HIV Infection and Subclinical Coronary Atherosclerosis
Authors: Carl Chartrand-Lefebvre, Madeleine Durand, Cécile Tremblay
Journal: Annals of Internal Medicine (2014)

Letters16 December 2014HIV Infection and Subclinical Coronary AtherosclerosisCarl Chartrand-Lefebvre, MD, Madeleine Durand, MD, MSc, and Cécile Tremblay, MDCarl Chartrand-Lefebvre, MDFrom University of Montreal Medical and Research Center, Montreal, Quebec, Canada., Madeleine Durand, MD, MScFrom University of Montreal Medical and Research Center, Montreal, Quebec, Canada., and Cécile Tremblay, MDFrom University of Montreal Medical and Research Center, Montreal, Quebec, Canada.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L14-5033 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Post and colleagues' (1) multicenter, cross-sectional study included 618 HIV-infected and 383 uninfected men who have sex with men who had no history of surgical or percutaneous cardiac treatment. The 1001 participants had noncontrast computed tomography (CT) for coronary calcium scoring, and 759 had coronary CT angiography to assess coronary artery plaque.After adjustment for risk factors for coronary artery disease, HIV-infected men had a greater prevalence of coronary artery plaque on CT angiography than uninfected men (prevalence ratio [PR], 1.13; P = 0.004). When only noncalcified plaque was considered, the association with HIV status was stronger ...References1. Post WS, Budoff M, Kingsley L, Palella FJ, Witt MD, Li X, et al. Associations between HIV infection and subclinical coronary atherosclerosis. Ann Intern Med. 2014;160:458-67. [PMID: 24687069] doi:10.7326/M13-1754 LinkGoogle Scholar2. Virmani R, Burke AP, Kolodgie FD, Farb A. Vulnerable plaque: the pathology of unstable coronary lesions. J Interv Cardiol. 2002;15:439-46. [PMID: 12476646] CrossrefMedlineGoogle Scholar3. Durand M, Sheehy O, Baril JG, Lelorier J, Tremblay CL. Association between HIV infection, antiretroviral therapy, and risk of acute myocardial infarction: a cohort and nested case-control study using Québec's public health insurance database. J Acquir Immune Defic Syndr. 2011;57:245-53. [PMID: 21499115] doi:10.1097/QAI.0b013e31821d33a5 CrossrefMedlineGoogle Scholar4. Zanni MV, Abbara S, Lo J, Wai B, Hark D, Marmarelis E, et al. Increased coronary atherosclerotic plaque vulnerability by coronary computed tomography angiography in HIV-infected men. AIDS. 2013;27:1263-72. [PMID: 23324657] doi:10.1097/QAD.0b013e32835eca9b CrossrefMedlineGoogle Scholar5. Durand M, Rau P, Cyr L, Matte S, Chamberland A, Mansour S, et al. The Montreal HIV and Aging cohort: results from a pilot study of coronary calcium measurement [Abstract]. Presented at 22nd Annual Canadian Conference on HIV/AIDS Research, Vancouver, British Columbia, Canada, 11–14 April 2013. Abstract no. P068. Google Scholar Author, Article, and Disclosure InformationAuthors: Carl Chartrand-Lefebvre, MD; Madeleine Durand, MD, MSc; Cécile Tremblay, MDAffiliations: From University of Montreal Medical and Research Center, Montreal, Quebec, Canada.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L14-0454. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAssociations Between HIV Infection and Subclinical Coronary Atherosclerosis Wendy S. Post , Matthew Budoff , Lawrence Kingsley , Frank J. Palella Jr. , Mallory D. Witt , Xiuhong Li , Richard T. George , Todd T. Brown , and Lisa P. Jacobson HIV Infection and Subclinical Coronary Atherosclerosis Wendy S. Post , Richard T. George , and Matthew Budoff Metrics 16 December 2014Volume 161, Issue 12Page: 923KeywordsAngiographyComputed axial tomographyCoronary arteriesDisclosureHIVHIV infectionsMyocardial infarctionStable coronary artery diseaseStenosisThrombosis ePublished: 16 December 2014 Issue Published: 16 December 2014 Copyright & PermissionsCopyright © 2014 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...