Evidence map›Paper›PMID 41754747›Full record

ReviewPharmaceuticals (Basel, Switzerland)2026

Antiviral Drugs in HIV and Cardiovascular Disease: Mechanistic Insights and Clinical Implications.

Helal F Hetta, Fawaz E Alanazi, Hanan Alshareef, Saleh F Alqifari, Salwa Qasim Bukhari, Mousa Aodh Albalwi, Zinab Alatawi, Asma Malwi Alshahrani, Eman M Shorog, Ali M Atoom and 4 more

Abstract readReview
In one paragraph

Review in Pharmaceuticals (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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

14 authors.

Helal F HettaDivision of Microbiology, Immunology and Biotechnology, Department of Natural Products and Alternative Medicine, Faculty of Pharmacy, University of Tabuk, Tabuk 71491, Saudi Arabia.ORCID 0000-0001-8541-7304
Fawaz E AlanaziDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, University of Tabuk, Tabuk 71491, Saudi Arabia.ORCID 0000-0002-8353-2066
Hanan AlshareefDepartment of Pharmacy Practice, Faculty of Pharmacy, University of Tabuk, Tabuk 71491, Saudi Arabia.ORCID 0000-0002-1264-7229
Saleh F AlqifariDepartment of Pharmacy Practice, Faculty of Pharmacy, University of Tabuk, Tabuk 71491, Saudi Arabia.
Salwa Qasim BukhariDepartment of Diagnostic Radiology, Faculty of Medicine, University of Tabuk, Tabuk 71491, Saudi Arabia.ORCID 0000-0002-8025-5454
Mousa Aodh AlbalwiDepartment of Internal Medicine, Faculty of Medicine, University of Tabuk, Tabuk 71491, Saudi Arabia.ORCID 0000-0003-4904-8585
Zinab AlatawiDepartment of Family and Community Medicine, Faculty of Medicine, University of Tabuk, Tabuk 47512, Saudi Arabia.ORCID 0000-0002-8963-8398
Asma Malwi AlshahraniClinical Pharmacy Department, College of Pharmacy, Shaqra University, Shaqra 11911, Saudi Arabia.
Eman M ShorogDepartment of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha 62521, Saudi Arabia.ORCID 0000-0003-0763-1510
Ali M AtoomFaculty of Allied Medical Sciences, Hourani Center for Applied Scientific Research, Al-Ahliyya Amman University, Amman 19111, Jordan.ORCID 0000-0001-9742-4253
Abdelhakim A AbdelrahmanKing's College Hospital, Denmark Hill, London SE5 9RS, UK.
Abdulrahman K AhmedEmergency Medicine Unit, Department of Anaethesia and Intensive Care, Faculty of Medicine, Assiut University, Assiut 71515, Egypt.ORCID 0000-0002-5134-1089
Yasmin N RamadanDepartment of Microbiology and Immunology, Faculty of Pharmacy, Assiut University, Assiut 71515, Egypt.ORCID 0009-0008-7374-9334
Reem SayadDepartment of Histology, Faculty of Medicine, Assiut University, Assiut 71515, Egypt.ORCID 0000-0002-4378-2714

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular disease (CVD) is increasingly recognized as a significant comorbidity in people living with HIV (PWH), contributing to increased morbidity and mortality. Epidemiological studies indicate that PWH have a 1.2-2-fold higher risk of myocardial infarction (MI) and other CVD events compared to HIV-negative individuals. While the mechanisms underlying HIV-associated CVD are not fully understood, they are likely to include a combination of cardiovascular-related adverse effects of HIV medications, vascular dysfunction caused by HIV-induced monocyte activation, and cytokine secretion, in addition to existing comorbidities and lifestyle choices. This comprehensive review examines the complex relationship between HIV infection and CVD, highlighting key pathophysiological mechanisms such as chronic immune activation, inflammation, endothelial dysfunction, and the role of antiretroviral therapy (ART) in promoting cardiovascular risk. Alongside conventional risk factors such as smoking, hypertension, and dyslipidemia, HIV-specific elements, especially metabolic abnormalities associated with ART, significantly contribute to the development of CVD. Prevention strategies are crucial, focusing on the early identification and management of cardiovascular risk factors as well as optimizing ART regimens to minimize adverse metabolic effects. Clinical guidelines now recommend routine cardiovascular risk assessment in PWH, emphasizing aggressive management tailored to their unique health profiles. However, challenges exist in fully understanding the cardiovascular outcomes in this population. Future research directions include exploring the role of inflammation-modulating therapies and refining sustainable prevention strategies to mitigate the growing burden of CVD in PWH.

Indexed as

antiretroviral therapy (ART)cardiovascular diseases in HIVdyslipidemiaHIV

Identifiers

PMID41754747
PMCPMC12943153

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.