Current Atherosclerosis Reports

, Volume 12, Issue 2, pp 119–124 | Cite as

The Spectrum of Atherosclerotic Coronary Artery Disease in HIV Patients

Article

Abstract

The incidence of HIV is on the rise. With the advent of antiretroviral therapy, the average life expectancy of HIV patients has increased by several decades, but the increasing life expectancy has shifted the spectrum of HIV-associated morbidity and mortality away from opportunistic infections and toward chronic medical conditions. In fact, coronary artery disease has become the leading cause of mortality in patients with HIV. The pathophysiology of atherosclerosis in patients with HIV is very complex, including direct endothelial damage from viremia, a heightened overall state of inflammation from immune activation, higher prevalence and contribution from traditional atherosclerotic risk factors, and direct effects from antiretroviral therapy itself. This review focuses on the patterns, predictors, and pathophysiology of atherosclerotic disease in patients with HIV. In addition, the risks and benefits of evidence-based highly active antiretroviral therapy are critically evaluated.

Keywords

HIV Atherosclerosis Coronary artery disease Highly Active Anti Retroviral Theraphy (HAART) 

Notes

Disclosure

No potential conflicts of interest relevant to this article were reported.

References

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Abdul Hakeem
    • 1
  • Sabha Bhatti
    • 1
  • Mehmet Cilingiroglu
    • 1
  1. 1.Division of Cardiovascular Diseases, Department of Medicine, College of MedicineUniversity of CincinnatiCincinnatiUSA

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