Evaluation of Cardiac Dysfunctions in Patients with HIV
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Methods: This was an observational study, conducted in a tertiary care centre with an aim to study cardiac parameters in patients who have HIV.
Results: 151 HIV positive cases were studied over a period of 18 months. Majority of our patients were middle aged with average age of 38.7 years. 59.7% were males and 40.3% were females. Out of the 151 cases included 52(34.4%) had CD4 count < 200, 58(38.4%) had CD4 between 200-350 and 41(27.2%) had CD4 count > 350. 116(76.8%) patients had normal LVEF (> 60%) and 35(23.2%) had low LVEF (<60%). 11.9% patients had pericardial effusion. 26.4% patients had diastolic dysfunction and 15.9% of our patients had Pulmonary Arterial Hypertension.
Conclusion: Cardiac complications of HIV infection tend to occur late in the disease or are associated with related therapies. Cardiac involvement is common among HIV patients with 35.7% of our patients having cardiac involvement. 25.7% patients had some abnormal 2D echo findings which was associated with low CD4 count (< 350).
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