Analysis of Echocardiographic findings in HIV Positive patients with Cardiac Symptoms

Dhanraj, S (2014) Analysis of Echocardiographic findings in HIV Positive patients with Cardiac Symptoms. Masters thesis, Stanley Medical College, Chennai.


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BACKGROUND : Cardiac abnormalities are common in HIV positive patients. There is less documentation about its presentation. AIM OF THE STUDY : To describe the pattern of cardiac abnormalities in HIV patients. OBJECTIVE : 1. To Study Pattern of Cardiac Involvement In HIV Patients. 2. To Know Incidence of Various Cardiac Diseases in our Population. 3. To Compare Results with Available Literature. PATIENTS AND METHODS : This was a hospital-based cross-sectional observational study. HIV positive patients, HIV patients on HARRT without cardiac, diabetic, hypertensive, renal and respiratory disease were selected for the study. They were subjected to routine investigations and then for Electrocardiogram, Chest x ray and Echocardiogram. The results were analyzed and presented here. SUMMARY : Cardiac disorders in HIV infected individuals are common. Non-invasive investigations like echocardiography helps in early diagnosis of asymptomatic cardiac disease in HIV infected individuals. ART improves clinical outcomes in HIV infected individuals with cardiac disease. CONCLUSIONS : 82% of the patents were males and 18% were females. Majority of the patients are in the age group 41-50 years. The male female ratio is 4.5:1. 32% of the patients were confirmed with cardiac disease. 45.5% of the patients had CD4 count less than 200. 91% were on Anti Retroviral Therapy. 8% of the males had the disease beyond 3 years. 53.5% of the patients were in the WHO HIV clinical stage 3. Most common echocardiographic diagnosis was myocarditis, Pericardial effusion, systolic dysfunction and diastolic dysfunction, each at 7% respectively. Smoking status correlated with HIV and coronary artery disease. Low CD4 count correlated with HIV and myocarditis.

Item Type: Thesis (Masters)
Uncontrolled Keywords: HIV, Pericardial Effusion, Myocarditis, Pulmonary Hypertension
Subjects: MEDICAL > General Medicine
Depositing User: Pushparaj A
Date Deposited: 13 Jul 2017 11:11
Last Modified: 04 Feb 2018 02:13

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