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Relative risk of cardiovascular disease among people living with HIV : a systematic review and meta‐analysis
Open accessAbstract
Objectives: The aim of this study was to estimate the relative risk of cardiovascular disease ( CVD ) among people living with HIV ( PLHIV ) compared with the HIV ‐uninfected population. Methods: We conducted a systematic review and meta‐analysis of studies from the peer‐reviewed literature. We searched the M edline database for relevant journal articles published before A ugust 2010. Eligible studies were observational and randomized controlled trials, reporting CVD , defined as myocardial infarction ( MI ), ischaemic heart disease, cardiovascular and cerebrovascular events or coronary heart disease among HIV ‐positive adults. Pooled relative risks were calculated for various groupings, including different classes of antiretroviral therapy ( ART ). Results: The relative risk of CVD was 1.61 [95% confidence interval ( CI ) 1.43–1.81] among PLHIV without ART compared with HIV ‐uninfected people. The relative risk of CVD was 2.00 (95% CI 1.70–2.37) among PLHIV on ART compared with HIV ‐uninfected people and 1.52 (95% CI 1.35–1.70) compared with treatment‐naïve PLHIV . We estimate the relative risk of CVD associated with protease inhibitor ( PI )‐, nucleoside reverse transcriptase inhibitor‐ and nonnucleoside reverse transcriptase inhibitor‐based ART to be 1.11 (95% CI 1.05–1.17), 1.05 (95% CI 1.01–1.10) and 1.04 (95% CI 0.99–1.09) per year of exposure, respectively. Not all ART was associated with increased risk; specifically, lopinavir/ritonavir and abacavir were associated with the greater risk and the relative risk of MI for PI ‐based versus non‐ PI ‐based ART was 1.41 (95% CI 1.20–1.65). Conclusion: PLHIV are at increased risk of cardiovascular disease. Although effective in prolonging survival, ART (in particular PI ‐based regimens) is related to further increased risk of CVD events among people at highest initial absolute risk of cardiovascular disease.
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“HIV patients have been found to have a higher risk of cardiovascular events, which was even higher in patients treated with protease inhibitors (Friis‐Moller et al, 2007; Islam et al, 2012; Shah et al, 2018).”
From The struggle of a good friend getting old: cellular senescence in viral responses and therapy (2021) · cites this paper as Islam et al, 2012
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Items 101–200 of 432
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“Therefore, there were two specific objectives which were firstly to determine the prevalence of NCD risk factors and how they differ from baseline values among PLHIV on ART; and secondly to determine socio-demographic and clinical predictors of NCD risk factors among the study population.”
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“9,10 13 The most common medical co-morbidities for HIV-infected veterans 60 years of age or older were previously defined as hypertension (45%), diabetes (21%), and vascular disease (23%).”
Management of Trypanosoma cruzi coinfection in HIV-positive individuals outside endemic areas
Pérez-Molina, J. A. (2013) · Current Opinion in Infectious Diseases · doi:10.1097/qco.0000000000000023 · Cited by 30
“Unau 0951-7375 2014 Wolters Kluwer Health | Lippincott Williams & Wilk risk is greater than in age-matched noninfected individuals [44].”
BackgroundManaging HIV infection in patients older than 50 years
McMillan, J. M., Krentz, H. B., Gill, M. J., & Hogan, D. B. (2018) · Canadian Medical Association Journal · doi:10.1503/cmaj.171409 · Cited by 29
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“5- to 2-fold greater risk of ASCVD than the general population.(1,2,4,5) 3-Hydroxy-3-methyl-glutaryl-coenzyme A reductase inhibitors (“statins”), which substantially decrease vascular event rates across CVD risk levels, form the backbone of primary and secondary prevention of ASCVD in the general population.”
HIV Antivirals Affect Endothelial Activation and Endothelial-Platelet Crosstalk
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“Many observational studies have shown higher rates of cardiovascular diseases (CVD) among HIV-infected individuals compared with HIV-uninfected populations.(3,4) The pathophysiological basis of this increased risk is not entirely understood at present.”
