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Current HIV Research

Editor-in-Chief

ISSN (Print): 1570-162X
ISSN (Online): 1873-4251

Sudden Cardiac Death in a Young HIV-Positive Man on Effective Antiretroviral Therapy

Author(s): Camilla Tincati, Dario Bauer, Giusi M. Bellistri, Maddalena Casana, Roberto Ranieri, Teresa Bini, Giulia Marchetti and Antonella Arminio Monforte

Volume 6, Issue 6, 2008

Page: [560 - 562] Pages: 3

DOI: 10.2174/157016208786501517

Price: $65

Abstract

We describe the case of a young HIV-positive man on effective HAART with excellent viro-immunological control who presented a massive cardiac infarction. Despite the presence of clinical risk factors for cardiovascular disease, the patient had normal arterial carotid IMT values, known to be strong predictors of atherosclerosis and stroke. Interestingly, parameters of T-cell activation (CD8+CD38+) were shown to increase just before the onset of myocardial infarction. As T-cell activation is known to mediate atherosclerosis, the authors suggest that surrogate immunologic markers should be identified to better assess cardiovascular risk in the setting of HIV infection.

Keywords: Atherosclerosis, cardiovascular risk, HAART, immune activation, intima media thickness


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