Evidence map›Paper›PMID 30865179›Full record

SynthesisJournal of acquired immune deficiency syndromes (1999)2019

Factors Associated With Excess Myocardial Infarction Risk in HIV-Infected Adults: A Systematic Review and Meta-analysis.

Shreya G Rao, Karla I Galaviz, Hawkins C Gay, Jingkai Wei, Wendy S Armstrong, Carlos Del Rio, K M Venkat Narayan, Mohammed K Ali

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of acquired immune deficiency syndromes (1999), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
8.6field-weighted citation impact, top 2% 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

28 citing papers in PubMed, 55 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Fatty Liver Disease in a Prospective North American Cohort of Adults With Human Immunodeficiency Virus and Hepatitis B Virus Coinfection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  19. Redefining therapeutic success in HIV patients: an expert view.The Journal of antimicrobial chemotherapy · 2021
    Review
  20. Review
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

8 authors at 4 institutions in 1 country.

Shreya G RaoDepartment of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX.
Karla I GalavizHubert Department of Global Health, Emory University, Atlanta, GA.
Hawkins C GayDepartment of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, IL.
Jingkai WeiDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Wendy S ArmstrongDepartment of Medicine, Emory University School of Medicine and Emory Center for AIDS Research, Atlanta, GA.
Carlos Del RioHubert Department of Global Health, Emory University, Atlanta, GA.
K M Venkat NarayanHubert Department of Global Health, Emory University, Atlanta, GA.
Mohammed K AliHubert Department of Global Health, Emory University, Atlanta, GA.
Emory University · USNorthwestern University · USThe University of Texas Southwestern Medical Center · USUniversity of North Carolina at Chapel Hill · US

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
Translational Research Core - Engagement and Behavior ChangeP30DK111024 · NIDDK · EMORY UNIVERSITY · PI Mohammed Kumail Ali · 2016 to 2026
$13.4M
NIAID NIH HHS P30 AI050409NIDDK NIH HHS P30 DK111024
6 · The paper itself

Abstract

objectivesTo estimate the pooled relative risk (RR) of incident acute myocardial infarction (AMI) among HIV-infected adults compared with HIV-uninfected controls and explore the contribution of traditional and HIV-related risk factors.

backgroundUnderstanding AMI risk and associated risk factors in HIV-infected populations has the potential to inform clinical management and prevention strategies.

methodsWe systematically identified cohort studies of HIV-infected or HIV-infected and matched uninfected adults reporting AMI incidence rates published up to January 1, 2017. Random-effects meta-analysis models were used to estimate the aggregate RR of AMI by HIV status. Subgroup analysis and meta-regression were used to explore factors affecting risk.

resultsSixteen studies (N = 1,619,690, median age 38.5 years, 78.9% male, mean follow-up of 6.5 years) were included. In pooled analyses of HIV-infected and matched uninfected cohorts (n = 5), HIV-infected individuals had higher AMI incidence rates (absolute risk difference = 2.2 cases per 1000 persons per year) and twice the risk of AMI [RR = 1.96 (1.5-2.6)] compared with matched HIV-uninfected controls. In a multivariate meta-regression, each additional percentage point in the proportion of male participants [odds ratio (OR) = 1.20 (1.14-1.27)] and each additional percentage point in the prevalence of hypertension [OR = 1.19 (1.12-1.27)], dyslipidemia [OR = 1.09 (1.07-1.11)], and smoking [OR = 1.09 (1.05-1.13)] were independently associated with increased AMI risk in HIV-infected adults. CONCLUSIONS AND RELEVANCE: Chronic HIV infection is associated with a 2-fold higher AMI risk. Traditional risk factors such as hypertension, dyslipidemia, and smoking are significant contributors to AMI risk among HIV-infected adults and should be aggressively targeted in routine HIV care.

Indexed as

Cardiovascular DiseasesCohort StudiesDatabases, FactualDyslipidemiasFemaleHIV InfectionsHumansHypertensionMaleMultivariate AnalysisMyocardial InfarctionOdds RatioPrevalenceRisk FactorsSmoking

Identifiers

PMID30865179
PMCPMC6622459
OpenAlexW2922399463

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.