Evidence map›Paper›PMID 34493058›Full record

Observational studyJournal of the American Heart Association2021

HIV Infection and the Risk of World Health Organization-Defined Sudden Cardiac Death.

Matthew S Freiberg, Meredith S Duncan, Charles Alcorn, Chung-Chou H Chang, Suman Kundu, Asri Mumpuni, Emily K Smith, Sarah Loch, Annie Bedigian, Eric Vittinghoff and 4 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
5.1field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Echocardiography in HIV Disease.Current cardiology reports · 2026
    Review
  6. Article
  7. Observational
  8. Article
  9. Review
  10. Article
  11. Countywide burden, pathology, and genetics of lethal hypertrophic cardiomyopathy: from the POST SCD study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
  12. HIV, HIV-Specific Factors, and Myocardial Disease in Women.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  13. Review
  14. Review
  15. Cardiometabolic health in people with HIV: expert consensus review.The Journal of antimicrobial chemotherapy · 2024
    Review
  16. Article
  17. Article
  18. Human Immunodeficiency Virus and Cardiac End-Organ Damage in Women: Findings From an Echocardiographic Study Across the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  19. Article
  20. 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

14 authors at 8 institutions in 1 country.

Matthew S FreibergDivision of Cardiovascular Medicine Vanderbilt University Medical Center Nashville TN.ORCID 0000-0002-3699-4022
Meredith S DuncanDivision of Cardiovascular Medicine Vanderbilt University Medical Center Nashville TN.ORCID 0000-0001-6922-8503
Charles AlcornDepartment of Biostatistics Graduate School of Public Health University of Pittsburgh PA.
Chung-Chou H ChangDepartment of Medicine University of Pittsburgh School of Medicine Pittsburgh PA.
Suman KunduDivision of Cardiovascular Medicine Vanderbilt University Medical Center Nashville TN.ORCID 0000-0002-6305-2559
Asri MumpuniDivision of Cardiovascular Medicine Vanderbilt University Medical Center Nashville TN.
Emily K SmithDivision of Cardiovascular Medicine Vanderbilt University Medical Center Nashville TN.ORCID 0000-0002-8518-7497
Sarah LochDivision of Cardiovascular Medicine Vanderbilt University Medical Center Nashville TN.ORCID 0000-0001-5500-4680
Annie BedigianMasterClass San Francisco CA.
Eric VittinghoffDepartment of Epidemiology and Biostatistics University of California at San Francisco CA.ORCID 0000-0001-8535-0920
Kaku So-ArmahDivision of General Internal Medicine Boston University Boston MA.
Priscilla Y HsueDivision of Cardiology University of California San Francisco San Francisco CA.ORCID 0000-0002-3427-6043
Amy C JusticeVeterans Affairs Connecticut Health Care System West Haven Veterans Administration Medical Center West Haven CT.
Zian H TsengCardiac Electrophysiology Section, Division of Cardiology University of California San Francisco San Francisco CA.
Vanderbilt University Medical Center · USUniversity of California, San Francisco · USUniversity of Pittsburgh · USBoston University · USSunesis (United States) · USUniversity of Kentucky · USVA Tennessee Valley Healthcare System · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Tennessee CFAR: Implementation of Culturally Responsive Trauma-Informed Care with Youth with HIV in Memphis, TNP30AI110527 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI John Koethe · 2015 to 2026
$27.5M
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
Cardiac Pathology and Risk Prediction for Sudden Cardiac Death in Patients with HIVR01HL126555 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TSENG, ZIAN H · 2014 to 2017
$3.1M
Comprehensive autopsy characterization of sudden cardiac deathR01HL102090 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TSENG, ZIAN H · 2010 to 2014
$2.8M
Alcohol Associated Outcomes Among HIV+/-Aging VeteransR01AA013566 · NIAAA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JUSTICE, AMY CAROLINE · 2001 to 2002
$1.6M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R01 HL102090NHLBI NIH HHS R01 HL126555NIAAA NIH HHS R01 AA013566NIAAA NIH HHS U01 AA013566NIAAA NIH HHS U10 AA013566NIAID NIH HHS P30 AI110527
6 · The paper itself

Abstract

Background People living with HIV have higher sudden cardiac death (SCD) rates compared with the general population. Whether HIV infection is an independent SCD risk factor is unclear. Methods and Results This study evaluated participants from the Veterans Aging Cohort Study, an observational, longitudinal cohort of veterans with and without HIV infection matched 1:2 on age, sex, race/ethnicity, and clinical site. Baseline for this study was a participant's first clinical visit on or after April 1, 2003. Participants were followed through December 31, 2014. Using Cox proportional hazards regression, we assessed whether HIV infection, CD4 cell counts, and/or HIV viral load were associated with World Health Organization (WHO)-defined SCD risk. Among 144 336 participants (30% people living with HIV), the mean (SD) baseline age was 50.0 years (10.6 years), 97% were men, and 47% were of Black race. During follow-up (median, 9.0 years), 3035 SCDs occurred. HIV infection was associated with increased SCD risk (hazard ratio [HR], 1.14; 95% CI, 1.04-1.25), adjusting for possible confounders. In analyses with time-varying CD4 and HIV viral load, people living with HIV with CD4 counts <200 cells/mm

Indexed as

Death, Sudden, CardiacHIV InfectionsAdultCD4 Lymphocyte CountFemaleHumansLongitudinal StudiesMaleMiddle AgedRisk FactorsVeteransViral LoadWorld Health OrganizationCD4 cell countHIV infectionHIV viral loadsudden cardiac death

Identifiers

PMID34493058
PMCPMC8649505
OpenAlexW3197302460

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.