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The Nutritional Status of HIV-Infected US Adults
Thuppal, S. V., Jun, S., Cowan, A., & Bailey, R. L. (2017) · Current Developments in Nutrition · doi:10.3945/cdn.117.001636 · Cited by 28
Monocyte activation and cardiovascular disease in HIV infection
Liang, H. L., Xie, Z., & Shen, T. (2017) · Cellular and Molecular Immunology · doi:10.1038/cmi.2017.109 · Cited by 28
Ntusi, N. (2017) · Current Opinion in HIV and AIDS · doi:10.1097/coh.0000000000000416 · Cited by 28
HIV Patients Have Impaired Diastolic Function that is Not Aggravated by Anti-Retroviral Treatment
Fontes‐Carvalho, R., Mâncio, J., Marcos, A., Sampaio, F., Mota, M., Gonçalves, F. R., Gama, V., Azevedo, A., & Leite-Moreira, A. F. (2015) · Cardiovascular Drugs and Therapy · doi:10.1007/s10557-015-6573-x · Cited by 27
“Several studies [1, 2] and meta-analysis [3] have shown that human immunodeficiency virus (HIV) infection increases the risk of cardiovascular disease.”
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“From the total HIVinfected sample of the VACS Survey Cohort (N = 3714), we excluded (1) veterans with pre-existing CVD International Classification of Diseases, Ninth Revision (ICD-9) codes for acute myocardial infarction, unstable angina, cardiovascular revascularization, stroke or transient ischemic attack, peripher…”
Current Scenario and Strategies to Tackle Cardiovascular Disease Risk in HIV Geriatrics
Shabil, M., Kumar, V., Dhingra, S., Ravichandiran, V., Parihar, V. K., Kumar, N., Pandey, K., & Murti, K. (2023) · Current Pharmacology Reports · doi:10.1007/s40495-023-00332-0 · Cited by 27
“In a meta-analysis, it was determined that HIV infection conferred a 61% increased risk of CVD endpoints in PLHIV [27].”
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“Previous work has established the high burden of large-vessel atherosclerotic disease in HIV, including ischemic stroke, subclinical endothelial dysfunction, and increased carotid intima-media thickness,(45) femoral and carotid artery plaques detectable on ultrasound,(46) and coronary artery disease.(43) The growing p…”
Nguyen, K. A., Peer, N., de Villiers, A., Mukasa, B., Matsha, T. E., Mills, E. J., & Kengne, A. P. (2017) · International Journal of Endocrinology · doi:10.1155/2017/1613657 · Cited by 26
“Notably, these cardiometabolic conditions appear to be more prevalent and to occur at younger ages in the HIV-infected compared to noninfected populations [3].”
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Prakash, P., Vetha, B. S. S., Chakraborty, R., Wenegieme, T., Masenga, S. K., Muthian, G., Balasubramaniam, M., Wanjalla, C. N., Hinton, A. O., Jr., Kirabo, A., et al. (2024) · Circulation Research · doi:10.1161/circresaha.124.323979 · Cited by 29
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“Human immunodeficiency virus (HIV)-1 infection is associated with an increased risk and prevalence of atherosclerotic cardiovascular disease (ASCVD) (25).”
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Policarpo, S., Rodrigues, T., Moreira, A. C., & Valadas, E. (2019) · Revista Portuguesa de Cardiologia · doi:10.1016/j.repc.2019.08.002 · Cited by 25
Monitoring abacavir bioactivation in humans: Screening for an aldehyde metabolite
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“As persistent inflammation and immune uppression play a crucial role in both HSR and myocardial infarcion (MI) (Linneberg et al., 2012; Worm et al., 2010; Ozben and rdogan, 2008) we considered important to assess the patients’ the anti-HIV drug abacavir.”
Are HIV-Infected Older Adults Aging Differently?
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Zhou, D. T., Kodogo, V., Chokuona, K. F. V., Øktedalen, O., Stray‐Pedersen, B., & Gomo, E. (2015) · HIV/AIDS - Research and Palliative Care · doi:10.2147/hiv.s78523 · Cited by 23
Todowede, O. O., & Sartorius, B. K. D. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-016602 · Cited by 23
“42 44–47 Moreover, data comparing the burden of NCD among the HIV-positive and HIV-negative populations (in the same setting) are limited, especially in the era of increasing longevity due to ART roll-out and the epidemiological transition taking place in SSA.”
