Diastolic dysfunction of the left ventricle in HIV-infected patients, clinical and prognostic relationships
https://doi.org/10.33667/2782-4101-2024-1-10-16
Abstract
Diastolic dysfunction in HIV-infected patients is a common problem, the pathway of which is based on chronic low-intensity inflammation, and whose consequences are associated with progression of chronic heart failure (CHF) and death.
The aim of the study was to evaluate clinical, echocardiographic and laboratory data of patients with diastolic left ventricular myocardial dysfunction infected with HIV and to present new prognostic relationships.
Within the framework of a one-stage, screening, clinical study in the conditions of a multidisciplinary clinic, 240 patients with HIV infection were examined, and 136 of them showed signs of diastolic dysfunction. The development of diastolic dysfunction in HIV-infected patients is a factor provoking the development and progression of CVD, ventricular rhythm disturbances, ischemic heart disease, and anemia. Diastolic dysfunction in HIV-infected patients increases the risks of death within 2 years by 1.46 times. Increase of NT-proBNP concentration in plasma of HIV-infected patients ≥ 185.7 pg/mL is associated with the development of diastolic dysfunction in them.
About the Author
O. G. GoryachevaRussian Federation
Olga Georgievna Goryacheva, candidate of medical sciences, associate professor
Department of Polyclinic Therapy
Perm
AuthorID: 1004108; Tel.: +7-982-452-76-79
References
1. Butler J, Greene SJ, Shah SH, Shah SJ, Anstrom KJ, Kim RJ, Kalogeropoulos AP, Velazquez EJ, Hernandez AF, Desvigne-Nickens P, Scherzer R, Hsue PY, Braunwald E. Diastolic Dysfunction in Patients With Human Immunodeficiency Virus Receiving Antiretroviral Therapy: Results From the CHART Study. J Card Fail. 2020;26(5):371–380. doi: 10.1016/j.cardfail.2019.10.011.
2. Pedersen KK, Pedersen M, Gaardbo JC, Ronit A, Hartling HJ, Bruunsgaard H, Gerstoft J, Ullum H, Nielsen SD. Persisting inflammation and chronic immune activation but intact cognitive function in HIV-infected patients after long-term treatment with combination antiretroviral therapy. J Acquir Immune Defic Syndr. 2013;1;63(3):272-9. doi: 10.1097/QAI.0b013e318289bced.
3. Koziolova N.A. Goryacheva O.G. Litsinger I.F. The importance of inflammation in the formation of chronic heart failure in patients infected with the human immunodeficiency virus. Russian Journal of Cardiology 2022;27(2), p. 53–61. doi: 10.15829/1560-4071-2022-4862.
4. Ageev F.T., Ovchinnikov A.G. Diastolic heart failure: 20 years later. Current issues of pathogenesis, diagnosis and treatment of heart failure with preserved LVEF. Cardiology. 2023; 63(3), pp.1 9. doi: 10.18087/cardio.2023.3.n2376
5. Luetkens JA, Doerner J, Schwarze-Zander C, Wasmuth JC, Boesecke C, Sprinkart AM, Schmeel FC, Homsi R, Gieseke J, Schild HH, Rockstroh JK, Naehle CP. Cardiac Magnetic Resonance Reveals Signs of Subclinical Myocardial Inflammation in Asymptomatic HIV-Infected Patients. Circ Cardiovasc Imaging. 2016;9(3):e004091. doi: 10.1161/CIRCIMAGING.115.004091.
6. Puntmann VO, Peker E, Chandrashekhar Y, Nagel E. T1 Mapping in Characterizing Myocardial Disease : A Comprehensive Review. Circ Res. 2016;8;119(2):277-99. doi: 10.1161/CIRCRESAHA.116.307974.
7. Naguch SF, Smiseth OA, Appleton CP, Byrd BF, Dokainish H, Evardsen T, Flachsampf FA, Gilbert TC, Klein AL, Lancellotti P, Marino P, Oh JK, Popescu BA,Waggoner AD. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: an update from the American Society of Echocardiography and the Europen Association of Cardiovascular Imaging. J.Am.Soc Echocardiography, 2016; 29, р. 277-314. doi: 10.1016/j.echo.2016.01.011.
8. Williams EC, Hahn JA, Saitz R, Bryant K, Lira MC, Samet JH. Alcohol Use and Human Immunodeficiency Virus (HIV) Infection: Current Knowledge, Implications, and Future Directions. Alcohol Clin Exp Res. 2016;40(10):2056–2072. doi: 10.1111/acer.13204.
