P11.10 ARTERIAL STRUCTURE AND FUNCTION ARE INFLUENCED BY ANTIRETROVIRAL THERAPY AND BY THE PRESENCE OF RENAL DAMAGE IN HIV POSITIVE PATIENTS
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- 10.1016/j.artres.2010.10.123How to use a DOI?
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Purpose: Antiretroviral therapy (ART) has dramatically reduced AIDS–related mortality, but it has been associated to an increased cardiovascular risk, even in absence of hypertension. The aim of this study was to describe the influence of renal damage (RD) and ART on arterial function and structure.
Methods: We studied 4 groups of normotensive, normocholesterolemic, euglycemic patients; one of HIV+ on ART with RD (A; n=25; age 50.2±10.4 years; means±SD), one of HIV+ on ART without RD (B; n=25; 49.4±6.2 years), one of HIV+ not on ART and without RD (C; n=13; 40±8.3 years) and one of healthy controls (D; n=25; 50±6.8 years). RD was defined by microalbuminuria and/or eGFR < 60 ml/min. Arterial stiffness was measured by aorto-femoral Pulse Wave Velocity (PWV), central BP by tonometry (Sphygmocor), carotid IMT and distensibility were measured by semi-automatic echotracking.
Results: Group A showed higher aortic SBP and PP than other groups and their aortic SBP was not significantly different from systemic one. PWV was higher in both therapy groups compared to others. Aortic distensibility was significantly impaired in A compared to B and C groups (no data for D group). IMT didn’t show any difference among groups.
Conclusions: HIV+ patients are characterized by arterial functional abnormality that might account for their increased cardiovascular risk due to either ART and/or presence of RD.
Cite this article
TY - JOUR AU - F. Cesana AU - A. Maloberti AU - M. Pozzi AU - M. Corciulo AU - G. Grosso AU - D. Dozio AU - F. Citterio AU - M. Alloni AU - S. Nava AU - M. Stucchi AU - A. Capra AU - C. Giannattasio AU - G. Mancia PY - 2010 DA - 2010/12/02 TI - P11.10 ARTERIAL STRUCTURE AND FUNCTION ARE INFLUENCED BY ANTIRETROVIRAL THERAPY AND BY THE PRESENCE OF RENAL DAMAGE IN HIV POSITIVE PATIENTS JO - Artery Research SP - 181 EP - 181 VL - 4 IS - 4 SN - 1876-4401 UR - https://doi.org/10.1016/j.artres.2010.10.123 DO - 10.1016/j.artres.2010.10.123 ID - Cesana2010 ER -