BackgroundNeto, L. F. D. S. P., Dias, F. R., Bressan, F. F., & Santos, C. R. O. (2017) · The Brazilian Journal of Infectious Diseases · doi:10.1016/j.bjid.2017.06.007 · Cited by 22
Prevalence of cardiometabolic syndrome in HIV-infected persons: a systematic review
Woldu, M. A., Minzi, O., & Engidawork, E. (2020) · Journal of Diabetes & Metabolic Disorders · doi:10.1007/s40200-020-00552-x · Cited by 22
Muiru, A. N., Bibangambah, P., Hemphill, L., Sentongo, R. N., Kim, J., Triant, V. A., Bangsberg, D. R., Tsai, A. C., Martin, J. N., Haberer, J. E., et al. (2018) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000001696 · Cited by 22
Rowell‐Cunsolo, T. L., Graf, G. H.-J., Bellerose, M., & Liu, J. (2020) · Clinical Infectious Diseases · doi:10.1093/cid/ciaa1760 · Cited by 21
Ang, L. W., Ng, O. T., Boudville, I. C., Leo, Y., & Wong, C. S. (2021) · PLoS ONE · doi:10.1371/journal.pone.0252320 · Cited by 21
Anti-inflammatory effect of rosuvastatin in patients with HIV infection: An FDG-PET pilot study
Boczar, K. E., Faller, E., Zeng, W., Wang, J., Small, G. R., Corrales‐Medina, V., deKemp, R. A., Ward, N. C., Beanlands, R. S., MacPherson, P. A., et al. (2021) · Journal of Nuclear Cardiology · doi:10.1007/s12350-021-02830-4 · Cited by 21
Sukumaran, L., Kunisaki, K. M., Bakewell, N., Winston, A., Mallon, P. W. G., Doyle, N., Anderson, J., Boffito, M., Haddow, L. J., Post, F. A., et al. (2022) · AIDS · doi:10.1097/qad.0000000000003462 · Cited by 21
“Among these complications, cardiovascular disease (CVD) is a major 5 cause of morbidity and mortality in people with HIV, including those with suppressed HIV RNA 6 [3-7].”
BackgroundKimera, I., & Khan, Z. U. (2023) · Cureus · doi:10.7759/cureus.37422 · Cited by 21
Sunil, M., Nigalye, M., Somasunderam, A., Martinez, M. L., Yu, X., Arduino, R. C., Utay, N. S., & Bell, T. K. (2016) · AIDS Research and Human Retroviruses · doi:10.1089/aid.2016.0007 · Cited by 20
“Metabolic abnormalities from ART, endothelial dysfunction, and chronic inflammation and monocyte/macrophage activation, due, in part, to increased microbial translocation, likely contribute to SNAEs.(2) Key monocyte/macrophage activation markers include soluble CD163 (sCD163), soluble CD14 (sCD14), and interleukin 6 (…”
BackgroundWang, Y., Xiong, J., Niu, M., Xu, W., Xu, K., & Zhong, H. (2018) · International Journal of Cardiology · doi:10.1016/j.ijcard.2018.04.059 · Cited by 21
Kovács, L., Bruder-Nascimento, T. B., Greene, L., Kennard, S., & de Chantemèle, E. J. B. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms222010977 · Cited by 20
Hypertension and Cardiovascular Disease Risk Among Individuals With Versus Without HIV
Siddiqui, M., Hannon, L., Wang, Z., Blair, J. P., Oparil, S., Heath, S. L., Overton, E. T., & Muntner, P. (2023) · Hypertension · doi:10.1161/hypertensionaha.122.19889 · Cited by 20
“The reference groups in this table are (1) individuals without hypertension or HIV and (2) individuals without hypertension with HIV.”
Funke, B., Spinner, C., Wolf, E., Heiken, H., Christensen, S., Stellbrink, H., & Witte, A. V. (2020) · International Journal of STD & AIDS · doi:10.1177/0956462420942020 · Cited by 20
“An increased comorbidity burden has been described in several national and international HIV cohorts.(5,15,16,19,29) A retrospective matched case–control study in Germany between 2011 and 2014 using health insurance claims data showed a higher prevalence of cardiovascular disease (12.”
BackgroundLangkilde, A., Petersen, J., Klausen, H. H., Henriksen, J. H., Eugen‐Olsen, J., & Andersen, O. (2012) · PLoS ONE · doi:10.1371/journal.pone.0051698 · Cited by 19
Metabolic and Cardiovascular Complications in HIV/HCV-Co-infected Patients
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Todowede, O. O., Sartorius, B. K. D., Magula, N. P., & Schutte, A. E. (2019) · Diabetology & Metabolic Syndrome · doi:10.1186/s13098-019-0502-2 · Cited by 19
“[59] showed a yearly increasing CVD risk among treated HIV-infected patients, establishing that the duration of ART exposure is strongly associated with CVD outcome.”
