HipertensÃo arterial e fatores de risco associados numa coorte de pacientes vivendo com a infecÃÃo pelo HIV/AIDS

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

Introduction: Arterial Hypertension (AH) it is a modificated risk factor in the genesis aterosclerosis disease, whose control can reduce cardiovascular risk in patients with HIV/AIDS. Objective: To estimate the prevalence of AH and to describe the patients characteristics with AH in patients with HIV/AIDS. Methods: Seccional study, nested a cohort, in 1000 patient with HIV/AIDS. It has been considered hypertension levels >140/90 mmHg, confirmed in a second visit, or use of anti-hypertensive medication. Results: Of the 1000 patients, 958 and 42 were studied were missing. 388 (40,50%) they were normotensives, 325 (33,92%) pre-hypertensives and 245 (25,57%) hypertensives. Of the 245 patients hypertensives, only 36 (14,8%) were controlled and 62 (54,39%) had the diagnosis of AH after the HIV diagnosis. Lipodysthrophy was present in 95 (38,9%), overweight in 95 (38,8%), obesity in 34 (13,9%). CT >200mg% happened in 43 (30,9%), LDL >130 mg% in 24 (22%), HDL <40 mg% in 75 (52,1%), TG >150 mg% in 84 (60%) and diabetes mellitus in 4 (2,9%), tabagism in 56 (23,1%). Viral load was indetectable or <10.000 copies in 54 (80,6%) and levels of lymphocytes CD4 were>350 cel/mm3 in 80 (63,5%). Use of ARV happened in 179 (82,5%), 89 (41,6%) in use of protease inhibitors (PI) and 95 (44,4%) without PI. 148 (87,1%) used antivirais for more than 12 months. Conclusion: The elevated frequency of no controlled hypertensives and infected cardiovascular risks us for HIV, impose need of preventive and therapeutic measures against AH in this group

ASSUNTO(S)

blood pressure hiv hiv aids medicina tropical arterial hypertension medicina pressÃo arterial â fatores de risco hipertensÃo arterial risk factors aids

ACESSO AO ARTIGO

Documentos Relacionados