TY - CHAP M1 - Book, Section TI - HIV/AIDS AND THE CARDIOVASCULAR SYSTEM A1 - Lewis, William A1 - Currie, Peter F. A2 - Fuster, Valentin A2 - Harrington, Robert A. A2 - Narula, Jagat A2 - Eapen, Zubin J. Y1 - 2017 N1 - T2 - Hurst's The Heart, 14e AB - SummaryThis chapter discusses the cardiovascular effects of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) and the adverse cardiovascular effects of therapy. Prior to highly active antiretroviral therapy (HAART), >6% of HIV/AIDS patients had cardiovascular diseases, but many of these conditions were mild. Since then, with environmental stresses, the toxicities associated with contemporary therapies, and the increased life span that has resulted from the efficacy of contemporary therapies, the spectrum of cardiovascular disease experienced by HIV/AIDS patients has changed (see accompanying Hurst’s Central Illustration). Nonbacterial thrombotic endocarditis is now rarely reported in patients with HIV/AIDS, but pericarditis and myocarditis remain prevalent in the developing world. Both HIV-1 infection itself and HAART may have a negative impact on myocardial function and be involved in the development of HIV/AIDS cardiomyopathy. In developed countries, premature coronary artery disease, metabolic syndrome, and other manifestations of atherosclerosis are emerging as key cardiovascular disorders in the HIV/AIDS patient population. HIV/AIDS patients should be assessed for traditional cardiovascular risk factors that are prevalent in this population irrespective of therapy. Notably, possible cardiovascular drug interactions with HIV/AIDS therapies have been reported. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesscardiology.mhmedical.com/content.aspx?aid=1191188518 ER -