Abstract

We enrolled 103 patients, including 60 males (58.3%) and 43 females (41.7%). The mean age was 32.3±13.3 years (range: 13-65 years). The median Framingham score was 1.2% (IQR=5.8%). Most patients (81.63%) had a low CVR (below 10%) and 18.37% had Framingham score values above 10%. MS and IR prevalences were 16.9% and 61.2%, respectively. CVR in the general population is primarily dependent on age. This observation was valid for our group: the median age was 24 years in people with low CVR, compared with 50 years for those with Framingham score above 10% (p=0.000). None of the antiretroviral drug classes significantly influenced CVR.

Highlights

  • Most studies published to date have shown an increase in cardiovascular risk (CVR) in patients with HIV infection attributed to both viral activity and antiretroviral therapy (ART)

  • Our study aimed to evaluate CVR in HIV-infected patients undergoing ART, to identify risk factors for cardiovascular events and to assess the correlations between the presence of Metabolic syndrome (MS), insulin resistance syndrome (IR) and CVR

  • The presence of MS and CVR were strongly correlated, suggesting that using MS criteria for increased CVR screening is useful in these patients

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Summary

Open Access

Insulin resistance and the risk of cardiovascular disease in HIV patients undergoing antiretroviral therapy. Cătălin Tilişcan1,2*, Victoria Aramă, Raluca Mihăilescu, Daniela Munteanu, Mihaela Rădulescu, Adriana Hristea, Cristina Popescu, Ruxandra Moroti, Violeta Molagic, Raluca Năstase, Ana Maria Tudor, Mihai Lazăr, Anca-Ruxandra Negru, Irina Lăpădat, Mirela Dinu, Adrian Streinu-Cercel, Daniela Adriana Ion, Sorin Ștefan Aramă. From The 9th Edition of the Scientific Days of the National Institute for Infectious Diseases Prof Dr Matei Bals Bucharest, Romania.

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