Evidence mapPaperPMID 40073231Full record

ArticleAnnals of internal medicine2025

Epidemiology of Coronary Atherosclerosis Among People Living With HIV in Uganda : A Cross-Sectional Study.

Mark J Siedner, Brian Ghoshhajra, Geoffrey Erem, Rita Nassanga, Mangun Randhawa, Andrew Ochieng, Moses Acan, Michael T Lu, Vikas Thondapu, Angelo Takigami and 15 more

Abstract read
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Article in Annals of internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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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

25 authors.

Mark J SiednerMassachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts; Mbarara University of Science and Technology, Mbarara, Uganda; Africa Health Research Institute, KwaZulu-Natal, South Africa; and University of KwaZulu-Natal, Durban, South Africa (M.J.S.).ORCID 0000-0003-3506-842X
Brian GhoshhajraMassachusetts General Hospital, Boston; and Harvard Medical School, Boston, Massachusetts (B.G., M.T.L., S.S.H.).ORCID 0000-0002-3865-3432
Geoffrey EremMakerere University, Kampala; and Nsambya Hospital, Kampala, Uganda (G.E., R.N.).ORCID 0000-0002-1667-5219
Rita NassangaMakerere University, Kampala; and Nsambya Hospital, Kampala, Uganda (G.E., R.N.).
Mangun RandhawaMassachusetts General Hospital, Boston, Massachusetts (M.R., A.T., Z.R., R.F.G., E.P., S.S., Y.T.).ORCID 0000-0003-2629-8717
Andrew OchiengNsambya Hospital, Kampala; and Mulago National Referral Hospital, Kampala, Uganda (A.O.).
Moses AcanMbarara University of Science and Technology, Mbarara, Uganda (M.A., F.A., P.B.).
Michael T LuMassachusetts General Hospital, Boston; and Harvard Medical School, Boston, Massachusetts (B.G., M.T.L., S.S.H.).ORCID 0000-0003-4696-9610
Vikas ThondapuYale University School of Medicine, New Haven, Connecticut (V.T.).ORCID 0000-0002-3291-2632
Angelo TakigamiMassachusetts General Hospital, Boston, Massachusetts (M.R., A.T., Z.R., R.F.G., E.P., S.S., Y.T.).ORCID 0000-0002-2605-1362
Zahra ReynoldsMassachusetts General Hospital, Boston, Massachusetts (M.R., A.T., Z.R., R.F.G., E.P., S.S., Y.T.).ORCID 0000-0003-0668-6798
Flavia AtwiineMbarara University of Science and Technology, Mbarara, Uganda (M.A., F.A., P.B.).
Edna TindimwebwaKabwohe Clinical Research Center, Kabwohe, Sheema, Uganda (E.T.).ORCID 0000-0003-4255-2818
Rebecca F GilbertMassachusetts General Hospital, Boston, Massachusetts (M.R., A.T., Z.R., R.F.G., E.P., S.S., Y.T.).
Eliza PassellMassachusetts General Hospital, Boston, Massachusetts (M.R., A.T., Z.R., R.F.G., E.P., S.S., Y.T.).
Shruti SagarMassachusetts General Hospital, Boston, Massachusetts (M.R., A.T., Z.R., R.F.G., E.P., S.S., Y.T.).
Yao TongMassachusetts General Hospital, Boston, Massachusetts (M.R., A.T., Z.R., R.F.G., E.P., S.S., Y.T.).
Ntobeko A B NtusiDepartment of Medicine, University of Cape Town, Cape Town; and the South African Medical Research Council, Cape Town, South Africa (N.A.B.N.).ORCID 0000-0003-2347-7883
Alexander C TsaiMassachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts; Mbarara University of Science and Technology, Mbarara, Uganda; and Harvard T.H. Chan School of Public Health, Boston, Massachusetts (A.C.T.).ORCID 0000-0001-6397-7917
Prossy BibangambahMbarara University of Science and Technology, Mbarara, Uganda (M.A., F.A., P.B.).ORCID 0000-0001-7984-5775
Thomas GazianoHarvard Medical School, Boston; Harvard T.H. Chan School of Public Health, Boston; and Brigham and Women's Hospital, Boston, Massachusetts (T.G.).
Susanne S HoeppnerMassachusetts General Hospital, Boston; and Harvard Medical School, Boston, Massachusetts (B.G., M.T.L., S.S.H.).
Christopher T LongeneckerUniversity of Washington, Seattle, Washington (C.T.L.).ORCID 0000-0002-9468-0179
Samson OkelloMbarara University of Science and Technology, Mbarara, Uganda; Harvard T.H. Chan School of Public Health, Boston, Massachusetts; and The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (S.O.).ORCID 0000-0001-7377-6094
Stephen AsiimweMassachusetts General Hospital, Boston, Massachusetts; Mbarara University of Science and Technology, Mbarara, Uganda; and Kabwohe Clinical Research Center, Kabwohe, Sheema, Uganda (S.A.).

