Evidence mapPaperPMID 39958097Full record

ReviewCureus2025

A Comprehensive Review of the Manifestation of Cardiovascular Diseases in HIV Patients.

Yozahandy A Abarca, Bhavya Chadalavada, Jose R Ceron, Boddu Abhinav Sai, Aarzoo Bhatia, Itzel Espinoza, Nidhi L Rao, Razaan Khan, Rimsha Ansar, Zoya Morani

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. 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

10 authors.

Yozahandy A AbarcaInternal Medicine, Escuela de Medicina y Ciencias de la Salud, Tecnológico de Monterrey, Mexico City, MEX.
Bhavya ChadalavadaInternal Medicine, Gandhi Medical College, Hyderabad, IND.
Jose R CeronMedicine, Universidad Popular Autonóma del Estado de Puebla (UPAEP), Puebla, MEX.
Boddu Abhinav SaiMedicine, Kamineni Academy of Medical Sciences and Research Centre (KAMSRC), Hyderabad, IND.
Aarzoo BhatiaInfectious Diseases, North Manchester General Hospital, Manchester, GBR.
Itzel EspinozaMedicine, Universidad Autónoma de Guadalajara, Guadalajara, MEX.
Nidhi L RaoInternal Medicine, K.A.P. Viswanatham Government Medical College, Tiruchirappalli, IND.
Razaan KhanMedicine, Dow International Medical College, Karachi, PAK.
Rimsha AnsarMedicine, Continental Medical College, Lahore, PAK.
Zoya MoraniMedicine, Washington University of Health and Science, San Pedro, BLZ.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The increasing lifespan of people living with HIV (PLWH) due to advancements in antiretroviral therapy (ART) has shifted mortality patterns from AIDS-related to non-AIDS-related causes, notably cardiovascular diseases (CVDs). This review investigates how HIV and ART contribute to vascular endothelial dysfunction, myocardial fibrosis, and hypercoagulation, which significantly exacerbate cardiovascular risk. Mechanistic insights include chronic inflammation and immune dysregulation due to persistent HIV infection and ART-specific effects such as protease inhibitors causing dyslipidemia and zidovudine inducing mitochondrial toxicity leading to cardiomyopathy. ART, while lifesaving, has been implicated in promoting subclinical atherosclerosis and increasing the risk of acute myocardial infarction, further highlighting the need for tailored approaches. The manuscript addresses pressing obstacles, including disparities in healthcare access and the lack of standardized cardiovascular screening guidelines specific to PLWH. It emphasizes the integration of advanced imaging techniques and emerging biomarkers, such as coronary artery calcium scoring and soluble ST2, to detect early subclinical cardiovascular abnormalities. The review also identifies challenges in ART selection to balance virologic control and cardiovascular safety. What sets this review apart is its holistic and detailed approach to the intersection of HIV and cardiovascular health. It not only elucidates complex pathophysiological mechanisms but also offers actionable insights into how current clinical guidelines fall short. This manuscript underscores the urgency of implementing proactive cardiovascular screening protocols tailored for PLWH and refining ART regimens to mitigate CVD risks. By addressing these gaps, this work aims to expand our understanding of HIV-related cardiovascular manifestations and provide a foundation for targeted interventions, thereby improving long-term health outcomes for PLWH. This comprehensive perspective is poised to transform clinical practice by fostering greater awareness among physicians and encouraging the development of more effective strategies for managing cardiovascular risks in the HIV population.

Indexed as

cardiovascular diseaseshiv/aidshiv-associated cardiac conditionsmanagement and prevention of cvdmechanisms linking hiv to cvd

Identifiers

PMID39958097
PMCPMC11828753

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.