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HIV/AIDS Related Cardiac Diseases

  • Hongjun Li
Chapter

Abstract

Cardiovascular diseases occur in patients with AIDS of its advanced stage. The cardiovascular complications include dilated cardiomyopathy, pericardial effusion, endocarditis, cardiac dysfunction, pulmonary hypertension and arrhythmia. Left ventricular dysfunction is more common in the advanced stage. Since the year of 1981, there has been increasingly clinical and autopsy reports about AIDS complicated by cardiopathy, with the most frequently reported cases of pericarditis or pericardial effusion and occasionally accompanying cardiac tamponade. In adults and children AIDS patients, about 20–40 % is found to have pericarditis. According to the autopsy reports, the incidence of pericardiac lesions is 3–37 %, while its incidence by echocardiography is 30–38 %. HIV/AIDS related cardiopathy is a kind of non-inflammatory heart disease that is related to dysmetabolism. Myocardium is the basic dynamic tissue for the contraction and relaxation of the heart, and it is particularly sensitive to infections, hypoxia, drugs and toxins. Among AIDS patients, dilated and hypertrophic myocardial diseases are more common. By myocardium tissue culture, HIV can be found, although some scholars believed that HIV attacks hemoglobin instead of myocardial tissue. In 5 % cases of myocarditis in AIDS patients by autopsy, only 20 % is pathologically confirmed as having dilated myocardiopathy. By electrocardiography, 30–45 % cases of AIDS complicated by cardiopathy show abnormalities.

Keywords

Pulmonary Hypertension Dilate Cardiomyopathy Pericardial Effusion Cardiac Tamponade Left Ventricular Systolic Dysfunction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Extended Reading

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Copyright information

© Springer Science+Business Media Dordrecht and People’s Medical Publishing House 2014

Authors and Affiliations

  • Hongjun Li
    • 1
  1. 1.Radiology Department Beijing You’an HospitalCapital Medical UniversityBeijingPeople’s Republic of China

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