Assessment of cardiac function in patients with the acquired immunodeficiency syndrome.

Abstract:

:We have assessed right and left ventricular function by multigated radionuclide ventriculography in 12 consecutive patients with acquired immunodeficiency syndrome (AIDS) grouped according to the CDC classification system for HIV infection. Results were correlated with clinical, electrocardiographic and echocardiographic findings. Clinical examination and chest x-ray films showed no evidence of acute cardiac or pulmonary pathology. Five patients had evidence of ventricular dysfunction by radionuclide ventriculography along with significant ECG abnormalities. Three patients had abnormal ECG findings with normal ejection fractions. Echocardiography showed no evidence of significant valvulopathy or pericardial disease except for one patient with fibrinous strands associated with the pericardium. Decreased ejection fractions did not correlate with disease classification, risk group or survival. This study suggests that a major percentage of AIDS patients have some evidence of cardiac abnormalities. We conclude that abnormal ECG findings in an AIDS patient should alert the clinician to possible underlying ventricular dysfunction.

journal_name

Chest

journal_title

Chest

authors

Raffanti SP,Chiaramida AJ,Sen P,Wright P,Middleton JR,Chiaramida S

doi

10.1378/chest.93.3.592

subject

Has Abstract

pub_date

1988-03-01 00:00:00

pages

592-4

issue

3

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)30337-3

journal_volume

93

pub_type

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