While on a European vacation soon afterward, he again experienced chest pains, especially when sudden exercise was combined with stress as in a mad dash to catch a train. He tried deep breathing and visualization but eventually ended up in the American Hospital in Paris, where he was told that he had been experiencing multiple small MIs. Since advanced heart disease requires such invasive procedures, it's best to prevent them up-front. We should address elevated blood lipids and other risk factors, and come up with a plan that balances this concern with the HIV management needs of our patients. People haven't been paying enough attention because of the thrill of having low viral loads and improving CD4s.
Henry encourages the long view.
Living long and prospering is not the same as having viral load low from day one at any cost. Henry recommends looking for what he calls lipid-friendly combinations. But until less-toxic drugs arrive, if elevated blood fats point to trouble, address your other risk factors to reduce overall risk of heart attack. If you're overweight, diet. Just do it.