Cardiovascular presentations of patients living with HIV/AIDS-A hospital based study in North Karnataka
Nandini Devru, Swetha R Lakshetty, Anand Katageri
Introduction: HIV is the major epidemiological heath issue globally. The prevalence of HIV is increasing steadily and reached 0.8% globally in 2014. HIV patients manifest a wide clinical spectrum of infection ranging widely from acute to prolonged cardiac abnormalities. HIV/AIDS is one of the predisposing factor for cardiac abnormalities. Hence, periodic cardiovascular screening among HIV/AIDS patients helps to prevent complications. Objectives: To assess the cardiovascular presentations of patients living with HIV/AIDS. Methodology: This study was a cross sectional hospital based study carried out among confirmed HIV/AIDS patients at Vijayanagara Institute of Medical Sciences, Bellary. Convenience sampling was used and all the patients attending ART centers, out of patient department and those admitted in the internal medicine wards during the study period who fit the inclusion criteria were taken for the study. The study was for a duration of 1 year during 2011-12. Results: 200 Elisa positive HIV infected individuals were taken up for this present study over a period. 80% of the patients were males and 20% were females. Most of our patients belong to young age between 26 to 40 years. 74 percent of our patients had normal ECG. 21 patients (42%) had cardiac dysfunction, while 29 patients had no cardiac dysfunction, among the 50 patients taken up for the study. Pericardial effusion was the commonest abnormality. Conclusion: Significant cardiac dysfunction is noted in HIV infected individuals. 2D ECHO cardio graphy is an important diagnostic tool for the evaluation of cardiac dysfunction in these patients. Hence, we suggest all HIV infected patients to undergo cardiac evaluation by 2D ECHO cardio graphy, at diagnosis and at periodic intervals.
Nandini Devru, Swetha R Lakshetty, Anand Katageri. Cardiovascular presentations of patients living with HIV/AIDS-A hospital based study in North Karnataka. International Journal of Medicine Research, Volume 6, Issue 1, 2021, Pages 29-32