Malvestutto Carlos D, Aberg Judith A
Division of Infectious Diseases & Immunology, Bellevue Hospital Center, New York University School of Medicine, NY, USA.
Clin Lipidol. 2011 Aug;6(4):447-462. doi: 10.2217/clp.11.25.
Antiretroviral therapy has dramatically increased survival for HIV-infected individuals. As this population lives longer, coronary heart disease has become an important comorbid condition. Dyslipidemia in HIV-infected individuals is a complex condition, with multiple contributing factors including the HIV virus itself, individual genetic characteristics and antiretroviral therapy-induced metabolic changes. Effective management of dyslipidemia in this population is essential to reduce cardiovascular risk but presents multiple challenges due to interactions between antiretroviral therapy agents and lipid-lowering medications.
抗逆转录病毒疗法显著提高了艾滋病毒感染者的生存率。随着这一人群寿命的延长,冠心病已成为一种重要的合并症。艾滋病毒感染者的血脂异常是一种复杂的病症,有多种促成因素,包括艾滋病毒本身、个体遗传特征以及抗逆转录病毒疗法引起的代谢变化。有效管理这一人群的血脂异常对于降低心血管风险至关重要,但由于抗逆转录病毒治疗药物与降脂药物之间的相互作用,这带来了多重挑战。