- People living with HIV (PLWH) have increased risk for heart failure (HF) and stroke, specifically, within their overall increased cardiovascular disease (CVD) risk.
- Afib and myocardial infarction (MI) risks are elevated to a lesser degree.
Why this matters
- As PLWH age, clinicians need to pay special attention to preventive measures and screening for these specific CVDs.
- Mean follow-up was 20 months.
- Compared with people not living with HIV, PLWH had increased risk (adjusted HRs; 95% CIs) for:
- MI: 1.2 (0.8-1.8);
- HF: 2.8 (2.0-3.8);
- Stroke: 2.3 (1.5-3.6);
- Afib: 1.3 (1.0-1.7);
- Peripheral artery disease: 0.9 (0.5-1.4); and
- CVD hospitalization: 1.6 (1.3-1.9).
- Analysis of MarketScan and Medicare data for 19,798 PLWH and 59,302 age‐ and sex‐matched unaffected people, covering 2009-2015.
- Adjusted HRs calculated for CVD endpoints.
- Funding: NIH, American Heart Association.
- No specifics on parameters of each person’s HIV status.
- Uncontrolled confounding likely.
- Included only insured individuals.