Highlights the clinical importance of heart failure and atrial fibrillation in HIV patients and the need for more data on screening and management.
May warrant vigilance for HF and AF in HIV; leaves open evidence-based screening and management strategies.
Coronary artery disease represents the leading cause of death for HIV patients treated with highly active antiretroviral treatment. Besides this, an extensive amount of data related to the risk of overt heart failure and consequently of atrial fibrillation and sudden cardiac death (SCD) in this population has been reported. It seems that persistent deregulation of immunity in HIV-infected patients is a common pathway related to both of these adverse clinical outcomes. Despite the fact that atrial fibrillation and heart failure are relatively common in HIV, few data are reported about screening, diagnosis, and potential treatment of these conditions.
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Cannillo et al. (2014) studied this question.
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