HIV AIDS electrocardiogram: Difference between revisions

Jump to navigation Jump to search
m (Bot: Removing from Primary care)
 
(7 intermediate revisions by 4 users not shown)
Line 4: Line 4:


==Overview==
==Overview==
The [[pericardium]] is frequently involved in HIV [[infection]]s. Also medications used in AIDS therapy can cause EKG changes. Since the cardiac complications in the initial phases are not very obvious, periodic electrocardiogram monitoring is indicated in HIV positive individuals. <ref name="pmid9669054">{{cite journal| author=Milei J, Grana D, Fernández Alonso G, Matturri L| title=Cardiac involvement in acquired immunodeficiency syndrome--a review to push action. The Committee for the Study of Cardiac Involvement in AIDS. | journal=Clin Cardiol | year= 1998 | volume= 21 | issue= 7 | pages= 465-72 | pmid=9669054 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9669054  }} </ref>
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==
==Electrocardiogram findings==
Studies have shown that from a negative HIV status to full blown AIDS, the following changes were observed in patients.
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.<ref name="pmid9669054">{{cite journal| author=Milei J, Grana D, Fernández Alonso G, Matturri L| title=Cardiac involvement in acquired immunodeficiency syndrome--a review to push action. The Committee for the Study of Cardiac Involvement in AIDS. | journal=Clin Cardiol | year= 1998 | volume= 21 | issue= 7 | pages= 465-72 | pmid=9669054 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9669054  }} </ref>  On ECG, the following changes may develop as a patient progresses from early HIV to late stage AIDS:
*Increased heart rate
*Increased heart rate
*Increased corrected QT interval
*Prolonged QT interval
*ST segment depression
*Non-specific ST segment/T wave changes<ref name="pmid18050781">{{cite journal| author=Okeahialam BN, Sani MU| title=Heart disease in HIV/AIDS. How much is due to cachexia? | journal=Afr J Med Med Sci | year= 2006 | volume= 35 Suppl | issue=  | pages= 99-102 | pmid=18050781 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18050781  }} </ref>
*T wave inversion<ref name="pmid18050781">{{cite journal| author=Okeahialam BN, Sani MU| title=Heart disease in HIV/AIDS. How much is due to cachexia? | journal=Afr J Med Med Sci | year= 2006 | volume= 35 Suppl | issue=  | pages= 99-102 | pmid=18050781 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18050781  }} </ref>
 
Shown below is an EKG with the presence of micro-voltage and [[electrical alternans]] suggesting [[pericardial effusion]] and [[cardiac tamponade]].
 
[[Image:PulsusAlternans.jpg|center|500px|thumb|Image obtained courtesy of ECGpedia, http://en.ecgpedia.org]]


==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WS}}


[[Category:HIV/AIDS]]
[[Category:HIV/AIDS]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Immune system disorders]]
[[Category:Immune system disorders]]
[[Category:Infectious disease]]
[[Category:Viral diseases]]
[[category:viral diseases]]
[[Category:Pandemics]]
[[Category:Pandemics]]
[[Category:Sexually transmitted infections]]
[[Category:Sexually transmitted infections]]
Line 33: Line 30:
[[Category:Immunodeficiency]]
[[Category:Immunodeficiency]]
[[Category:Microbiology]]
[[Category:Microbiology]]
 
[[Category:Emergency mdicine]]
{{WH}}
[[Category:Up-To-Date]]
{{WS}}
[[Category:Infectious disease]]

Latest revision as of 22:11, 29 July 2020

Sexually transmitted diseases Main Page

AIDS Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating AIDS from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

HIV Opportunistic Infections

HIV Coinfections

HIV and Pregnancy

HIV Infection in Infants

Diagnosis

Diagnostic Study of Choice

AIDS Case Definition

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Nutrition
Drug Resistance

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

HIV Vaccine

Case Studies

Case #1

HIV AIDS electrocardiogram On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of HIV AIDS electrocardiogram

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on HIV AIDS electrocardiogram

CDC on HIV AIDS electrocardiogram

HIV AIDS electrocardiogram in the news

Blogs on HIV AIDS electrocardiogram

Directions to Hospitals Treating AIDS

Risk calculators and risk factors for HIV AIDS electrocardiogram

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.

Template:WH Template:WS