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Provedor de dados:  BJID
País:  Brazil
Título:  Metabolic profile and cardiovascular risk factors among Latin American HIV-infected patients receiving HAART
Autores:  Cahn,P
Leite,O
Rosales,A
Cabello,R
Alvarez,CA
Seas,C
Carcamo,C
Cure-Bolt,N
L'Italien,Gp
Mantilla,P
Deibis,L
Zala,C
Suffert,T
Data:  2010-04-01
Ano:  2010
Palavras-chave:  HAART
HIV
Metabolic parameters
Cardiovascular risk factors
Metabolic syndrome
Dyslipidemia
Resumo:  OBJECTIVE: Determine the prevalence of metabolic abnormalities (MA) and estimate the 10-year risk for cardiovascular disease (CVD) among Latin American HIV-infected patients receiving highly active anti-retroviral therapy (HAART). METHODS: A cohort study to evaluate MA and treatment practices to reduce CVD has been conducted in seven Latin American countries. Adult HIV-infected patients with at least one month of HAART were enrolled. Baseline data are presented in this analysis. RESULTS: A total of 4,010 patients were enrolled. Mean age (SD) was 41.9 (10) years; median duration of HAART was 35 (IQR: 10-51) months, 44% received protease inhibitors. The prevalence of dyslipidemia and metabolic syndrome was 80.2% and 20.2%, respectively. The overall 10-year risk of CVD, as measured by the Framingham risk score (FRF), was 10.4 (24.7). Longer exposure to HAART was documented in patients with dyslipidemia, metabolic syndrome and type 2 diabetes mellitus. The FRF score increased with duration of HAART. Male patients had more dyslipidemia, high blood pressure, smoking habit and higher 10-year CVD than females. CONCLUSIONS: Traditional risk factors for CVD are prevalent in this setting leading to intermediate 10-year risk of CVD. Modification of these risk factors through education and intervention programs are needed to reduce CVD.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702010000200008
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1590/S1413-86702010000200008
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.14 n.2 2010
Direitos:  info:eu-repo/semantics/openAccess
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