2001, Number 4
Cardiac manifestations in patients infected with the human immunodeficiency virus.
Góngora-Biachi RA, Aguilar-Romero R, Castro-Sansores C, Guerrero- Flores A, Yza-Villanueva R, Fernández-González A, Quintal-Flores A, Saldivar-Armenta C, González-Martínez P
Language: Spanish
References: 10
Page: 232-235
PDF size: 27.79 Kb.
ABSTRACT
Background. Cardiac irregularities caused by the human immunodeficiency virus (HIV) have not been described in detail and tend to be subclinical. They are usually produced by opportunist agents. The aim of this study was to determine the prevvalence of cardiac complaints in patients infected by HIV and their relations with the stage of the disease in which they appear. Methods. Patients infected by HIV in Merida, Yucatan who accepted undergoing a non-invasive cardiaca evaluation were studied. They underwent a clinical examination and completed a questionnaire with clinical-epidemiological data. An electrocardiogram while resting was carried out as well as a radiography of the thorax and a ecocardiogram. The prevalence of cardiac complaints was determined and the categorical variables were compared through the X2 and/or Fisher´s test. Results. From June 1996 to May 1999, 37 patients were studied; 3(8%) women and 34 (92%) men, 27 (73%) were in the AIDS stage of the HIV infection and cardiac irregularities were present in 13 (48%) of these patients, but none in the other stage of the HIV infection (p‹0.001). The most common irregularities were myopericarditis in 7/ 13 (54%) patients and myocarditis in 3/13 (23%) patients. Conclusions. Our study confirms the cardiac participation in the infection by HIV observing a global prevalence of 48%. All the patients with cardiac irregularities were in the AIDS stage of the disease, which sugest that these cardiac irregularities appear in the advanced stage of HIVREFERENCES