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Meds, Mind, Body & Benefits => Research News & Studies => Topic started by: tednlou2 on January 03, 2013, 01:10:28 am

Title: Traditional Risk Factors Drive Heart Disease in People with HIV
Post by: tednlou2 on January 03, 2013, 01:10:28 am
A new study has found that higher rates of subclinical cardiovascular disease among people with HIV are driven more by traditional risk factors that affect the general population than by HIV-related factors, aidsmap reports. Published in the online edition of the journal AIDS, the paper examined 331 participants who did not have advanced HIV disease and were about to begin antiretroviral treatment. Researchers monitored the participants with ultrasounds of their carotid artery intimamedia thickness (CIMT) and flow-mediated vasodilation (FMD) in their brachial artery.

The cohort was 89 percent male, 44 percent white and had a median age of 36 years.  About a quarter of participants had received an AIDS diagnosis. Their median CD4 count was 349 and their median viral load about 32,000. 

The researchers found that indicators of cardiovascular disease risk were more strongly associated with aging, body size and lipoprotein levels rather than CD4 count, viral load, inflammatory markers and cytokines. They wrote that their findings should encourage people with HIV to make healthy lifestyle choices involving diet, regular exercise and quitting smoking, all of which can lower their risk of cardiovascular disease.

http://www.poz.com/articles/Cardiovacular_Risk_761_23337.shtml

Title: Re: Traditional Risk Factors Drive Heart Disease in People with HIV
Post by: Common_ground on January 03, 2013, 04:30:40 am
Is it just me or havent there been a steady stream of research papers and articles of lately "downplaying" HIV(treated) and its effect on our health, from the top of my head smoking, diet, drugs and other health issues seems to be gaining more importance.
Title: Re: Traditional Risk Factors Drive Heart Disease in People with HIV
Post by: skycee on January 03, 2013, 07:26:06 am
i feel you common ground
Title: Re: Traditional Risk Factors Drive Heart Disease in People with HIV
Post by: Newguy on January 03, 2013, 12:03:36 pm
Is it just me or havent there been a steady stream of research papers and articles of lately "downplaying" HIV(treated) and its effect on our health, from the top of my head smoking, diet, drugs and other health issues seems to be gaining more importance.

This is not downplaying HIV infection at all. If anything, research like this should be encouraging for people to make lifestyle changes. There was an article the other day regarding smoking and HIV and that smokers with HIV had a dramatic lower life expectancy. The fact that this was a shock is a a shock itself because we know that smokers without HIV have a dramatic lower life expectancy than smokers without HIV. I have a lot of wonderful  friends who love their smoking, drinking and drugs and I remind them constantly they are no longer 19! Even before I was infected with HIV, if I got hammered on the weekend it would ruin my week. I had to remind myself I too was no longer 19!
Title: Re: Traditional Risk Factors Drive Heart Disease in People with HIV
Post by: Common_ground on January 03, 2013, 12:12:02 pm
I think you missed my point but whatever. Sure, lifestyle changes for the better are good.
Title: Re: Traditional Risk Factors Drive Heart Disease in People with HIV
Post by: Newguy on January 03, 2013, 12:24:44 pm
Oops I apologize if I did. Sometimes the meaning gets lost in text.

At any rate all this info is def good news. Happy New Year!\

Title: Re: Traditional Risk Factors Drive Heart Disease in People with HIV
Post by: Miss Philicia on January 03, 2013, 12:44:03 pm
There was an article the other day regarding smoking and HIV and that smokers with HIV had a dramatic lower life expectancy.

Do people actually think that it would make for a higher life expectancy? This isn't rocket science. Same with being overweight, not treating long term depression, etc. etc.
Title: Re: Traditional Risk Factors Drive Heart Disease in People with HIV
Post by: Newguy on January 03, 2013, 12:49:35 pm
Do people actually think that it would make for a higher life expectancy? This isn't rocket science. Same with being overweight, not treating long term depression, etc. etc.

Yeah really! LOL I wonder how many people they could treat with the money spent on reaching this conclusion?

Happy Near Year Miss Philicia and a great 2013 for you.

On a side note, my father is a hard core smoker and likes to drink and he is 65. My mother is 61 and has never smoked or drank however she is severely obese. Guess who has the worst health? It is kinda of shocking how dangerous an unhealthy diet can be.
Title: Re: Traditional Risk Factors Drive Heart Disease in People with HIV
Post by: Solo_LTSurvivor on January 03, 2013, 05:56:33 pm
Is it just me or havent there been a steady stream of research papers and articles of lately "downplaying" HIV(treated) and its effect on our health, from the top of my head smoking, diet, drugs and other health issues seems to be gaining more importance.

That's what happens once something becomes a chronic, manageable condition to live with  ::)
Title: Re: Traditional Risk Factors Drive Heart Disease in People with HIV
Post by: elf on January 08, 2013, 11:51:40 pm
Many antiHIV meds give people high triglycerides and high cholesterol.
Now, scientists seem to put the blame on HIVers (at least they didn't say: HIVers get high cholesterol and triglycerides because they are into fast food  :o).

I eat healthy and exercise regularly, yet my triglycerides and LDL are borderline (high). I eat sweets or pizza not more than twice a year.

Last year, I got my carotid artery intimamedia thickness (CIMT) scanned and measured (via ultrasound), in an HIV survey, and I got normal values for my age. (The same as in the HIV- control). Maybe because I've been HIV+ for (only) four years, and I've been taking 4g of omega-3 ever since I started taking meds...
My HIV-doctor's comment was ''Hehe, that's because you're young''
[And I'm not young at all. I'm 31 ]
Title: Re: Traditional Risk Factors Drive Heart Disease in People with HIV
Post by: Mishma on January 09, 2013, 12:13:39 am
No substitute for a Stress Test. Everyone over 50, especially those with HIV should get one.

I had shortness of breath with no chest pain. I went to the ER and had all the blood work and EKG done along with an ultrasound. Everything was hunky dory but they still ordered a stress test. During it I collapsed due to a loss of pressure. The angiogram the next day found a massive occlusion (80%) of my left main coronary just before it bifurcates. It is called a widowmaker-for obvious reasons. I recieved a double bypass two days later.

This is one my primary care doc missed although to be fair my cholesterol, triglycerides, HDL and LDL and no familial history didn't point to CAD. I suspect 20 years of protease inhibitors were a big part of the equation.