BackgroundChoosing statins: a review to guide clinical practice
Borges, R. D. P., Degobi, N. A. H., & Bertoluci, M. C. (2020) · Archives of Endocrinology and Metabolism · doi:10.20945/2359-3997000000306 · Cited by 22
“In a meta-analysis (20), the relative risk (RR) of cardiovascular events among patients without ART was 1.”
BackgroundLorenz, D. R., Misra, V., Chettimada, S., Uno, H., Wang, L., Blount, B. C., Jesús, V. R. D., Gelman, B. B., Morgello, S., Wolinsky, S. M., et al. (2021) · EClinicalMedicine · doi:10.1016/j.eclinm.2020.100697 · Cited by 19
“The prevalence of marijuana and tobacco smoking [21,22] and smoking-related diseases such as CVD [23-26] and chronic obstructive pulmonary disease (COPD) [27-29] in human immunodeficiency virus type 1 positive (HIV+) individuals is high compared with the general population.”
BackgroundȘoldea, S., Iovănescu, M. L., Berceanu, M. C., Mirea, O., Raicea, V. C., Beznă, M. C., Rocşoreanu, A., & Donoiu, I. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26051837 · Cited by 18
“Moreover, several studies have identified an increased cardiovascular risk specifically associated with exposure to antiretroviral therapies [21–24].”
Etiologies, clinical features and outcome of cardiac arrest in HIV-infected patients
Mongardon, N., Géri, G., Deye, N., Sonneville, R., Boissier, F., Perbet, S., Camous, L., Lemiale, V., Thirion, M., Mathonnet, A., et al. (2015) · International Journal of Cardiology · doi:10.1016/j.ijcard.2015.08.055 · Cited by 18
“0 times higher than amongmatchedHIV-uninfected adults [22–25].”
InfluentialDisparities in HIV clinic care across Europe: findings from the EuroSIDA clinic survey
Lazarus, J. V., Laut, K. G., Safreed‐Harmon, K., Peters, L., Johnson, M. A., Fätkenheuer, G., Khromova, I., Vandekerckhove, L., Maciejewska, K., Rădoi, R., et al. (2016) · BMC Infectious Diseases · doi:10.1186/s12879-016-1685-x · Cited by 18
“A large body of evidence indicates that HIVpositive people are at above-average risk for cardiovascular disease [8] and various non-AIDS-defining cancers [9].”
Cardiovascular disease in women with HIV-1 infection
Volpe, M., Uglietti, A., Castagna, A., Mussini, C., Marchetti, G. C., Bellagamba, R., Bini, T., Mancusi, D., & Termini, R. (2017) · International Journal of Cardiology · doi:10.1016/j.ijcard.2017.02.117 · Cited by 19
Optimizing HIV prevention and care for transgender adults
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“A meta-analysis of many clinical studies revealed HIV patients with or without ART have a higher prevalence of atherosclerotic CVD as compared with the control population [3].”
BackgroundAltered lipid concentrations of liver, heart and plasma but not brain in HIV-1 transgenic rats
Taha, A. Y., Basselin, M., Ramadan, E., Modi, H. R., Rapoport, S. I., & Cheon, Y. (2012) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2012.07.006 · Cited by 18
“disturbances in lipid metabolism have been linked to the development or progression of cardiovascular, hepatic and neurocognitive disorders in HIV-infected patients, reflecting the role of lipids in HIV-related co-morbidities [4,18,2,19].”
BackgroundResultManaging antiretroviral therapy in the elderly HIV patient
Guaraldi, G., Pintassilgo, I., Milić, J., & Mussini, C. (2018) · Expert Review of Clinical Pharmacology · doi:10.1080/17512433.2018.1549484 · Cited by 18
“PI-based regimens have been associated with increased risk of cardiovascular (CV) events among PLWH at highest initial absolute risk of CVD, mostly due to its effect on lipids profile [46,47].”
BackgroundWoldeyes, E., Fisseha, H., Mulatu, H. A., Ephrem, A., Benti, H., Alem, M. W., & Ahmed, A. I. (2022) · HIV/AIDS - Research and Palliative Care · doi:10.2147/hiv.s362459 · Cited by 18
“This cardiovascular risk persisted even when patients are on ART.8 With increasing life expectancy of patients, their prolonged exposure to environmental and behavioral risks, along with prolonged exposure to ART can contribute to developing CVDs.8–10 Limited data on assessment of CVD risk factors in HIV infected peop…”
BackgroundKavishe, B. B., Olsen, M. F., Filteau, S., Kitilya, B., Jeremiah, K., Krogh‐Madsen, R., Todd, J., Friis, H., Faurholt‐Jepsen, D., PrayGod, G., et al. (2022) · American Journal of Hypertension · doi:10.1093/ajh/hpac085 · Cited by 17
Nkeh-Chungag, B. N., Goswami, N., Engwa, G. A., Sewani-Rusike, C. R., Mbombela, V., Webster, I., Boever, P. D., Kessler, H. H., Stelzl, E., & Strijdom, H. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10030392 · Cited by 17
“Albuminuria is another independent cardiovascular risk factor and has been associated with CVDs.”
