Información del artículo
Resumen
Las enfermedades cardiovasculares son un problema creciente en pacientes infectados por el virus de inmunodeficiencia humana (VIH). El aumento del riesgo cardiovascular en población infectada tiene un ori gen multifactorial. En el momento actual, no se puede concluir qué elemento tiene más peso en esta ecuación, si los factores de riesgo clásicos, el propio virus o el tratamiento antirretroviral. El riesgo absoluto de enfermedad cardiovascular de cada paciente dependerá de su perfil de riesgo global. En la actualidad no hay datos que obliguen a evaluar de forma diferente al paciente con VIH a la hora de manejar los factores de riesgo cardiovascular. Se debería incorporar a la rutina clínica diaria la evaluación cuidadosa de los factores de riesgo y el cálculo del riesgo cardiovascular mediante la aplicación de ecuaciones de riesgo.
Palabras clave:
Infección VIH
TARGA
Factores de riesgo
Enfermedad cardiovascular
Abstract
Cardiovascular diseases are an increasing problem in patients with HIV infection. The causes of the increased cardiovascular risk in HIV-infected patients are multifactorial. Currently, the question of which factor has the most weight in this equation - whether traditional risk factors, the virus per se or antiretroviral therapy - remains to be determined. The absolute risk of cardiovascular disease in a particular patient depends on the composite risk profile. At present, there are no data to support a distinct approach to cardiovascular risk evaluation in HIV-infected patients. Cardiovascular risk equations should be incorporated into routine daily clinical assessment in order to identify patients in need of specific interventions.
Key words:
HIV infection
HAART
Risk factors
Cardiovascular disease
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