Missed Opportunities to Address Cardiovascular Disease Risk Factors amongst Adults Attending an Urban HIV Clinic in South Africa

We assessed cardiovascular disease (CVD) risk factor prevalence and risk stratification amongst adults on antiretroviral therapy in South Africa. Of the 175 patients screened, 37.8% had high blood pressure (HBP), 15.4% were current smokers, 10.4% had elevated cholesterol, and 4.1% had diabetes, but...

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Autores principales: Rabkin, Miriam, Mutiti, Anthony, Chung, Christine, Zhang, Yuan, Wei, Ying, El-Sadr, Wafaa M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4598081/
https://www.ncbi.nlm.nih.gov/pubmed/26447777
http://dx.doi.org/10.1371/journal.pone.0140298
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author Rabkin, Miriam
Mutiti, Anthony
Chung, Christine
Zhang, Yuan
Wei, Ying
El-Sadr, Wafaa M.
author_facet Rabkin, Miriam
Mutiti, Anthony
Chung, Christine
Zhang, Yuan
Wei, Ying
El-Sadr, Wafaa M.
author_sort Rabkin, Miriam
collection PubMed
description We assessed cardiovascular disease (CVD) risk factor prevalence and risk stratification amongst adults on antiretroviral therapy in South Africa. Of the 175 patients screened, 37.8% had high blood pressure (HBP), 15.4% were current smokers, 10.4% had elevated cholesterol, and 4.1% had diabetes, but very few (3.6%) had a 10-year CVD risk >10%. One-third of those with HBP, 40% of those with diabetes, and two-thirds of those with high cholesterol had not previously been diagnosed. Although participants were adherent with chronic HIV care, screening for and management of CVDRF were suboptimal, representing a missed opportunity to reduce non-AIDS morbidity and mortality.
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spelling pubmed-45980812015-10-20 Missed Opportunities to Address Cardiovascular Disease Risk Factors amongst Adults Attending an Urban HIV Clinic in South Africa Rabkin, Miriam Mutiti, Anthony Chung, Christine Zhang, Yuan Wei, Ying El-Sadr, Wafaa M. PLoS One Research Article We assessed cardiovascular disease (CVD) risk factor prevalence and risk stratification amongst adults on antiretroviral therapy in South Africa. Of the 175 patients screened, 37.8% had high blood pressure (HBP), 15.4% were current smokers, 10.4% had elevated cholesterol, and 4.1% had diabetes, but very few (3.6%) had a 10-year CVD risk >10%. One-third of those with HBP, 40% of those with diabetes, and two-thirds of those with high cholesterol had not previously been diagnosed. Although participants were adherent with chronic HIV care, screening for and management of CVDRF were suboptimal, representing a missed opportunity to reduce non-AIDS morbidity and mortality. Public Library of Science 2015-10-08 /pmc/articles/PMC4598081/ /pubmed/26447777 http://dx.doi.org/10.1371/journal.pone.0140298 Text en © 2015 Rabkin et al http://creativecommons.org/licenses/by/4.0/ 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 author and source are properly credited.
spellingShingle Research Article
Rabkin, Miriam
Mutiti, Anthony
Chung, Christine
Zhang, Yuan
Wei, Ying
El-Sadr, Wafaa M.
Missed Opportunities to Address Cardiovascular Disease Risk Factors amongst Adults Attending an Urban HIV Clinic in South Africa
title Missed Opportunities to Address Cardiovascular Disease Risk Factors amongst Adults Attending an Urban HIV Clinic in South Africa
title_full Missed Opportunities to Address Cardiovascular Disease Risk Factors amongst Adults Attending an Urban HIV Clinic in South Africa
title_fullStr Missed Opportunities to Address Cardiovascular Disease Risk Factors amongst Adults Attending an Urban HIV Clinic in South Africa
title_full_unstemmed Missed Opportunities to Address Cardiovascular Disease Risk Factors amongst Adults Attending an Urban HIV Clinic in South Africa
title_short Missed Opportunities to Address Cardiovascular Disease Risk Factors amongst Adults Attending an Urban HIV Clinic in South Africa
title_sort missed opportunities to address cardiovascular disease risk factors amongst adults attending an urban hiv clinic in south africa
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4598081/
https://www.ncbi.nlm.nih.gov/pubmed/26447777
http://dx.doi.org/10.1371/journal.pone.0140298
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