Abstract
With the global epidemic of HIV, developing countries like India are having a rapid surge in the number of HIV cases. An effective strategy needs to be formulated for the management of HIV which has multisystem involvement. Unfortunately, due to poor laboratory infrastructure in many parts of the country CD4 testing, both initial and repeat, in patients of HIV who have cardiac involvement, is not possible. Present study done in the PG Department of Medicine and Cardiology Department of Sarojini Naidu Medical College (Agra, U.P.) uses both the CD4 count and the WHO clinical stage of HIV patients to correlate with the echocardiographic abnormalities. It is concluded that besides the CD4 count, the echocardiographic abnormalities correlate very well with the WHO clinical stage of the patient. Hence, all patients with low CD4 count and those in late clinical stages should be screened for cardiovascular abnormalities
Keywords: 2D Echocardiography, HIV, CD4 count, WHO clinical stage.
References
- Himelman RB, Chung WS, Chernoff DN, Schiller NB, Hollander, “Cardiac manifestations of human immunode-ficiency virus infection: a two-dimensional echocardiographic study” Journal of the American college of cardiology, Vol. 13, No. 5,1989, 1030-1036
- Khunnawat C, Mukerji S, Havlichek D Jr, Touma R, Abela GS, “Cardiovascular manifestations in human immunodef-iciency virus-infected patients” American journal of cardiology, Vol. 103, No. 2, 2009, pg 292-293
- Aggarwal P, Sharma A, Bhardwaj R, Raina R , “Myocardial dysfunction in human immunodeficiency virus infection: an echocardiographic study.” J Assoc Physicians India. 2009 Nov;57:745-6
- Deepak Kumar, Madhulata et al. “Study of Cardiovascular Manifestations in Patients with Hiv Infection And Their Correlation With Cd4 Count In Population Of Western Rajasthan”. IOSR Journal . Volume 15, Issue 5 Ver. I (May. 2016), PP 59-63
- Moreno R, Villacastín JP, Bueno H, López et al. “Clinical and echocardiographic findings in HIV patients with pericardial effusion” Cardiology. 1997 Sep-Oct;88(5):397-400.
- Hakim JG, Matenga JA, Siziya S. Myocardial dysfunction in human immunodeficiency virus infection: an echocardiographic study of 157 patients in hospital in Zimbabwe. Heart. 1996;76(2):161-165.
- Zareba KM, Lipshultz SE. “Cardiovascular Complications in Patients with HIV Infection” Curr Infect Dis Rep. 2003 Dec;5(6):513-520
Corresponding Author
Dr Raj Kumar Verma
Lecturer, P.G. Dept of Medicine, Sarojini Naidu Medical College,
Agra-282002, Uttar Pradesh, INDIA
Mobile: +919219737550, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.