HIV infection and cardiovascular pathology

According to modern literature data, the role of human immunodeficiency virus (HIV) infection has been proven as an independent risk factor (RF) for atherosclerosis and cardiovascular diseases (CVDs), including coronary artery disease, heart failure, and sudden cardiac death. The role of antiretrovi...

Full description

Saved in:
Bibliographic Details
Main Authors: T. A. Shekhovtsova, D. V. Duplyakov
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2023-04-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/3370
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849698819000762368
author T. A. Shekhovtsova
D. V. Duplyakov
author_facet T. A. Shekhovtsova
D. V. Duplyakov
author_sort T. A. Shekhovtsova
collection DOAJ
description According to modern literature data, the role of human immunodeficiency virus (HIV) infection has been proven as an independent risk factor (RF) for atherosclerosis and cardiovascular diseases (CVDs), including coronary artery disease, heart failure, and sudden cardiac death. The role of antiretroviral therapy (ART) in the occurrence of CVD remains debatable. On the one hand, ART is a mandatory component in CVD prevention, since there are numerous confirmations of the association of high viral load and noncompensated immune status with an increased risk of CVD. On the other hand, the use of certain classes of ART agents is associated with the development of dyslipidemia, insulin resistance, and type 2 diabetes, which are risk factors for CVD. In this regard, the current HIV treatment protocols require an assessment of CVD risk factors to select the optimal ART regimen. It must be remembered that when using generally accepted algorithms and scales for assessing the risk of CVD, the real risk may remain underestimated in HIV-infected patients. This literature review presents a patient data management algorithm developed by the American Heart Association and describes statin therapy in patients with HIV infection.
format Article
id doaj-art-1a460929dfdd4a43b08437578f57d72a
institution DOAJ
issn 1728-8800
2619-0125
language Russian
publishDate 2023-04-01
publisher «SILICEA-POLIGRAF» LLC
record_format Article
series Кардиоваскулярная терапия и профилактика
spelling doaj-art-1a460929dfdd4a43b08437578f57d72a2025-08-20T03:18:48Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252023-04-0122310.15829/1728-8800-2023-33702671HIV infection and cardiovascular pathologyT. A. Shekhovtsova0D. V. Duplyakov1Polyakov Samara Regional Clinical Cardiology DispensaryPolyakov Samara Regional Clinical Cardiology Dispensary; Samara State Medical UniversityAccording to modern literature data, the role of human immunodeficiency virus (HIV) infection has been proven as an independent risk factor (RF) for atherosclerosis and cardiovascular diseases (CVDs), including coronary artery disease, heart failure, and sudden cardiac death. The role of antiretroviral therapy (ART) in the occurrence of CVD remains debatable. On the one hand, ART is a mandatory component in CVD prevention, since there are numerous confirmations of the association of high viral load and noncompensated immune status with an increased risk of CVD. On the other hand, the use of certain classes of ART agents is associated with the development of dyslipidemia, insulin resistance, and type 2 diabetes, which are risk factors for CVD. In this regard, the current HIV treatment protocols require an assessment of CVD risk factors to select the optimal ART regimen. It must be remembered that when using generally accepted algorithms and scales for assessing the risk of CVD, the real risk may remain underestimated in HIV-infected patients. This literature review presents a patient data management algorithm developed by the American Heart Association and describes statin therapy in patients with HIV infection.https://cardiovascular.elpub.ru/jour/article/view/3370human immunodeficiency virusantiretroviral therapycardiovascular diseasesudden cardiac deathheart failureatherosclerosis
spellingShingle T. A. Shekhovtsova
D. V. Duplyakov
HIV infection and cardiovascular pathology
Кардиоваскулярная терапия и профилактика
human immunodeficiency virus
antiretroviral therapy
cardiovascular disease
sudden cardiac death
heart failure
atherosclerosis
title HIV infection and cardiovascular pathology
title_full HIV infection and cardiovascular pathology
title_fullStr HIV infection and cardiovascular pathology
title_full_unstemmed HIV infection and cardiovascular pathology
title_short HIV infection and cardiovascular pathology
title_sort hiv infection and cardiovascular pathology
topic human immunodeficiency virus
antiretroviral therapy
cardiovascular disease
sudden cardiac death
heart failure
atherosclerosis
url https://cardiovascular.elpub.ru/jour/article/view/3370
work_keys_str_mv AT tashekhovtsova hivinfectionandcardiovascularpathology
AT dvduplyakov hivinfectionandcardiovascularpathology