive coronary artery disease (CAD). Among obstructive CAD cases, PCI was performed in 77% and CABG in 21% of cases; 26% had a repeat procedure and 11% died from non-cardiac causes. When comparing PWH who had CC to those who did not, there was a significantly higher rate of statin use (63% vs. 25%, p < 0.015) and a higher prevalence of low ejection fraction (38% vs. 11%, p = 0.004) among those patients who underwent CC. However, there was no significant difference in the prevalence of hypertension (p = 0.13), HbA1c levels (p = 0.32), CD4 count (p = 0.45) nor in undetectable viral load status (p = 0.75) after controlling for age, sex and BMI. Despite the finding of traditional CVD risk factors among PWH, there were no differences in HIV-related factors among patients requiring CC, supporting the importance of optimization of traditional CVD risk factors in this population.
Keyphrases
- risk factors
- antiretroviral therapy
- coronary artery disease
- hiv positive
- ejection fraction
- hiv infected
- human immunodeficiency virus
- hiv testing
- hiv aids
- men who have sex with men
- cardiovascular disease
- hiv infected patients
- hepatitis c virus
- aortic stenosis
- cardiovascular events
- left ventricular
- coronary artery bypass grafting
- percutaneous coronary intervention
- healthcare
- south africa
- current status
- newly diagnosed
- type diabetes
- end stage renal disease
- body mass index
- chronic kidney disease
- acute myocardial infarction
- ultrasound guided
- heart failure
- st segment elevation myocardial infarction