Epidemiology, pathophysiology, and prevention of heart failure in people with HIV

Arjun Sinha, Matthew Feinstein*

*Corresponding author for this work

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Heart failure (HF) has been a known complication of HIV/AIDS for three decades. As the treatment of HIV has changed, so has the epidemiology and pathophysiology of HF in people with HIV (PWH). Initial manifestations of HF in uncontrolled HIV primarily included a rapidly evolving cardiomyopathy with pericardial involvement. With the widespread uptake of effective antiretroviral therapy (ART), HF in PWH has become a chronic disease reflective of the aging population and associated comorbidities, albeit with a contribution from HIV-associated chronic immune dysregulation and inflammation. Despite viral suppression, PWH remain at elevated risk for both HF with reduced ejection fraction and HF with preserved ejection fraction. In this review, we discuss the changing epidemiology and mechanisms of HF in PWH and how that may inform HF prevention in this vulnerable population.

Original languageEnglish (US)
Pages (from-to)134-141
Number of pages8
JournalProgress in Cardiovascular Diseases
Volume63
Issue number2
DOIs
StatePublished - Mar 1 2020

Keywords

  • HIV
  • Heart failure
  • Immune dysfunction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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