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
Chestjournal_title
Chestauthors
Raffanti SP,Chiaramida AJ,Sen P,Wright P,Middleton JR,Chiaramida Sdoi
10.1378/chest.93.3.592subject
Has Abstractpub_date
1988-03-01 00:00:00pages
592-4issue
3eissn
0012-3692issn
1931-3543pii
S0012-3692(16)30337-3journal_volume
93pub_type
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