Atherosclerosis risk in HIV-infected patients: the influence of hepatitis C virus co-infection.

Abstract:

BACKGROUND:The influence of hepatitis C virus (HCV) infection on atherosclerosis risk in HIV-infected patients has not been adequately evaluated in real-life situations. OBJECTIVES AND METHODS:We compared indexes of early atherosclerosis evaluated by echo-Doppler ultrasound (presence of plaque in carotid or femoral arteries) in 18 HCV-HIV co-infected patients versus 22 HIV mono-infected patients. RESULTS:Prevalence of subclinical carotid plaque was significantly higher in HCV-HIV co-infected patients (p=0.04), despite of the fact LDL-cholesterol and blood pressure (BP) were lower in the co-infected patients (p=0.003). HCV chronic infection (OR=10; IC: 1.5-72; p=0.02) was an independent risk factor. CONCLUSION:This cross sectional study suggests that HCV infection might be an independent cardiovascular risk factor in HCV-HIV co-infected patients. HCV infection might be considered as not only a liver infection but also as a metabolic disease in HIV patients, justifying regular cardiovascular surveillance.

journal_name

Atherosclerosis

journal_title

Atherosclerosis

authors

Sosner P,Wangermez M,Chagneau-Derrode C,Le Moal G,Silvain C

doi

10.1016/j.atherosclerosis.2012.02.027

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

274-7

issue

1

eissn

0021-9150

issn

1879-1484

pii

S0021-9150(12)00141-4

journal_volume

222

pub_type

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