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- W3045013669 abstract "Background: Human immunodeficiency syndrome is a global pandemic and the advent of highly active antiretroviral therapy has changed the course of the disease from acute highly fatal disease to a treatable chronic form. As a result, the clinical sequelae of HIV infection are changing as patients live longer. The development of HIV increases the risk of developing pulmonary arterial hypertension compared to the general population. Furthermore, pulmonary arterial hypertension in HIV patients reduces their survival compared to HIV infected patients who do not have pulmonary arterial hypertension. Therefore there is need to study the condition in our environment to help us manage our patients better. Aim: This study assessed the prevalence of pulmonary hypertension and the pattern of left ventricular function in HIV infected treatment naive patients in Ahmadu Bello University Teaching Hospital, (ABUTH) Shika, Zaria, Kaduna State. Methodology: This was a hospital based descriptive cross sectional study designed to determine the prevalence of pulmonary arterial hypertension in HIV positive patients aged 18 years and above at ABUTH and age and sex-matched controls from August 2015 to January 2016. Ethical clearance and informed consent were obtained from the Health Research Ethical Committee (HREC) of ABUTH and subjects respectively. A structured questionnaire was completed for each successive participants and data was analysed using statistical package for social sciences (SPSS) version 17. Results were presented on tables and charts. Statistical significance was evaluated with chi square (χ2), and independent sample t-test at ρ value of <0.05. Relationship between continuous variables were determined using Pearson’s coefficient of correlation and linear regression. Results: One hundred and thirty (130) subjects consisting of equal number of patients and controls were studied. The mean age of patients and controls was 34.63±8.38 and 32.85±8.33 years respectively. Male and female patients were 29(44.6%) and 36(55.4%) while controls were, 34(52.3%) and 31(47.7%) respectively. There was no statistically significant difference between the mean age (ρ=0.226) and sex distribution (ρ=0.483) of patients and controls. The prevalence of pulmonary arterial hypertension among patients and controls was 9.2% and 1.5% respectively (p=0.052). The Left ventricular abnormalities seen were Left ventricular systolic dysfunction (13.8%) in patients and (0%) in controls, dilated cardiomyopathy (4.6%) in patients with none in the controls (p=0.001), and left ventricular diastolic dysfunction (30.8%) in the patients and (10.8) in the control (p=004). Pericardial effusion was seen in (18.5%) of the patients and in (4.6%) of the control (p=0.013). For the patients with pulmonary hypertension, the mean (± SD) of the right ventricular systolic pressure (RVSP) was 35.13 (± 3.92) mmHg versus 8.86(±7.08) mmHg in patients without pulmonary hypertension (p=0.0001). Conclusion: Cardiac abnormalities in HIV patients including pulmonary arterial hypertension are common in our environment and they can be present even in asymptomatic patients. Cardiac catheterization is the gold standard for definitive diagnosis of pulmonary hypertension however; noninvasive, not expensive and widely available echocardiography can be used as first line screening of patients to improve their risk stratification." @default.
- W3045013669 created "2020-07-29" @default.
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- W3045013669 date "2017-01-01" @default.
- W3045013669 modified "2023-09-27" @default.
- W3045013669 title "Assessment of Pulmonary Hypertension and Pattern of Left Ventricular Function among HAART Naive HIV Positive Adults in Ahmadu Bello University Teaching Hospital, Zaria" @default.
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