BackgroundInfluentialCardiovascular risks associated with protease inhibitors for the treatment of HIV
Hatleberg, C. I., Ryom, L., & Sabin, C. A. (2021) · Expert Opinion on Drug Safety · doi:10.1080/14740338.2021.1935863 · Cited by 17
de Oliveira, R. D. V. C., Shimakura, S. E., Campos, D. P., Hökerberg, Y. H. M., Victoriano, F. P., Ribeiro, S. R., Veloso, V. G., Grinsztejn, B. G. J., & Carvalho, M. S. (2017) · AIDS Care · doi:10.1080/09540121.2017.1391984 · Cited by 17
“navir, all showing indicators of cardiovascular effects according to the literature (D:A:D Study Group, 2008; Islam et al., 2012; Martin-Iguacel et al., 2015).”
BackgroundAlthoff, K. N., & Gange, S. J. (2013) · HIV Medicine · doi:10.1111/hiv.12007 · Cited by 17
Statins Utilization in Adults With HIV: The Treatment Gap and Predictors of Statin Initiation
Coburn, S. B., Lang, R., Zhang, J., Palella, F. J., Horberg, M. A., Castillo‐Mancilla, J., Gebo, K. A., Galaviz, K. I., Gill, M. J., Silverberg, M. J., et al. (2022) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000003083 · Cited by 16
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“Moreover, ART may have a negative association with an increased risk of CVD events, especially among PLWH with other risk factors for cardiovascular disease (8, 9).”
BackgroundHuman Immunodeficiency Virus Infection–Related Heart Disease
Pham, T. V., & Torres, M. (2015) · Emergency Medicine Clinics of North America · doi:10.1016/j.emc.2015.04.009 · Cited by 16
Schneider, S., Spinner, C. D., Cassese, S., Promny, D., Hapfelmeier, A., Byrne, R. A., Baumann, M., Jäger, H., Steinlechner, E., Laugwitz, K., et al. (2016) · AIDS · doi:10.1097/qad.0000000000001063 · Cited by 17
“In fact, the prevalence of acute myocardial infarction is greater in HIV-infected populations, as compared with non-HIV-infected populations [4].”
BackgroundCotte, L., Dellamonica, P., Raffi, F., Yazdanpanah, Y., Molina, J., Boué, F., Urata, Y., Chan, H. P., Zhu, L., Chang, I., et al. (2013) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0b013e3182965d12 · Cited by 16
Enkhmaa, B., Anuurad, E., Zhang, W., Li, C., Kaplan, R. C., Lazar, J., Merenstein, D., Karim, R., Aouizerat, B. E., Cohen, M. H., et al. (2017) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/atvbaha.117.309137 · Cited by 17
Burkholder, G., Muntner, P., Zhao, H., Mugavero, M. J., Overton, E. T., Kilgore, M. L., Drozd, D. R., Crane, H. M., Moore, R. D., Mathews, W. C., et al. (2018) · Journal of clinical lipidology · doi:10.1016/j.jacl.2018.03.082 · Cited by 16
Roozen, G. V. T., Meel, R., Peper, J., Venter, F., Barth, R. E., Grobbee, D. E., Klipstein‐Grobusch, K., & Vos, A. G. (2021) · PLoS ONE · doi:10.1371/journal.pone.0244742 · Cited by 16
Everson, F., Genis, A., Ogundipe, T. R., Boever, P. D., Goswami, N., Lochner, A., Blackhurst, D., & Strijdom, H. (2018) · PLoS ONE · doi:10.1371/journal.pone.0208537 · Cited by 16
Valenti, L. V. C., Pelusi, S., Aghemo, A., Gritti, S., PASULO, L., Bianco, C., Iegri, C., Cologni, G., Degasperi, E., D’Ambrosio, R., et al. (2021) · Hepatology Communications · doi:10.1002/hep4.1851 · Cited by 15
Janus, S. E., Durieux, J., Hajjari, J., Carneiro, H. A., & McComsey, G. A. (2021) · AIDS · doi:10.1097/qad.0000000000003149 · Cited by 15
“Compared with healthy controls, PWH have persistently high levels of systemic inflammation, as observed in increased inflammatory serum biomarkers of hs-CRP, IL6, sCD163, sCD163, and D-dimer [18], and have a significantly higher relative risk of acute myocardial infarction, heart failure, sudden cardiac death [19,20],…”
BackgroundNigatu, T. H., Oldenburg, B. F., Elliott, J., Setswe, G., & Woldegiorgis, M. A. (2013) · Journal of Nursing Education and Practice · doi:10.5430/jnep.v3n7p58 · Cited by 15
“References of review articles [9-12] were also assessed to identify additional studies.”
