Echocardiographic screening for pulmonary arterial hypertension in HIV-positive patients

被引:19
|
作者
ten Freyhaus, H. [1 ]
Vogel, D. [1 ]
Lehmann, C. [2 ]
Kuemmerle, T. [2 ]
Wyen, C. [2 ]
Faetkenheuer, G. [2 ,3 ]
Rosenkranz, S. [1 ]
机构
[1] Univ Cologne, Herzzentrum, Innere Med Klin 3, D-50937 Cologne, Germany
[2] Uniklin Koln, Innere Med Klin 1, D-50937 Cologne, Germany
[3] German Ctr Infect Res DZIF, Braunschweig, Germany
关键词
HIV; ART; Pulmonary hypertension; Left ventricular diastolic dysfunction; Echocardiography; ANTIRETROVIRAL THERAPY; INFECTED PATIENTS; ASSOCIATION; PREVALENCE; DEATH;
D O I
10.1007/s15010-014-0610-8
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Human immunodeficiency virus (HIV) infection is associated with an increased risk for pulmonary arterial hypertension (PAH). Upon the screening of 220 asymptomatic HIV-positive individuals by echocardiography, we detected and confirmed HIV-associated PAH in 0.45 % of cases. Mild elevations of systolic pulmonary arterial pressure most probably owing to left ventricular diastolic dysfunction were found in 7.7 % of cases, without progress after 2 years. We suggest that the screening of asymptomatic HIV-positive patients for PAH should not be performed.
引用
收藏
页码:737 / 741
页数:5
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