Aortic Stiffness in HIV Infection with and without Antiretroviral Therapy. A Meta-analysis of Observational Studies
| Autor: | Giuseppe Mulè, Claudia Colomba, Valeria Tranchida, P. Colletti, Antonio Cascio, Marcello Trizzino, Giovanni Mazzola, Giovanni Mulè |
|---|---|
| Přispěvatelé: | Cascio, Antonio, Colomba, Claudia, Trizzino, Marcello, Mazzola, Giovanni, Colletti, Pietro, Tranchida, Valeria, Mulè, Giuseppe, Mulè, Giovanni |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
cardiovascular risk
medicine.medical_specialty Settore MED/09 - Medicina Interna aortic stiffness Settore MED/17 - Malattie Infettive business.industry pulse wave velocity HIV infection cardiovascular risk pulse wave velocity aortic stiffness Human immunodeficiency virus (HIV) virus diseases Specialties of internal medicine General Medicine medicine.disease_cause HIV infection Antiretroviral therapy RC581-951 Meta-analysis Internal medicine RC666-701 Medicine Diseases of the circulatory (Cardiovascular) system Observational study Aortic stiffness business Pulse wave velocity |
| Zdroj: | Artery Research, Vol 26, Iss 1 (2020) |
| ISSN: | 1876-4401 |
| Popis: | Background: The risk of Cardiovascular (CV) events is higher in HIV-infected patients (HIV+) compared to HIV-uninfected persons (HIV−). Large artery stiffness, a well-documented predictor of adverse CV prognosis, may mediate this enhanced risk. It is usually assessed by measuring aortic Pulse Wave Velocity (aPWV). Studies examining arterial stiffness in HIV+ yielded inconsistent results. We performed a meta-analysis with the aim to evaluate the association of HIV infection and its therapy [Antiretroviral Therapy (ART)] with aPWV. Design and Method: The Standardized Mean Difference (SMD) and corresponding 95% confidence intervals were calculated for aPWV in different comparison groups. Statistical heterogeneity, assessed by Q-test and I2 statistic, was observed in all these comparisons. Therefore, random effects model was implemented. Results: In a total of 12 studies, naive HIV+ (n = 547) showed increased aPWV compared to HIV− (n = 864): SMD = 0.333 (0.125–0.542), p < 0.002. A total of 22 studies were identified comparing HIV+ treated with ART (n = 3348) to HIV− (n = 2547) showing higher values of aPWV in the former than in latter: SMD = 0.391 (0.225–0.556), p < 0.001. In 10 studies, HIV+ treated with ART (n = 761) exhibited greater aPWV values than those of naive HIV+ (n = 457): SMD = 0.262 (0.006–0.518), p = 0.045. Conclusion: Our meta-analysis seems to suggest that HIV infection “per se” and ART may impair aortic distensibility. However, interpretation of our results needs caution due to between-study heterogeneity and some potential publication biases |
| Databáze: | OpenAIRE |
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