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Cardiovascular prevention in HIV patients: results from a successful intervention program.
Lima, Enéas M O; Gualandro, Danielle M; Yu, Pai C; Giuliano, Isabela de C B; Marques, André C; Calderaro, Daniela; Caramelli, Bruno.
Afiliação
  • Lima EM; Heart Institute, University of São Paulo Medical School, Sao Paulo, SP, Brazil.
Atherosclerosis ; 204(1): 229-32, 2009 May.
Article em En | MEDLINE | ID: mdl-18834588
OBJECTIVES: To analyze the effect of a prevention program on the estimated cardiovascular risk calculated by three risk scores. METHODS: We prospectively evaluated 87 HIV+patients with elevated cardiovascular risk estimation. Framingham (FRS), PROCAM and National Cholesterol Education Program (ATP-III) were applied. Cardiovascular risk was defined as elevated if >10%. All patients received non-pharmacological (diet, exercise, smoking cessation) and, when appropriate, pharmacological therapy. RESULTS: Mean age was 52 years, 92% were male, 39.1% were smokers, 70.1% had hypertension, 18.4% had diabetes. All patients were under HAART, 56.3% were receiving protease inhibitors (PI). After 6 months, intervention was associated to significant changes on triglycerides (298+/-242 and 206+/-135 mg/dL, p<0.05), total-cholesterol (224+/-47 and 189+/-38 mg/dL, p<0.001), LDL-cholesterol (129+/-44 and 109+/-30 mg/dL, p<0.001). Frequencies of patients with elevated cardiac risk before and 6 months after intervention were 92% x 27.6% (p<0.0001), 80.5% x 50.6% (p<0.0002), and 25.3% x 14.9% (p=0.12), for FRS, ATP III and PROCAM, respectively. CONCLUSIONS: An intervention program focused on reduction of traditional risk factors was able to decrease the frequency of patients with HIV infection and elevated cardiovascular risk estimation. FRS showed greater sensitivity than the other scores.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fármacos Cardiovasculares / Doenças Cardiovasculares / Infecções por HIV / Comportamento de Redução do Risco Tipo de estudo: Etiology_studies / Evaluation_studies / Observational_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Atherosclerosis Ano de publicação: 2009 Tipo de documento: Article País de afiliação: Brasil País de publicação: Irlanda
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fármacos Cardiovasculares / Doenças Cardiovasculares / Infecções por HIV / Comportamento de Redução do Risco Tipo de estudo: Etiology_studies / Evaluation_studies / Observational_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Atherosclerosis Ano de publicação: 2009 Tipo de documento: Article País de afiliação: Brasil País de publicação: Irlanda