Información del artículo
Resumen
Los pacientes infectados por el virus de la inmunodeficiencia humana (VIH) comparten los factores de riesgo cardiovascular tradicionales con la población general. Además, el propio VIH incrementa significativamente el riesgo de enfermedad cardiovascular. Por este motivo, el control de la infección por el VIH con tratamiento antirretroviral de gran actividad (TARGA) ayuda a reducir el riesgo vascular de los pacientes infectados por el VIH. Hay evidencias de que el TARGA incrementa el riesgo cardiovascular, y se ha asociado el uso de abacavir, ddI, lopinavir/r e indinavir con el desarrollo de infarto agudo de miocardio (IAM). Sin embargo, el riesgo absoluto de desarrollar IAM en pacientes que reciben TARGA es muy bajo con relación al alto beneficio obtenido por la terapia antirretroviral.
Palabras clave:
VIH
Riesgo cardiovascular
Tratamiento antirretroviral de gran actividad (TARGA)
Abacavir
Abstract
HIV-infected patients share traditional cardiovascular risk factors with the general population. Moreover, HIV per se significantly increases the risk of cardiovascular disease. Consequently, control of HIV infection with highly-active antiretroviral therapy (HAART) helps to reduce vascular risk in HIV-infected patients. However, there is evidence that HAART increases cardiovascular risk and the use of abacavir, didanosine, lopinavir/ritonavir and indinavir has been associated with the development of acute myocardial infarction (AMI). However, the absolute risk of AMI in patients receiving HAART is very low in relation to the benefit obtained with antiretroviral therapy.
Keywords:
HIV
Cardiovascular risk
Highly-active antiretroviral therapy (HAART)
Abacavir
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