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Echocardiographic patterns in treatment-naïve HIV-positive patients in Lagos, south-west Nigeria

INTRODUCTION: Cardiovascular abnormalities are common in HIV-infected patients, although often clinically quiescent. This study sought to identify by echocardiography early abnormalities in treatment-naïve patients. METHODS: One hundred patients and 50 controls with no known traditional risk factors...

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Autores principales: Olusegun-Joseph, DA, Ajuluchukwu, JNA, Mbakwem, AC, Oke, DA, Okubadejo, NU, Okany, CC
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Clinics Cardive Publishing 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3734877/
https://www.ncbi.nlm.nih.gov/pubmed/22907266
http://dx.doi.org/10.5830/CVJA-2012-048
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author Olusegun-Joseph, DA
Ajuluchukwu, JNA
Mbakwem, AC
Oke, DA
Okubadejo, NU
Okany, CC
author_facet Olusegun-Joseph, DA
Ajuluchukwu, JNA
Mbakwem, AC
Oke, DA
Okubadejo, NU
Okany, CC
author_sort Olusegun-Joseph, DA
collection PubMed
description INTRODUCTION: Cardiovascular abnormalities are common in HIV-infected patients, although often clinically quiescent. This study sought to identify by echocardiography early abnormalities in treatment-naïve patients. METHODS: One hundred patients and 50 controls with no known traditional risk factors for cardiovascular disease were recruited for the study. The cases and controls were matched for age, gender and body mass index. Both groups had clinical and echocardiographic evaluation for cardiac abnormalities, and CD(4) count was measured in all patients. RESULTS: The cases comprised 57 females (57.0%) and 43 males (43.0%), while the controls were 28 females (56.0%) and 22 males (44.0%) (χ(2) = 0.01; p = 0.913). The mean age of the cases was 33.2 ± 7.7, while that of the controls was 31.7 ± 9.7 (t = 1.02; p = 0.31). Echocardiographic abnormalities were significantly more common in the cases than the controls (78 vs 16%; p = 0.000), including systolic dysfunction (30 vs 8%; p = 0.024) and diastolic dysfunction (32 vs 8%; p = 0.002). Other abnormalities noted in the cases were pericardial effusion in 47% (χ(2) = 32.10; p = 0.000) and dilated cardiomyopathy in 5% (five); none of the controls had either complication. One patient each had aortic root dilatation, mitral valve prolapse and isolated right heart dilatation and dysfunction. CONCLUSION: Cardiac abnormalities are more common in HIV-infected people than in normal controls. A careful initial and periodic cardiac evaluation to detect early involvement of the heart in the HIV disease is recommended.
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spelling pubmed-37348772013-08-07 Echocardiographic patterns in treatment-naïve HIV-positive patients in Lagos, south-west Nigeria Olusegun-Joseph, DA Ajuluchukwu, JNA Mbakwem, AC Oke, DA Okubadejo, NU Okany, CC Cardiovasc J Afr Cardiovascular Topics INTRODUCTION: Cardiovascular abnormalities are common in HIV-infected patients, although often clinically quiescent. This study sought to identify by echocardiography early abnormalities in treatment-naïve patients. METHODS: One hundred patients and 50 controls with no known traditional risk factors for cardiovascular disease were recruited for the study. The cases and controls were matched for age, gender and body mass index. Both groups had clinical and echocardiographic evaluation for cardiac abnormalities, and CD(4) count was measured in all patients. RESULTS: The cases comprised 57 females (57.0%) and 43 males (43.0%), while the controls were 28 females (56.0%) and 22 males (44.0%) (χ(2) = 0.01; p = 0.913). The mean age of the cases was 33.2 ± 7.7, while that of the controls was 31.7 ± 9.7 (t = 1.02; p = 0.31). Echocardiographic abnormalities were significantly more common in the cases than the controls (78 vs 16%; p = 0.000), including systolic dysfunction (30 vs 8%; p = 0.024) and diastolic dysfunction (32 vs 8%; p = 0.002). Other abnormalities noted in the cases were pericardial effusion in 47% (χ(2) = 32.10; p = 0.000) and dilated cardiomyopathy in 5% (five); none of the controls had either complication. One patient each had aortic root dilatation, mitral valve prolapse and isolated right heart dilatation and dysfunction. CONCLUSION: Cardiac abnormalities are more common in HIV-infected people than in normal controls. A careful initial and periodic cardiac evaluation to detect early involvement of the heart in the HIV disease is recommended. Clinics Cardive Publishing 2012-09 /pmc/articles/PMC3734877/ /pubmed/22907266 http://dx.doi.org/10.5830/CVJA-2012-048 Text en Copyright © 2010 Clinics Cardive Publishing http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Cardiovascular Topics
Olusegun-Joseph, DA
Ajuluchukwu, JNA
Mbakwem, AC
Oke, DA
Okubadejo, NU
Okany, CC
Echocardiographic patterns in treatment-naïve HIV-positive patients in Lagos, south-west Nigeria
title Echocardiographic patterns in treatment-naïve HIV-positive patients in Lagos, south-west Nigeria
title_full Echocardiographic patterns in treatment-naïve HIV-positive patients in Lagos, south-west Nigeria
title_fullStr Echocardiographic patterns in treatment-naïve HIV-positive patients in Lagos, south-west Nigeria
title_full_unstemmed Echocardiographic patterns in treatment-naïve HIV-positive patients in Lagos, south-west Nigeria
title_short Echocardiographic patterns in treatment-naïve HIV-positive patients in Lagos, south-west Nigeria
title_sort echocardiographic patterns in treatment-naïve hiv-positive patients in lagos, south-west nigeria
topic Cardiovascular Topics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3734877/
https://www.ncbi.nlm.nih.gov/pubmed/22907266
http://dx.doi.org/10.5830/CVJA-2012-048
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