Suboptimal Management of Coronary Risk in Daily Clinical Practice: Results from a Mediterranean Cohort of HIV-Infected Patients With Myocardial Infarction

Background: The incidence of cardiovascular events in HIV patients has fallen. Methods: We identified 81 patients with a history of coronary events from 2 hospitals in Spain to evaluate management of CVRF before and after the event. Results: The prevalence of coronary events was 2.15%. At the time of the coronary event, CVRF were highly prevalent. Decrease in total cholesterol (P=0.025) and LDLc(P=0.004) was observed. LDLc and HDLc were determined and the percentage of patients with LDLc &100 mg/dL remained stable at the last visit. Conclusions: The prevalence of coronary disease in our cohort was low. Although CVRF were highly.

Introducció: La incidència de malalties cardiovasculars en pacients VIH han disminuït. Mètode: Vam identificat 81 pacients amb malalties coronaris de 2 hospitals a Espanya per avaluar la gestió dels FRCV abans i després de la malaltia. Resultats: La prevalència de malalties coronaris va ser 2,15%. A la vegada que la malaltia coronaria, els FRCV era freqüent. Es va observar un decreixement del colesterol total (P=0.025) i LDLc(P=0.004). Es van determinar LDLc i HDLc i el percentatge de pacients amb LDLc&100mg/dL es va mantenir estable. Conclusions: La prevalència de les malalties coronaris va ser baixa. Encara que els FRCV era freqüent.