BackgroundBody Mass Index and Waist Circumference of HIV‐Infected Youth in a Miami Cohort
Arbeitman, L., O’Brien, R. C., Somarriba, G. A., Messiah, S. E., Neri, D. A., Scott, G. B., & Miller, T. L. (2014) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000000394 · Cited by 15
“Obesity (43) and HIV infection (4,11) are known independent risk factors for cardiovascular disease.”
BackgroundPsychosocial risk and management of physical diseases
Schneiderman, N., McIntosh, R. C., & Antoni, M. H. (2019) · Journal of Behavioral Medicine · doi:10.1007/s10865-018-00007-y · Cited by 18
“Perhaps the greatest shift in HIV surveillance in recent years is the emergence of cardiovascular disease (CVD) as the leading cause of mortality in people living with HIV/ AIDS (PLWHA) (Islam et al., 2012; Mottillo et al., 2010); and that this may be partially attributable to chronic exposure to HAART (Bavinger et al.”
InfluentialCirculating CD 40 ligand, Dickkopf‐1 and P‐selectin in HIV ‐infected patients
Falasca, K., Reale, M., Nicola, M. D., Ucciferri, C., Zecca, I., Santilli, F., Pontolillo, M., Liani, R., D’Angelo, C., Costantini, E., et al. (2019) · HIV Medicine · doi:10.1111/hiv.12789 · Cited by 15
Stroke and HIV in Botswana: A prospective study of risk factors and outcomes
Bearden, D. R., Omech, B., Rulaganyang, I., Sesay, S. O., Kolson, D. L., Kasner, S. E., & Mullen, M. T. (2020) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2020.116806 · Cited by 15
Han, W. M., Ryom, L., Sabin, C. A., Greenberg, L., Cavassini, M. L., Egle, A., Duvivier, C., Wit, F. W. N. M., Mussini, C., Monforte, A. D., et al. (2025) · Clinical Infectious Diseases · doi:10.1093/cid/ciaf248 · Cited by 14
“The landscape of morbidity and mortality has evolved in people with human immunodeficiency virus (HIV), shifting from opportunistic infections and cancer associated with immunodeficiency to age-associated conditions such as cardiovascular disease and non–AIDS-defining cancers (NADCs) [1–3].”
Effects of real-time electronic data entry on HIV programme data quality in Lusaka, Zambia
Moomba, K., Williams, A., Savory, T., Lumpa, M., Chilembo, P., Tweya, H. M., Harries, A. D., & Herce, M. E. (2020) · Public Health Action · doi:10.5588/pha.19.0068 · Cited by 14
Bunet, R., Cardinal, M. R., Ramani, H., Cleret‐Buhot, A., Durand, M., Chartrand‐Lefebvre, C., Routy, J., Thomas, R., Trottier, B., Ancuța, P., et al. (2023) · Viruses · doi:10.3390/v15030700 · Cited by 14
Chronic Kidney Disease Management in Developing Countries
Badro, D. A. (2023) · Springer eBooks · doi:10.1007/978-3-030-74786-2_27-1 · Cited by 18
Blaauw, M. J. T., Berrevoets, M. A. H., Vos, W. A. J. W., Groenendijk, A. L., van Eekeren, L. E., Vadaq, N., Weijers, G., van der Ven, A. J. A. M., Rutten, J. H. W., & Riksen, N. P. (2023) · Journal of the American Heart Association · doi:10.1161/jaha.123.030606 · Cited by 14
Mechanisms Influencing Circadian Blood Pressure Patterns Among Individuals with HIV
Kent, S. T., Burkholder, G., Tajeu, G. S., Overton, E. T., & Muntner, P. (2015) · Current Hypertension Reports · doi:10.1007/s11906-015-0598-1 · Cited by 14
