Key result
Multimodality imaging guides diagnosis and management across the spectrum of HIV-related cardiovascular disease.
Why the study?
People living with HIV have an increased risk of cardiovascular diseases despite ART, and traditional risk stratification tools do not accurately predict their cardiovascular risk.
This review highlights the critical role of multimodality imaging in diagnosing and managing the broad spectrum of cardiovascular complications associated with HIV infection.
Supports multimodality imaging consideration in HIV cardiovascular care; leaves open need for prospective validation studies.
Human immunodeficiency virus (HIV) infection is a leading cause of mortality and morbidity worldwide. The introduction of antiretroviral therapy (ART) has significantly reduced the risk of developing acquired immune deficiency syndrome and increased life expectancy, approaching that of the general population. However, people living with HIV have a substantially increased risk of cardiovascular diseases despite long-term viral suppression using ART. HIV-associated cardiovascular complications encompass a broad spectrum of diseases that involve the myocardium, pericardium, coronary arteries, valves, and systemic and pulmonary vasculature. Traditional risk stratification tools do not accurately predict cardiovascular risk in this population. Multimodality imaging plays an essential role in the evaluation of various HIV-related cardiovascular complications. Here, we emphasize the role of multimodality imaging in establishing the diagnosis and aetiopathogenesis of various cardiovascular manifestations related to chronic HIV disease. This review also provides a critical appraisal of contemporary data and illustrative cases.
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Kumar et al. (2023) conducted a review in HIV-Associated Cardiovascular Complications. Multimodality imaging was evaluated. Multimodality imaging, including echocardiography, CT, and CMR, plays an essential role in diagnosing and managing the broad spectrum of cardiovascular complications in patients with HIV.
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