Evidence map›Paper›PMID 25588033›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2015

HIV infection, cardiovascular disease risk factor profile, and risk for acute myocardial infarction.

Anne-Lise Paisible, Chung-Chou H Chang, Kaku A So-Armah, Adeel A Butt, David A Leaf, Matthew Budoff, David Rimland, Roger Bedimo, Matthew B Goetz, Maria C Rodriguez-Barradas and 9 more

Open access · greenAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 129 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
129citing papers in PubMed, 5 pooled it
17.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

129 citing papers in PubMed, 5 syntheses or guidelines pooled it, 211 citations in OpenAlex.

  1. Pooled it
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  3. Examining Depression as a Risk Factor for Cardiovascular Disease in People with HIV: A Systematic Review.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023
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69 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 13 institutions in 2 countries.

Anne-Lise Paisible*Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA; Departments of †Biostatistics; ‡Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA; §Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA; Department of Internal Medicine, Yale University School of Medicine, New Haven, CT; ‖Department of Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, CA David Geffen School of Medicine at UCLA, Los Angeles, CA; ¶Harbor-UCLA Medical Center and Los Angeles Biomedical Research Institute, Los Angeles, CA; #VA Medical Center; Department of Medicine, Emory University School of Medicine, Atlanta, GA; **Infectious Disease Section, Department of Medicine, VA North Texas Health Care System, UT Southwestern Medical Center, Dallas, TX; ††Infectious Diseases Section, Michael E. DeBakey VA Medical Center; Baylor College of Medicine, Houston, TX; ‡‡Department of Medicine, University of Washington, Seattle, WA; §§VA Medical Center and George Washington University Medical Center, Washington, DC; ‖‖Department of Internal Medicine, The Mount Sinai Medical Center; Bronx Veterans Affairs Medical Center, NY; ¶¶Division of Cardiology, Department of Medicine, University of California, Los Angeles, CA. ##Department of Biostatistics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA; ***VA Connecticut Healthcare System, West Haven, CT; †††VA Connecticut Healthcare System, West Haven, CT, and Section of General Medicine, Yale University School of Medicine, New Haven, CT; and ‡‡‡Vanderbilt University School of Medicine and Nashville Veterans Affairs Medical Center, Nashville TN.
Chung-Chou H Chang
Kaku A So-Armah
Adeel A Butt
David A Leaf
Matthew Budoff
David Rimland
Roger Bedimo
Matthew B Goetz
Maria C Rodriguez-Barradas
Heidi M Crane
Cynthia L Gibert
Sheldon T Brown
Hilary A Tindle
Alberta L Warner
Charles Alcorn
Melissa Skanderson
Amy C Justice
Matthew S Freiberg
University of Pittsburgh · USVA Greater Los Angeles Healthcare System · USYale University · USCancer Research And Biostatistics · USEmory University · USMichael E. DeBakey VA Medical Center · USMount Sinai Medical Center · USThe Lundquist Institute · USUniversity of California, Los Angeles · USUniversity of Washington · USVA Connecticut Healthcare System · USVA North Texas Health Care System · USWashington University Medical Center · US

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Kenneth Sherr · 1988 to 2026
$104.9M
Alcohol Associated Outcomes Among HIV+/- Aging VeteransU10AA013566 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2006 to 2010
$12.7M
Alcohol Associated Outcomes Among HIV+/-Aging VeteransU01AA013566 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2002 to 2005
$10.1M
Alcohol and Multisubstance Use in the Veterans Aging Cohort StudyU01AA020790 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$7.7M
Cardiovascular Disease Mechanisms in HIV Infected and Uninfected VeteransR01HL095136 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FREIBERG, MATTHEW S, JUSTICE, AMY CAROLINE · 2008 to 2012
$5.6M
Sex Disparities in Overall Response to ART Among HIV Infected IndividualsU24AA020794 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$5.5M
Alcohol Associated Outcomes Among HIV+/-Aging VeteransR01AA013566 · NIAAA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JUSTICE, AMY CAROLINE · 2001 to 2002
$1.6M
NHLBI NIH HHS HL095136-04NHLBI NIH HHS R01 HL095136NIAAA NIH HHS AA013566-10NIAAA NIH HHS AA020790NIAAA NIH HHS AA020794NIAAA NIH HHS R01 AA013566NIAAA NIH HHS U01 AA013566NIAAA NIH HHS U01 AA020790NIAAA NIH HHS U10 AA013566NIAAA NIH HHS U24 AA020794NIAID NIH HHS P30 AI027757
6 · The paper itself

Abstract

backgroundTraditional cardiovascular disease risk factors (CVDRFs) increase the risk of acute myocardial infarction (AMI) among HIV-infected (HIV+) participants. We assessed the association between HIV and incident AMI within CVDRF strata.

methodsCohort-81,322 participants (33% HIV+) without prevalent CVD from the Veterans Aging Cohort Study Virtual Cohort (prospective study of HIV+ and matched HIV- veterans) participated in this study. Veterans were followed from first clinical encounter on/after April 1, 2003, until AMI/death/last follow-up date (December 31, 2009). Predictors-HIV, CVDRFs (total cholesterol, cholesterol-lowering agents, blood pressure, blood pressure medication, smoking, diabetes) used to create 6 mutually exclusive profiles: all CVDRFs optimal, 1+ nonoptimal CVDRFs, 1+ elevated CVDRFs, and 1, 2, 3+ major CVDRFs. Outcome-Incident AMI [defined using enzyme, electrocardiogram (EKG) clinical data, 410 inpatient ICD-9 (Medicare), and/or death certificates]. Statistics-Cox models adjusted for demographics, comorbidity, and substance use.

resultsOf note, 858 AMIs (42% HIV+) occurred over 5.9 years (median). Prevalence of optimal cardiac health was <2%. Optimal CVDRF profile was associated with the lowest adjusted AMI rates. Compared with HIV- veterans, AMI rates among HIV+ veterans with similar CVDRF profiles were higher. Compared with HIV- veterans without major CVDRFs, HIV+ veterans without major CVDRFs had a 2-fold increased risk of AMI (HR: 2.0; 95% confidence interval: 1.0 to 3.9; P = 0.044).

conclusionsThe prevalence of optimal cardiac health is low in this cohort. Among those without major CVDRFs, HIV+ veterans have twice the AMI risk. Compared with HIV- veterans with high CVDRF burden, AMI rates were still higher in HIV+ veterans. Preventing/reducing CVDRF burden may reduce excess AMI risk among HIV+ people.

Indexed as

AdultAgedCohort StudiesFemaleHIV InfectionsHumansLongitudinal StudiesMaleMiddle AgedMyocardial InfarctionPrevalenceProspective StudiesRisk FactorsVeterans

Identifiers

PMID25588033
PMCPMC4441201
OpenAlexW2055833118

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.