Correlates of Hypertension in Patients with AIDS in the Era of Highly Active Antiretroviral Therapy

Background: It is unclear whether HIV-related factors modify risk of hypertension (HTN). In a cohort of patients with AIDS, the authors determined HTN incidence and prevalence and assessed associated traditional, HIV-specific, and retinal vasculature factors. Methods: Prospective observational cohor...

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Veröffentlicht in:Journal of the International Association of Providers of AIDS Care 2013-09, Vol.12 (5), p.325-333
Hauptverfasser: Krauskopf, Katherine, Natta, Mark L. Van, Danis, Ronald P., Gangaputra, Sapna, Ackatz, Lori, Addessi, Adrienne, Federman, Alex D., Branch, Andrea D., Meinert, Curtis L., Jabs, Douglas A.
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container_end_page 333
container_issue 5
container_start_page 325
container_title Journal of the International Association of Providers of AIDS Care
container_volume 12
creator Krauskopf, Katherine
Natta, Mark L. Van
Danis, Ronald P.
Gangaputra, Sapna
Ackatz, Lori
Addessi, Adrienne
Federman, Alex D.
Branch, Andrea D.
Meinert, Curtis L.
Jabs, Douglas A.
description Background: It is unclear whether HIV-related factors modify risk of hypertension (HTN). In a cohort of patients with AIDS, the authors determined HTN incidence and prevalence and assessed associated traditional, HIV-specific, and retinal vasculature factors. Methods: Prospective observational cohort included 2390 patients with AIDS (1998-2011). Univariate analysis was used to assess the impact of traditional- and AIDS-related risk factors for HTN prevalence and incidence. Multivariate regression analyses were used to evaluate the adjusted impact of these factors. Results: Hypertension prevalence was 22% (95% confidence interval [CI] 21%-24%) and was associated with traditional HTN risk factors (age, black race, and higher weight) as well as diabetes, hyperlipidemia, time since AIDS diagnosis, and higher CD4 counts. Hypertension incidence was 64.1 per 1000 person-years (95% CI 58.7/1000-69.9/1000). Age, race, weight, and diabetes were associated with incident HTN but HIV-specific factors were not. Conclusions: Hypertension, a prevalent cardiovascular risk factor in patients with AIDS, is associated with traditional and metabolic risk factors.
doi_str_mv 10.1177/2325957413491432
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Van ; Danis, Ronald P. ; Gangaputra, Sapna ; Ackatz, Lori ; Addessi, Adrienne ; Federman, Alex D. ; Branch, Andrea D. ; Meinert, Curtis L. ; Jabs, Douglas A.</creator><creatorcontrib>Krauskopf, Katherine ; Natta, Mark L. Van ; Danis, Ronald P. ; Gangaputra, Sapna ; Ackatz, Lori ; Addessi, Adrienne ; Federman, Alex D. ; Branch, Andrea D. ; Meinert, Curtis L. ; Jabs, Douglas A. ; Studies of the Ocular Complications of AIDS Research Group</creatorcontrib><description>Background: It is unclear whether HIV-related factors modify risk of hypertension (HTN). In a cohort of patients with AIDS, the authors determined HTN incidence and prevalence and assessed associated traditional, HIV-specific, and retinal vasculature factors. Methods: Prospective observational cohort included 2390 patients with AIDS (1998-2011). Univariate analysis was used to assess the impact of traditional- and AIDS-related risk factors for HTN prevalence and incidence. Multivariate regression analyses were used to evaluate the adjusted impact of these factors. Results: Hypertension prevalence was 22% (95% confidence interval [CI] 21%-24%) and was associated with traditional HTN risk factors (age, black race, and higher weight) as well as diabetes, hyperlipidemia, time since AIDS diagnosis, and higher CD4 counts. Hypertension incidence was 64.1 per 1000 person-years (95% CI 58.7/1000-69.9/1000). Age, race, weight, and diabetes were associated with incident HTN but HIV-specific factors were not. 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Van</creatorcontrib><creatorcontrib>Danis, Ronald P.</creatorcontrib><creatorcontrib>Gangaputra, Sapna</creatorcontrib><creatorcontrib>Ackatz, Lori</creatorcontrib><creatorcontrib>Addessi, Adrienne</creatorcontrib><creatorcontrib>Federman, Alex D.</creatorcontrib><creatorcontrib>Branch, Andrea D.</creatorcontrib><creatorcontrib>Meinert, Curtis L.</creatorcontrib><creatorcontrib>Jabs, Douglas A.</creatorcontrib><creatorcontrib>Studies of the Ocular Complications of AIDS Research Group</creatorcontrib><title>Correlates of Hypertension in Patients with AIDS in the Era of Highly Active Antiretroviral Therapy</title><title>Journal of the International Association of Providers of AIDS Care</title><addtitle>J Int Assoc Provid AIDS Care</addtitle><description>Background: It is unclear whether HIV-related factors modify risk of hypertension (HTN). 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subjects Acquired immune deficiency syndrome
Acquired Immunodeficiency Syndrome - drug therapy
Acquired Immunodeficiency Syndrome - epidemiology
Acquired Immunodeficiency Syndrome - physiopathology
Adolescent
Adult
AIDS
Antiretroviral drugs
Antiretroviral therapy
Antiretroviral Therapy, Highly Active - statistics & numerical data
Blood pressure
Diabetes
Female
HIV
Human immunodeficiency virus
Humans
Hypertension
Hypertension - epidemiology
Hypertension - virology
Incidence
Male
Middle Aged
Odds Ratio
Patients
Prescription drugs
Prevalence
Prospective Studies
Risk Factors
United States - epidemiology
title Correlates of Hypertension in Patients with AIDS in the Era of Highly Active Antiretroviral Therapy
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