Evidence map›Paper›PMID 39416995›Full record

ArticleOpen forum infectious diseases2024

Subclinical Myocardial Fibrosis in South African Youth With HIV: Results From the CTAAC-Heart Study.

Jennifer Jao, Heather J Zar, Morné Kahts, Stephen Jermy, Daniel Egan, Mothabisi N Nyathi, Nana Akua Asafu-Agyei, Justine Legbedze, Emma Carkeek, Nomawethu Jele and 7 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Aging of adult lifetime survivors with perinatal HIV.Current opinion in HIV and AIDS · 2025
    Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Jennifer JaoDivision of Pediatric Infectious Diseases, Division of Adult Infectious Diseases, Department of Pediatrics, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0003-1894-6040
Heather J ZarDepartment of Pediatrics and Child Health and SA-MRC Unit on Child and Adolescent Health, University of Cape Town, Cape Town, South Africa.
Morné KahtsDivision of Cardiology, Department of Medicine, University of Cape Town, Cape Town, South Africa.
Stephen JermyUniversity of Cape Town/South African Medical Research Council Extramural Unit on Intersection of Noncommunicable Diseases With Infectious Diseases.
Daniel EganDivision of Cardiology, Department of Medicine, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0009-0004-6863-6432
Mothabisi N NyathiDivision of Epidemiology and Biostatistics, School of Public Health, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-6172-6249
Nana Akua Asafu-AgyeiDepartment of Pediatrics and Child Health and SA-MRC Unit on Child and Adolescent Health, University of Cape Town, Cape Town, South Africa.
Justine LegbedzeDivision of Pediatric Infectious Diseases, Department of Pediatrics, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Emma CarkeekDepartment of Pediatrics and Child Health and SA-MRC Unit on Child and Adolescent Health, University of Cape Town, Cape Town, South Africa.
Nomawethu JeleDepartment of Pediatrics and Child Health and SA-MRC Unit on Child and Adolescent Health, University of Cape Town, Cape Town, South Africa.
Tafadzwa MautsaDepartment of Pediatrics and Child Health and SA-MRC Unit on Child and Adolescent Health, University of Cape Town, Cape Town, South Africa.
Lauren Balmert BonnerDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Grace A McComseyDepartment of Medicine, Department of Pediatrics, Case Western Reserve University, Cleveland, Ohio, USA.
Matthew FeinsteinDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Irwin J KurlandDivision of Adult Endocrinology, Department of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA.
Landon MyerDivision of Epidemiology and Biostatistics, School of Public Health, University of Cape Town, Cape Town, South Africa.
Ntobeko A B NtusiDivision of Cardiology, Department of Medicine, University of Cape Town, Cape Town, South Africa.

Funding

Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1M
Understanding Inflammatory and Metabolic Pathways of Myocardial and Vascular Dysfunction in South African Youth Living with Perinatal HIVR01HL151287 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI JAO, JENNIFER, ZAR, HEATHER JOY · 2020 to 2024
$3.3M
Cape Town Adolescent Antiretroviral Cohort (CTAAC)R01HD074051 · NICHD · UNIVERSITY OF CAPE TOWN · PI ZAR, HEATHER JOY · 2012 to 2016
$3.0M
NCATS NIH HHS UM1 TR004528NHLBI NIH HHS R01 HL151287NICHD NIH HHS R01 HD074051
6 · The paper itself

Abstract

Background: Few data exist on myocardial fibrosis and inflammation in youth with HIV. Methods: We performed cardiovascular magnetic resonance (CMR) on a cross section of South African youth: youth with perinatally acquired HIV (YPHIV) undergoing antiretroviral therapy (ART), youth with nonperinatally acquired HIV (YNPHIV) receiving ART, and youth without HIV. Quantile regression models were fit to assess the association between HIV status and CMR outcomes: subclinical fibrosis (late gadolinium enhancement [LGE] mass and fraction, native T1, extracellular volume) and inflammation (native T1, T2 mapping). Results: Of 464 youth, 287 were YPHIV, 87 were YNPHIV, and 90 were HIV seronegative. The median age was 16 years (range, 11-24). LGE mass was higher in YPHIV and YNPHIV than in youth who were HIV seronegative (1.85 vs 2.00 vs 1.41 g, respectively), as was fraction (5.8% vs 6.4% vs 4.5%); native T1 was highest in YNPHIV. In adjusted analyses, when compared with youth with HIV seronegativity, YPHIV and YNPHIV exhibited higher LGE mass (β = 0.468, Conclusions: Despite ART use, YPHIV and YNPHIV appear to have higher subclinical myocardial fibrosis than youth who are HIV seronegative and healthy adults in South Africa and may benefit from early screening/monitoring for cardiovascular disease.

Indexed as

antiretroviralmyocardial fibrosismyocardial magnetic resonance imagingperinatally acquired HIVyouth with HIV

Identifiers

PMID39416995
PMCPMC11482013

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.