Evidence map›Paper›PMID 26251085›Full record

ReviewJACC. Heart failure2015

Human Immunodeficiency Virus and Heart Failure in Low- and Middle-Income Countries.

Gerald S Bloomfield, Fawaz Alenezi, Felix A Barasa, Rebecca Lumsden, Bongani M Mayosi, Eric J Velazquez

Abstract readReview
In one paragraph

Review in JACC. Heart failure, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

50 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Observational
  8. Article
  9. Article
  10. Echocardiography in HIV Disease.Current cardiology reports · 2026
    Review
  11. Cardiovascular system characteristics in HIV/AIDS patients with talaromycosis.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Evolution of myocardial oedema and fibrosis in HIV infected persons after the initiation of antiretroviral therapy: a prospective cardiovascular magnetic resonance study.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2022
    Article
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

6 authors.

Gerald S BloomfieldDepartment of Medicine, Duke University Medical Center, Durham, North Carolina; Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina; Duke Global Health Institute, Duke University Medical Center, Durham, North Carolina. Electronic address: gerald.bloomfield@duke.edu.
Fawaz AleneziDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.
Felix A BarasaDivision of Medicine, Moi Teaching and Referral Hospital, Eldoret, Kenya.
Rebecca LumsdenSchool of Medicine, University of Massachusetts, Worcester, Massachusetts.
Bongani M MayosiDepartment of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa.
Eric J VelazquezDepartment of Medicine, Duke University Medical Center, Durham, North Carolina; Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina; Duke Global Health Institute, Duke University Medical Center, Durham, North Carolina.

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
Risk Factors for Atherosclerosis among Patients with Heart Failure in KenyaK01TW008407 · FIC · DUKE UNIVERSITY · PI BLOOMFIELD, GERALD SAMUEL · 2011 to 2014
$490k
FIC NIH HHS K01 TW008407
6 · The paper itself

Abstract

Successful combination therapy for human immunodeficiency virus (HIV) has transformed this disease from a short-lived infection with high mortality to a chronic disease associated with increasing life expectancy. This is true for high- as well as low- and middle-income countries. As a result of this increased life expectancy, people living with HIV are now at risk of developing other chronic diseases associated with aging. Heart failure has been common among people living with HIV in the eras of pre- and post- availability of antiretroviral therapy; however, our current understanding of the pathogenesis and approaches to management have not been systematically addressed. HIV may cause heart failure through direct (e.g., viral replication, mitochondrial dysfunction, cardiac autoimmunity, autonomic dysfunction) and indirect (e.g., opportunistic infections, antiretroviral therapy, alcohol abuse, micronutrient deficiency, tobacco use) pathways. In low- and middle-income countries, 2 large observational studies have recently reported clinical characteristics and outcomes in these patients. HIV-associated heart failure remains a common cardiac diagnosis in people living with heart failure, yet a unifying set of diagnostic criteria is lacking. Treatment patterns for heart failure fall short of society guidelines. Although there may be promise in cardiac glycosides for treating heart failure in people living with HIV, clinical studies are needed to validate in vitro findings. Owing to the burden of HIV in low- and middle-income countries and the concurrent rise of traditional cardiovascular risk factors, strategic and concerted efforts in this area are likely to impact the care of people living with HIV around the globe.

Indexed as

Developed CountriesDeveloping CountriesInternationalityAge FactorsAntiretroviral Therapy, Highly ActiveCause of DeathChronic DiseaseCross-Sectional StudiesForecastingHeart FailureHIV InfectionsHumansLife ExpectancyRisk Factorsdeveloping countriesheart failurehuman immunodeficiency virus

Identifiers

PMID26251085
PMCPMC4530470

What OpenQuestion holds

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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.