Evidence map›Paper›PMID 39324108›Full record

ArticleVascular health and risk management2024

Cardiovascular Risk in People Living with Human Immunodeficiency (HIV) Viremia Suppression in a Young, Mid-Eastern European Population - Preliminary Study.

Magdalena Jachymek, Łukasz Wójcik, Małgorzata Peregud-Pogorzelska, Miłosz Parczewski, Aneta Dembowska, Bogusz Jan Aksak-Wąs

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Article in Vascular health and risk management, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Magdalena JachymekDepartment of Cardiology, Pomeranian Medical University, Szczecin, 70-111, Poland.
Łukasz WójcikDepartment of Radiology, Pomeranian Medical University, Szczecin, 70-111, Poland.
Małgorzata Peregud-PogorzelskaDepartment of Cardiology, Pomeranian Medical University, Szczecin, 70-111, Poland.
Miłosz ParczewskiDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University, Szczecin, 71-455, Poland.
Aneta DembowskaDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University, Szczecin, 71-455, Poland.
Bogusz Jan Aksak-WąsDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University, Szczecin, 71-455, Poland.ORCID 0000-0003-2092-3737

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: People living with HIV are twice as likely to develop cardiovascular diseases (CVDs) and myocardial infarction related to atherosclerosis than the uninfected population. This study aimed to evaluate the prevalence of subclinical atherosclerosis in a young, mid-eastern European population of PLWH receiving ART for undetectable viremia. Patients and Methods: This was a single-centre study. We included 34 patients below 50 years old, treated in Szczecin, Poland, with confirmed HIV-1 infection, treated with antiretroviral therapy (ART), and undetectable viremia. All patients underwent coronary artery computed tomography (CACT), carotid artery intima-media thickness (IMT) evaluation, and echocardiography. Results: In the primary assessment, only two (5.8%) patients had an increased CVD risk calculated using the Framingham Risk Score (FRS), but we identified coronary or carotid plaques in 26.5% of the patients. Neither traditional risk factors nor those associated with HIV significantly influenced the presence of the plaque. IMT was significantly positively correlated with age and the FRS (R=0.38, p=0.04). Relative wall thickness assessed in echocardiography was higher in those with plaque (0.49 vs 0.44, p=0.04) and significantly correlated with IMT (R=0.38, p=0.04). Conclusion: In our population, more than a quarter of PLWH with undetectable viremia had subclinical atherosclerosis in either the coronary or carotid arteries. The FRS underpredicted atherosclerosis in this population. The role of RWT as a possible early marker of atherosclerosis needs further studies.

Indexed as

Anti-HIV AgentsCarotid Intima-Media ThicknessHeart Disease Risk FactorsHIV InfectionsAdultAge FactorsAsymptomatic DiseasesCarotid Artery DiseasesComputed Tomography AngiographyCoronary AngiographyCoronary Artery DiseaseCross-Sectional StudiesFemaleHumansMaleMiddle AgedAnti-HIV Agentscardiovascular diseasecoronary artery computed tomographyechocardiographyintima media thicknesspeople living with human immunodeficiency virus

Identifiers

PMID39324108
PMCPMC11423823

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