학술논문

Diffuse myocardial fibrosis is uncommon in people with perinatally acquired human immunodeficiency virus infection
Document Type
article
Source
AIDS Research and Therapy, Vol 21, Iss 1, Pp 1-6 (2024)
Subject
Perinatal infection
HIV
Myocardial fibrosis
Immunologic diseases. Allergy
RC581-607
Language
English
ISSN
1742-6405
Abstract
Abstract Background Cardiovascular disease (CVD) remains a leading cause of death in people living with HIV. Myocardial fibrosis is well-described in HIV infection acquired in adulthood. We evaluate the burden of fibrosis by cardiac magnetic resonance in people with perinatal HIV infection. Methods Individuals with perinatally acquired HIV (pnHIV) diagnosed before 10 years-old and on antiretroviral treatment for ≥ 6 months were matched with uninfected controls. Patients with significant cardiometabolic co-morbidities and pregnancy were excluded. Diffuse fibrosis was assessed by cardiac magnetic resonance (CMR) with native T1 mapping for calculation of extracellular volume fraction (ECV). Viability was assessed with late gadolinium enhancement. The normality of fibrosis was assessed using the Komogrov-Smirnov test. Fibrosis between the groups was analyzed using a Mann-Whitney U test, as the data was not normally distributed. Statistical significance was defined as a p-valve