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August 18, 2009AIDS Research and Human Retroviruses27 citationsOpen Access

Arterial Wave Reflection in HIV-Infected and HIV-Uninfected Rwandan Women

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Why the study?

Is HIV infection associated with increased arterial wave reflection in Rwandan women?

Population

343 Rwandan women with little exposure to antiretroviral therapy and without cardiovascular risk factors

Comparison

HIV infection vs HIV-uninfected

Design

Cross-sectional

Key result

HIV infection was not associated with increased arterial wave reflection, with HIV-infected women having a significantly lower central augmentation index than uninfected women (20.3 vs. 25.5, p=0.002).

Authors

JLJason LazarXWXi WuQSQiuhu Shi

Discussion

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Member takes

Overview

No link to increased wave reflection in ART-naive women without CV risks; hypothesis-generating and requires prospective confirmation.

Study Design

Type

Cross-Sectional (n=343)

Structured PICO

Is HIV infection associated with increased arterial wave reflection in Rwandan women?

P
Population
343 Rwandan women (276 HIV-positive and 67 HIV-negative) with little exposure to antiretroviral therapy and without cardiovascular risk factors
I
Intervention
HIV infection
C
Comparator
HIV-uninfected
O
Outcome
Arterial wave reflection measured by Central augmentation index (C-AI), central pulse pressure (C-PP), and peripheral augmentation index (P-AI)surrogate

HIV infection is not associated with increased arterial wave reflection in women with little exposure to ART and without cardiovascular risk factors.

Main Result

Absolute Event Rate: 20.3% vs 25.5%

p-value: p=0.002

Limitations

  • Cross-sectional study design limits causal inference
  • Duration of HIV infection was unknown
  • Information on viral load at the time of the studies was not available
  • Information regarding the presence of metabolic syndrome was lacking
  • The women may have been too young to demonstrate changes in arterial stiffness

Cite This Study

Lazar et al. (2009) conducted a cross-sectional in HIV infection (n=343). HIV infection vs. HIV-uninfected was evaluated on Central augmentation index (C-AI) (p=0.002). HIV infection was not associated with increased arterial wave reflection, with HIV-infected women having a significantly lower central augmentation index than uninfected women (20.3 vs. 25.5, p=0.002).

synapsesocial.com/papers/6a0ac67e6f9280a32b5cf6bdhttps://doi.org/10.1089/aid.2008.0269
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