Bernardino de la Serna José Ignacio, Arribas López José Ramón
Unidad VIH, Servicio de Medicina Interna, Hospital Universitario La Paz, Madrid, España.
Enferm Infecc Microbiol Clin. 2009 Sep;27 Suppl 1:48-53. doi: 10.1016/S0213-005X(09)73445-7.
Cardiovascular diseases are an increasing problem in patients with HIV infection. The causes of the increased cardiovascular risk in HIV-infected patients are multifactorial. Currently, the question of which factor has the most weight in this equation - whether traditional risk factors, the virus per se or antiretroviral therapy - remains to be determined. The absolute risk of cardiovascular disease in a particular patient depends on the composite risk profile. At present, there are no data to support a distinct approach to cardiovascular risk evaluation in HIV-infected patients. Cardiovascular risk equations should be incorporated into routine daily clinical assessment in order to identify patients in need of specific interventions.
心血管疾病在HIV感染患者中是一个日益严重的问题。HIV感染患者心血管风险增加的原因是多方面的。目前，在这一情况中哪个因素最为关键——是传统风险因素、病毒本身还是抗逆转录病毒疗法——仍有待确定。特定患者患心血管疾病的绝对风险取决于综合风险状况。目前，尚无数据支持对HIV感染患者采用独特的心血管风险评估方法。心血管风险评估方程应纳入日常临床常规评估，以便识别需要进行特定干预的患者。
