Abstract
Background: With the advent of effective anti-retroviral therapy (ART), HIV is becoming chronic disease. Patients with human immunodeficiency virus (HIV) on ART can expect to live longer, as a result various cardiac complications are increasing in patients of HIV. The aim of present study was to find out the prevalence of various cardiac manifestation in patients of HIV infection.
Material and Method: 100 patients of HIV were included in this study. All patients didn’t have any previous cardiac illness and all were non alcoholic. ECG and echocardiographic evaluation done in all patients to find out various cardiac manifestation.
Results: Total 100 patients were studied. Abnormal ECGs seen in 52 patients commonest being sinus tachycardia followed by nonspecific ST-T changes. Abnormal 2D echocardiographic findings observed in 57 patients commonest being diastolic dysfunction followed by valvular leak and myocardial involvement. These abnormalities may be multifactorial including low CD4 counts, antiretroviral therapy, stage of HIV infection, opportunistic infection, cardiac autoimmunity and micronutrient deficiency.
Conclusion: The present study showed cardiac abnormalities in HIV patients in form of abnormal ECGs and abnormal 2D echocardiography. And these cardiac abnormalities are more prevalent in advanced HIV disease and AIDS.
Keywords: Human Immunodeficiency Virus, Acquired Immunodeficiency Syndrome, Anti-retroviral Therapy.
References
- AIDS epidemic update. World Health Organization. http://www. who.int/hiv/pub/arv/global-AIDS-update-2016_en.pdf
- UNAIDS. UNAIDS report on the global AIDS epidemic; (2018). http://www.unaids.org/sites/default/files/media_asset/unaids-data-2018_en.pdf
- Lumsden RH, Bloomfield GS: the causes of HIV associated cardiomyopathy: A tale of two worlds. Biomed R Int; Vol 2016/8196460
- Kaul S, Fishbein MC, Seigel R. Cardiac manifestations of acquired immunodeficiency syndrome. AM Heart J. 1991; 122(2): 535-544
- Jain N, Reddy DH, Verma SP, Khanna R, Vaish AK, Usman K, MD1 , Tripathi AK, Singh A, Mehrotra S, Gupta A: Cardiac Abnormalities in HIV-Positive Patients: Results from an Observational Study in India; J Inter Asso of Pro of AIDS Care 2014, Vol 13(1): 40-46
- Lewis W. Cardiomyopathy in AIDS: a pathophysiological perspective. Prog Cardiovasc Dis. 2000; 43(2): 151-170
- Lambert CT, Sandesara PB, Hirsh B, Sa L, Leis W, Quyumi AA, Schinazi RF, Post WS, Sperling L: HIV, highly active antiretroviral therapy and the heart: a cellular to epidemiological review; HIV Medicine june 2016; Vol 17(6): 411-24
- Silva-Cardoso J, Moura B, Martins L, Mota-Miranda A, Rocha Goncalves F, Lecour H. Left ventricular dysfunction in HIV infected patients. Int J. Cardiol. 1998;63(1):37-45
- Majid S, Sailaja P: Cardiac manifestations of HIV; Frontier in Biosc May 2003(8): 305-313.
- Yupada P, Sittiwangkul R, Suchaya S, Sirisanthana V: Cardiac manifestations in HIV infected Thai children; Ann of Trop Paed 2004(24), 153-159.
- Nayak G, Ferguson M, David R, Terrible: AIDS Patients Care STDs. 2009; 23(4); 231-238
- Lai H, Alban R, Tong W: HIV infection and abnormal regional ventricular function. Int J Cardiovasc Imaging. 2009; 25(8): 809-817.
- Barbero G. Cardiovascular manifestations of HIV infection. Circulation. 2002; 106(11):1420-1425
- Imamuddin S, Otikunta A, Pingali K, Reddy Y, Srinivas R: Cardiac Manifestation in HIV. Indian J of Research. Oct 2016; 5(10):47-50
- Pellicelli A, Barbero G, Palmieri F: Primary pulmonary hypertension in HIV disease: A systemic review. Angiology. 2001:356(17):1723-1735
- Fink L, Reichek N, Sutton MG: Cardiac abnormalities in acquired immune deficiency syndrome. Am J Cardiol. 1984; 54(8): 1161-1163
Corresponding Author
Dr Suresh Bendwal
Assistant Professor, Dept. of General Medicine, RD Gardi Medical College, Ujjain (M.P.), India