HIV AIDS electrocardiogram

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-in-Chief: Ujjwal Rastogi, MBBS [2]; Ammu Susheela, M.D. [3]

Overview

Cardiac abnormalities observed in patients with HIV include pericardial effusion, myocarditis, dilated cardiomyopathy, and/or endocardial involvement at any stage of the disease. On ECG, patients may exhibit increased heart rate, prolonged QT interval, and non-specific ST-T changes.

Electrocardiogram findings

Two-thirds of patients with AIDS have significant cardiac abnormalities on autopsy, although these findings may be obscured by the more severe findings in other organ systems. Cardiac abnormalities observed in patients with HIV include pericardial effusion, myocarditis, dilated cardiomyopathy, and/or endocardial involvement at any stage of the disease.[1] On ECG, the following changes may develop as a patient progresses from early HIV to late stage AIDS:

  • Increased heart rate
  • Prolonged QT interval
  • Non-specific ST segment/T wave changes[2]

References

  1. Milei J, Grana D, Fernández Alonso G, Matturri L (1998). "Cardiac involvement in acquired immunodeficiency syndrome--a review to push action. The Committee for the Study of Cardiac Involvement in AIDS.". Clin Cardiol. 21 (7): 465–72. PMID 9669054. 
  2. Okeahialam BN, Sani MU (2006). "Heart disease in HIV/AIDS. How much is due to cachexia?". Afr J Med Med Sci. 35 Suppl: 99–102. PMID 18050781. 

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