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Echocardiography in Patients with HIV Infection

  • Echocardiography (JM Gardin and AH Waller, Section Editors)
  • Published:
Current Cardiology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

This review aims to outline the important echocardiographic findings observed in patients with human immunodeficiency virus (HIV) infection in the current era of treatment.

Recent Findings

HIV infection has a wide spectrum of cardiac manifestations. Myocardial and pericardial involvement were the primary cardiac manifestations in HIV patients early during the epidemic in the developed countries. In the current era of effective antiretroviral therapy, the spectrum has shifted to metabolic abnormalities (hyperlipidemia, hypertension, etc.), accelerated atherosclerotic disease, and cardiac sequelae related to these abnormalities.

Summary

Dramatic improvement in life expectancy of patients with HIV infection has resulted in a shift in the developed nations in the spectrum of cardiac manifestations, currently dominated by diastolic dysfunction and coronary artery disease. Echocardiography and advanced echocardiographic techniques play a major role in diagnosis and screening of HIV patients with underlying cardiovascular abnormalities.

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Abbreviations

HIV:

Human Immunodeficiency virus

AIDS:

Acquired immunodeficiency syndrome

cART:

Combination antiretroviral therapy

References

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

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Authors and Affiliations

  1. Department of Cardiovascular Medicine, Icahn School of Medicine at Mount Sinai Morningside, 1111 Amsterdam Avenue, New York, NY, 10025, USA

    Karan Sud & Edgar Argulian

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  1. Karan Sud
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  2. Edgar Argulian
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Correspondence to Edgar Argulian.

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E.A. and K.S. declare that they have no conflict of interest.

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This article is part of the Topical Collection on Echocardiography

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Sud, K., Argulian, E. Echocardiography in Patients with HIV Infection. Curr Cardiol Rep 22, 100 (2020). https://doi.org/10.1007/s11886-020-01347-5

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