Masiá, M., Padilla, S., García, J. A., Bernardino, J. I., Campins, A. A., Asensi, V., & Gutiérrez, F. (2018) · HIV Medicine · doi:10.1111/hiv.12616 · Cited by 14
Enkhmaa, B., Anuurad, E., Zhang, W., Li, C., Kaplan, R. C., Lazar, J., Merenstein, D., Karim, R., Aouizerat, B. E., Cohen, M. H., et al. (2018) · Journal of Lipid Research · doi:10.1194/jlr.p084517 · Cited by 14
HIV and metabolic syndrome in an Ethiopian population
Møller, S. P., Amare, H., Christensen, D. L., Yilma, D., Abdissa, A., Friis, H., Faurholt‐Jepsen, D., & Olsen, M. F. (2020) · Annals of Human Biology · doi:10.1080/03014460.2020.1781929 · Cited by 14
Cardiovascular disease and prevention among people living with HIV in South Florida
Pyarali, F. F., Iordanov, R. B., Ebner, B., Grant, J. K., Vincent, L. T., Toirac, A., Haque, T., Zablah, G. J., Kapoor, K., Powell, A. R., et al. (2021) · Medicine · doi:10.1097/md.0000000000026631 · Cited by 14
Race and sex differences in ambulatory blood pressure measures among HIV+ adults
Kent, S. T., Schwartz, J. E., Shimbo, D., Overton, E. T., Burkholder, G., Oparil, S., Mugavero, M. J., & Muntner, P. (2017) · Journal of the American Society of Hypertension · doi:10.1016/j.jash.2017.05.002 · Cited by 15
Quiles, N. N., Ciccolo, J. T., & Garber, C. E. (2017) · Journal of the Association of Nurses in AIDS Care · doi:10.1016/j.jana.2017.06.015 · Cited by 14
Thompson, M., Orkin, C. M., Molina, J., Sax, P. E., Cahn, P. E., Squires, K., Xu, X., Rodgers, A., Kumar, S., Teppler, H., et al. (2019) · Clinical Infectious Diseases · doi:10.1093/cid/ciz423 · Cited by 14
Ottaru, T. A., Kwesigabo, G., Butt, Z. A., Rivera, A. S., Chillo, P., Siril, H. N., Hirschhorn, L. R., Feinstein, M. J., & Hawkins, C. (2022) · Global Heart · doi:10.5334/gh.1157 · Cited by 13
Batta, Y., King, C., Cooper, F., Johnson, J. L., Haddad, N., Boueri, M. G., DeBerry, E., & Haddad, G. E. (2023) · Frontiers in Physiology · doi:10.3389/fphys.2023.1118653 · Cited by 17
“(2012) (Islam et al., 2012) suggests that the use of NRTI based antiviral therapy in PLHIV is associated with an increased risk of TABLE 1 Individual Drug Classes and Cardiovascular Health Risk.”
BackgroundHepatitis B virus infection and decreased risk of stroke: a meta-analysis
Wang, Y., Xiong, J., Chen, X., Niu, M., Chen, X., Guan, Y., Zheng, K., & Xu, K. (2017) · Oncotarget · doi:10.18632/oncotarget.19609 · Cited by 13
“It is known that HIV itself may also affect cerebrovascular disease risk [38, 39]; thus, our findings may not be generalizable to all populations.”
BackgroundTarancón‐Díez, L., Pablo-Bernal, R. S. D., Álvarez‐Ríos, A. I., Rosado‐Sánchez, I., Domínguez-Molina, B., Genebat, M., Pacheco, Y. M., Jiménez, J. L., Muñoz‐Fernández, M. Á., Ruíz-Mateos, E., et al. (2017) · Thrombosis and Haemostasis · doi:10.1160/th16-11-0867 · Cited by 13
“However, non-AIDS-related events, such as those attributable to atherosclerotic cardiovascular diseases (CVDs), have become increasingly relevant, increasing approximately two-fold compared to a non-HIV-infected population and becoming one of the leading causes of morbidity and mortality in HIV-infected patients (1).”
