Approach to Dyslipidemia, Lipodystrophy, and Cardiovascular Risk in Patients with HIV Infection.

Pensando en la Atención Integral de los pacientes con VIH /SIDA , me parece interesante este tipo de artículos.

Les dejo aqui el abstract y el link en la parte inferior para que puedan acceder a más información.

Saludos

Dr. Carlos Erazo

Curr Atheroscler Rep. 2010 Dec 23. [Epub ahead of print]

Troll JG.

Touro University College of Osteopathic Medicine, 1310 Club Drive, Vallejo, CA, 94592, USA, greg.troll@tu.edu.

Abstract

There is a significant prevalence (20%-80% depending on the population and the study) of lipid disorders and other cardiovascular risk factors in people living with HIV infection. This review focuses on HIV and HIV treatment-associated metabolic and cardiovascular concerns, including dyslipidemias, lipodystrophy syndromes, endothelial dysfunctions, and associated metabolic events such as insulin resistance. Emerging hypotheses of the underlying pathophysiology of these issues, with impact on selection of specific antiretroviral treatment (ART) strategies, therapy, and preventive approaches to decreasing cardiovascular risk and other problems associated with these syndromes are discussed. Screening for cardiovascular risk as part of the decision of starting antiretroviral therapy, and during care of patients with HIV regardless of ART therapy status, is suggested with particular areas of focus. Statins, other hyperlipidemic therapies, treatment for specific problems arising due to lipodystrophy, and implications on ART selection to avoid drug interactions and adverse effects are also discussed.

LINK:     http://www.ncbi.nlm.nih.gov/pubmed/21181310