Infection

, Volume 42, Issue 4, pp 737–741

Echocardiographic screening for pulmonary arterial hypertension in HIV-positive patients

Authors

    • Klinik III für Innere MedizinHerzzentrum der Universität zu Köln
  • D. Vogel
    • Klinik III für Innere MedizinHerzzentrum der Universität zu Köln
  • C. Lehmann
    • Klinik I für Innere MedizinUniklinik Köln
  • T. Kümmerle
    • Klinik I für Innere MedizinUniklinik Köln
  • C. Wyen
    • Klinik I für Innere MedizinUniklinik Köln
  • G. Fätkenheuer
    • Klinik I für Innere MedizinUniklinik Köln
    • German Centre for Infection Research (DZIF), partner site Bonn–Cologne
  • S. Rosenkranz
    • Klinik III für Innere MedizinHerzzentrum der Universität zu Köln
Brief Report

DOI: 10.1007/s15010-014-0610-8

Cite this article as:
ten Freyhaus, H., Vogel, D., Lehmann, C. et al. Infection (2014) 42: 737. doi:10.1007/s15010-014-0610-8

Abstract

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.

Keywords

HIVARTPulmonary hypertensionLeft ventricular diastolic dysfunctionEchocardiography

Copyright information

© Springer-Verlag Berlin Heidelberg 2014