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Revista Biomédica

Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán
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2001, Number 4

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Rev Biomed 2001; 12 (4)

Cardiac manifestations in patients infected with the human immunodeficiency virus.

Góngora-Biachi RA, Aguilar-Romero R, Castro-Sansores C, Guerrero- Flores A, Yza-Villanueva R, Fernández-González A, Quintal-Flores A, Saldivar-Armenta C, González-Martínez P
Full text How to cite this article

Language: Spanish
References: 10
Page: 232-235
PDF size: 27.79 Kb.


Key words:

Aids, HIV, Cardiomyopathy.

ABSTRACT

Background. Cardiac irregularities caused by the human immunodeficiency virus (HIV) have not been described in detail and tend to be subclinical. They are usually produced by opportunist agents. The aim of this study was to determine the prevvalence of cardiac complaints in patients infected by HIV and their relations with the stage of the disease in which they appear. Methods. Patients infected by HIV in Merida, Yucatan who accepted undergoing a non-invasive cardiaca evaluation were studied. They underwent a clinical examination and completed a questionnaire with clinical-epidemiological data. An electrocardiogram while resting was carried out as well as a radiography of the thorax and a ecocardiogram. The prevalence of cardiac complaints was determined and the categorical variables were compared through the X2 and/or Fisher´s test. Results. From June 1996 to May 1999, 37 patients were studied; 3(8%) women and 34 (92%) men, 27 (73%) were in the AIDS stage of the HIV infection and cardiac irregularities were present in 13 (48%) of these patients, but none in the other stage of the HIV infection (p‹0.001). The most common irregularities were myopericarditis in 7/ 13 (54%) patients and myocarditis in 3/13 (23%) patients. Conclusions. Our study confirms the cardiac participation in the infection by HIV observing a global prevalence of 48%. All the patients with cardiac irregularities were in the AIDS stage of the disease, which sugest that these cardiac irregularities appear in the advanced stage of HIV


REFERENCES

  1. Cammarosano C, Lewis W. Cardiac lesions in acquired immunodeficiency syndrome (AIDS). J Am Col Cardiol 1985; 5: 703-6.

  2. Autran BR, Gorin 1, Leibowitch M. AIDS in Haitian woman with cardiac Kaposi´s sarcoma and Whipple´s disease. Lancet 1983; 1: 767-8.

  3. Yunis NA, Stone VE. Cardiac Manifestations of HIV/AIDS. J Acquir Immune Defic Syndr 1998; 18: 145-54.

  4. Lipshultz SE, Fox CM, Pérez-Atayde AR. Identification of human immunodeficiency virus-1 RNA and DNA in the heart of a child with cardiovascular abnormalities and congenital acquired immunodeficiency syndrome. Am J Cardiol 1990; 66: 246-51.

  5. Center for Diseases Control. 1993 revised classification system for HIV infection and expanded survillance case definition for AIDS among adolecents and adults. MMWR 1993; 41: 1-19.

  6. Hammoude A. Endocardial border identification in twodimensional echocardiographic images. Review of methods. Comput Med Imaging Graph 1998; 22: 181-193.

  7. Monzues JJ, Kinney EL, Vittecoq D. Comparison among acquired immuno deficiency syndrome patients with and without clinical evidence of cardiac disease. J Am Coll Cardiol 1988; 12: 1211-13

  8. Anderson DW, Virmani R, Reilly JM, O´Leary TJ. Prevalent myocarditis at necropsy in acquired immunodeficiency syndrome. J Am Coll Cardiol 1988; 11: 792-99.

  9. Reilly JM, Cunnion RE, Anderson DW, O´Leary TJ, Simmons JT, Lane HC. Frequency of myocarditis, left ventricular dysfunction and ventricular tachycardia in the acquired immune deficiency syndrome. Am J Cardiol 1988; 62: 789-93.

  10. Stoneburger RL, Des Jarlais DC, Benezra D. A larger spectrum of severe HIV-1 related disease intravenous drug users in New York City. Science 1988; 242: 916-9.




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Rev Biomed. 2001;12