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Coronary Artery Disease

  • Patricia ChavezEmail author
  • Di Pan
Chapter

Abstract

Cardiovascular disease, in particular coronary artery disease, is prevalent in patients infected with HIV. Research has shown that these patients are at higher risk when compared to the general population. Factors contributing to this risk include traditional risk factors as well as factors unique to this patient population. The increased risk is also reflective of lifestyle choices such as smoking and socioeconomic factors such as less access to healthy foods and opportunities for exercise and physical activity and preventive care.

Pathophysiology of atherosclerosis is different in patients living with HIV and factors such as inflammation and metabolic abnormalities impact on the development of cardiovascular disease.

There are no comprehensive guidelines for the care of patients infected with HIV who have heart attack, and at present it is recommended that guidelines for the general population are followed with consideration for the aspects that are unique to patients infected with HIV.

Keywords

Acute coronary event Myocardial infarction Antiplatelet therapy Percutaneous coronary intervention Coronary artery bypass surgery Coronary artery disease 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Advanced Heart Failure and Transplant CardiologyNorth Shore University Hospital, Northwell HealthManhassetUSA
  2. 2.Department of MedicineMount Sinai St. Luke’s and Mount Sinai West HospitalsNew YorkUSA

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