Echocardiographic screening for pulmonary arterial hypertension in HIV-positive patients
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- ten Freyhaus, H., Vogel, D., Lehmann, C. et al. Infection (2014) 42: 737. doi:10.1007/s15010-014-0610-8
Human immunodeficiency virus (HIV) infection is associated with an increased risk for pulmonary arterial hypertension (PAH). Upon the screening of 220 asymptomatic HIV-positive individuals by echocardiography, we detected and confirmed HIV-associated PAH in 0.45 % of cases. Mild elevations of systolic pulmonary arterial pressure most probably owing to left ventricular diastolic dysfunction were found in 7.7 % of cases, without progress after 2 years. We suggest that the screening of asymptomatic HIV-positive patients for PAH should not be performed.