9. Nayak G, Ferguson M, Tribble DR, Porter CK, Rapena R, Marchicelli M, Decker CF. Cardiac diastolic dysfunction is prevalent in HIV-infected patients. AIDS Patient Care STDS. 2009;23(4):231-8. doi: 10.1089/apc.2008.0142.
10. Okeke NL, Alenezi F, Bloomfield GS, Dunning A, Clement ME, Shah SH, Naggie S, Velazquez EJ. Determinants of Left Ventricular Hypertrophy and Diastolic Dysfunction in an HIV Clinical Cohort. J Card Fail. 2018;24(8):496–503. doi: 10.1016/j.cardfail.2018.06.003.
11. Hu X, Zhang Y, Zhang T, Li W, Han J, Zhang X, Meng F. Echocardiographic assessment of left cardiac structure and function in antiretroviral therapy (ART)-naïve people living with HIV/AIDS. Immun Inflamm Dis. 2023;11(4):e799. doi: 10.1002/iid3.799. PMID: 37102652; PMCID: PMC10091372.
12. Sud K, Argulian E. Echocardiography in Patients with HIV Infection. Curr Cardiol Rep. 2020;1;22(9):100. doi: 10.1007/s11886-020-01347-5.
13. Bigna JJ, Nansseu JR, Um LN, Noumegni SR, Simé PS, Aminde LN, Koulla-Shiro S, Noubiap JJ. Prevalence and incidence of pulmonary hypertension among HIV-infected people in Africa : a systematic review and meta-analysis. BMJ Open. 2016;23;6(8):e011921. doi: 10.1136/bmjopen-2016-011921.
14. Cong F, Zhu L, Deng L, Xue Q, Wang J. Correlation between non-alcoholic fatty liver disease and left ventricular diastolic dysfunction in non-obese adults: a cross-sectional study. BMC Gastroenterol. 2023;27;23(1):90. doi: 10.1186/s12876-023-02708-4.
15. Stundiene I, Sarnelyte J, Norkute A, Aidietiene S, Liakina V, Masalaite L, Valantinas J. Liver cirrhosis and left ventricle diastolic dysfunction : Systematic review. World J Gastroenterol. 2019;28;25(32):4779–4795. doi: 10.3748/wjg.v25.i32.4779.
16. Gevaert AB, Mueller S, Winzer EB, Duvinage A, Van de Heyning CM, Pieske-Kraigher E, Beckers PJ, Edelmann F, Wisløff U, Pieske B, Adams V, Halle M, Van Craenenbroeck EM; OptimEx-Clin Study Group. Iron Deficiency Impacts Diastolic Function, Aerobic Exercise Capacity, and Patient Phenotyping in Heart Failure With Preserved Ejection Fraction: A Subanalysis of the OptimEx-Clin Study. Front Physiol. 2022;10;12:757268. doi: 10.3389/fphys.2021.757268.
17. Danquah M, Owiredu WKBA, Jnr BAE, Serwaa D, Odame Anto E, Peprah MO, Obirikorang C, Fondjo LA. Diagnostic value of neutrophil gelatinase-associated lipocalin (NGAL) as an early biomarker for detection of renal failure in hypertensives: a case-control study in a regional hospital in Ghana. BMC Nephrol. 2023;26;24(1):114. doi: 10.1186/s12882-023-03120-6.
18. Gupta SK, Eustace JA, Winston JA, Boydstun II, Ahuja TS, Rodriguez RA, Tashima KT, Roland M, Franceschini N, Palella FJ, Lennox JL, Klotman PE, Nachman SA, Hall SD, Szczech LA, Guidelines for the Management of Chronic Kidney Disease in HIV-Infected Patients: Recommendations of the HIV Medicine Association of the Infectious Diseases Society of America, Clinical Infectious Diseases, Volume 40, Issue 11, 1, р. 1559–1585. doi: 10.1086/430257.
19. Butler J, Kalogeropoulos AP, Anstrom KJ, Hsue PY, Kim RJ, Scherzer R, Shah SJ, Shah SH, Velazquez EJ, Hernandez AF, Desvigne-Nickens P, Braunwald E. Diastolic Dysfunction in Individuals With Human Immunodeficiency Virus Infection: Literature Review, Rationale and Design of the Characterizing Heart Function on Antiretroviral Therapy (CHART) Study. J Card Fail. 2018;24(4):255–265. doi: 10.1016/j.cardfail.2018.02.001.
Review
For citations:
Goryacheva O.G. Diastolic dysfunction of the left ventricle in HIV-infected patients, clinical and prognostic relationships. International journal of Innovative Medicine. 2024;(1):10-16. https://doi.org/10.33667/2782-4101-2024-1-10-16