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI KENNETH H MAYER · 2004 to 2026
$94.4M
Partnership for Global Health Research Training Program (Renewal)-Supplement for OBSSR, NCI, NCI-AIDS and NIDCDD43TW010543 · FIC · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Wafaie W Fawzi, DAVIDSON HOWES HAMER · 2017 to 2026
$12.1M
Epidemiology of coronary artery disease among people with HIV in rural sub-Saharan AfricaR01HL141053 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI SIEDNER, MARK J · 2018 to 2021
$3.0M
Myocardial Fibrosis and Steatosis Burden and Region-Specific Predictors of Progression among ART-treated Women with HIV infection in sub-Saharan Africa (The MUTIMA Study)R01HL167645 · NHLBI · UNIVERSITY OF WASHINGTON · PI Chris Todd Longenecker, Ntobeko Ayanda Bubele Ntusi · 2023 to 2026
$2.9M
Mentoring in patient-oriented research on the U.S. substance use and HIV syndemicK24DA061696 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI ALEXANDER C TSAI · 2024 to 2026
$640k
Mentoring patient-oriented research to improve cardiovascular health among people with HIV in sub-Saharan AfricaK24HL166024 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MARK J SIEDNER · 2022 to 2026
$616k
Polycyclic aromatic hydrocarbons exposure and dietary risk of Esophageal squamous cell carcinoma in UgandaK43TW010715 · FIC · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI OKELLO, SAMSON · 2017 to 2021
$456k
Pericoronary Adipose Tissue, Inflammation, and Subclinical Coronary Artery Disease in People with HIV in UgandaK43TW012846 · FIC · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI Prossy Kyasimire Bibangambah · 2024 to 2026
$298k
FIC NIH HHS D43 TW010543FIC NIH HHS K43 TW010715FIC NIH HHS K43 TW012846NHLBI NIH HHS K24 HL166024NHLBI NIH HHS R01 HL141053NHLBI NIH HHS R01 HL167645NIAID NIH HHS P30 AI060354NIDA NIH HHS K24 DA061696
6 · The paper itself

Abstract

backgroundData on the prevalence of coronary atherosclerotic disease (CAD) in the African region among people with and without HIV are lacking.

objectiveTo estimate the prevalence of CAD in Uganda and determine whether well-controlled HIV infection is associated with increased presence or severity of CAD.

designCross-sectional study.

settingSouthwestern Uganda.

participantsAmbulatory people living with HIV (PWH), aged older than 40 years, taking antiretroviral therapy for 3 or more years, and population-based, age- and sex-similar people without HIV (PWoH). MEASUREMENTS: Participants had cardiovascular (CV) disease (CVD) risk profiling and computed tomography scanning for detection of CAD, defined as the presence of calcified or noncalcified plaque.

resultsOf 630 screened, 586 (93%) met criteria and had evaluable images. Of these, 287 (49.0%) were PWH and nearly all (272 of 287 [95%]) were virologically suppressed. Mean age (57.9 vs. 57.4 years), proportion female (49%), and median CVD risk score (4.1 vs. 3.4) did not differ by HIV serostatus. The prevalence of CAD was low overall (45 of 586 [7.7%]) and among both PWH (26 of 287 [9.1%]) and PWoH (19 of 299 [6.4%]; absolute prevalence difference, 2.7% [95% CI, -1.6% to 7.0%]). Results were similar after adjustment for CVD risk factors. LIMITATIONS: Our findings may not generalize to symptomatic populations or those with greater predicted CVD risk. The study was not powered to detect small differences in CAD prevalence between HIV subgroups. Both PWH and PWoH had similar CV risk factor profiles, but residual confounding between HIV and CAD cannot be excluded.

conclusionThe prevalence of CAD in Uganda was low compared with population-based cohorts from the Global North with similar CVD risk profiles and was similar between HIV serostatus subgroups. Our results suggest that CAD may not be a major cause of morbidity in Uganda. PRIMARY FUNDING SOURCE: National Institutes of Health.

Indexed as

Coronary Artery DiseaseHIV InfectionsAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalenceRisk FactorsTomography, X-Ray ComputedUganda

Identifiers

PMID40073231
PMCPMC12022967

What Socratic holds

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Registered trials

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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.