BackgroundHuman Immunodeficiency Virus Infection, Antiretroviral Therapy, and Statin: a Clinical Update
Zanetti, H. R., Roever, L., Gonçalves, A., & Resende, E. S. (2018) · Current Atherosclerosis Reports · doi:10.1007/s11883-018-0708-z · Cited by 13
Strauss, K.-L. E., Phoswa, W. N., Lebelo, S. L., Modjadji, P., & Mokgalaboni, K. (2024) · Thrombosis Research · doi:10.1016/j.thromres.2023.12.011 · Cited by 12
de Boissieu, P., Dramé, M., Raffi, F., Cabie, A., Poizot‐Martin, I., Cotte, L., Garraffo, R., Delobel, P., Huleux, T., Rey, D., et al. (2016) · Medicine · doi:10.1097/md.0000000000004890 · Cited by 12
“NVP was shown to have a favorable lipid profile when compared with EFV and PIs, but this was documented in studies conducted with PIs, which are no longer recommended.([7,8,21]) In our study, discontinuation of the ARV regimen due to cardiovascular events was very rare across all groups.”
ResultAre we successfully managing cardiovascular disease in people living with HIV?
Hatleberg, C. I., Lundgren, J. D., & Ryom, L. (2017) · Current Opinion in HIV and AIDS · doi:10.1097/coh.0000000000000417 · Cited by 12
Ibáñez, L., Velli, P., Font, R., Jaén, Á., Royo, J., Irigoyen, D., Cairó, M., de la Sierra, A., Arranz, M. J., Gallardo, D., et al. (2014) · PLoS ONE · doi:10.1371/journal.pone.0112279 · Cited by 12
“The prevalence of these events in HIV-infected subjects is higher than in the general population and has an earlier onset [4–6].”
BackgroundImpact of age on care pathways of people living with HIV followed up in hospital
Jacomet, C., Berland, P., Guiguet, M., Simon, A., Rey, D., Arvieux, C., Puglièse, P., & Gerbaud, L. (2016) · AIDS Care · doi:10.1080/09540121.2016.1200712 · Cited by 12
Tulu, S. N., Salmi, N. A., & Jones, J. (2021) · BMC Public Health · doi:10.1186/s12889-021-10781-1 · Cited by 13
“People living with HIV are at increased risk of CVD since immune response and HIV-related inflammation were found to be risk factors for CVD [35, 36].”
BackgroundTrends of HIV Mortality between 2001 and 2018: An Observational Analysis
Jani, C., Patel, K., Walker, A., Singh, H., Omari, O. A., Crowley, C., Marshall, D. C., Goodall, R. J., Rupal, A., Salciccioli, J. D., et al. (2021) · Tropical Medicine and Infectious Disease · doi:10.3390/tropicalmed6040173 · Cited by 12
“A large body of evidence indicates that HIV-positive individuals are at aboveaverage risk for cardiovascular disease [27,28].”
BackgroundKaravidas, A. I., Xylomenos, G., Matzaraki, V., Papoutsidakis, N., Leventopoulos, G., Farmakis, D. T., Lazaros, G. A., Perpinia, A., Arapi, S. M., Paisios, N., et al. (2015) · Clinical Research in Cardiology · doi:10.1007/s00392-015-0866-8 · Cited by 12
Metadata
- Authors
- Islam, F., Wu, J., Jansson, J., & Wilson, D.
- Affiliations
- The Kirby Institute Faculty of Medicine University of New South Wales Sydney NSW Australia
- UNSW Sydney (AU)
- Corresponding author
- Wilson, DP
- ORCID
- Venue
- HIV Medicine
- Publisher
- Wiley
- Published
- 2012-03-14
- Volume
- 13
- Issue
- 8
- Pages
- 453-468
- ISSN
- 1464-2662 (ISSN-L)
- 1468-1293
- OpenAlex
- W1677033108
- Cited by
- 432
- References
- 40
- Citations by year
- 2026: 13 · 2025: 16 · 2024: 28 · 2023: 19 · 2022: 31 · 2021: 39 · 2020: 42 · 2019: 28 · 2018: 44 · 2017: 34 · 2016: 40 · 2015: 29 · 2014: 27 · 2013: 26 · 2012: 15
- FWCI
- 6.87
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- HIV Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Australian Government
- Medical Research Council
- Australian Research Council (DP1093026, FT0991990)
- National Health and Medical Research Council (630495)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV-related health complications and treatments
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS drug development and treatment
- Keywords
- cardiovascular disease, people living with HIV, antiretroviral therapy, protease inhibitors, myocardial infarction, ischemic heart disease, coronary artery disease, cerebrovascular events, lopinavir/ritonavir, abacavir, cardiovascular risk
- MeSH terms
- Adult, Cardiovascular Diseases, Humans, Protease Inhibitors, Risk Factors, HIV Infections, Incidence, Reverse Transcriptase Inhibitors, Anti-Retroviral Agents
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