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Detection of undiagnosed elevated cardiovascular risk biomarkers among HIV-positive patients on antiretroviral therapy (ART) in Kigali-City, Rwanda

Title: Detection of undiagnosed elevated cardiovascular risk biomarkers among HIV-positive patients on antiretroviral therapy (ART) in Kigali-City, Rwanda
Authors: Bushaku, Marcus; Nyamwange, Caleb; Kwena, Arthur; Twagirumukiza, Marc; Utumatwishima, Jean Nepo; Mugeni, Regine; Davila-Roman, Victor; Nishimwe, Aurore; Schectman, Kenneth; Cade, W Todd; Reeds, Dominic; Mutimura, Eugene
Source: JOURNAL OF AIDS AND HIV TREATMENT ; ISSN: 2688-7436
Publisher Information: Scientific Archives LLC
Publication Year: 2023
Collection: Ghent University Academic Bibliography
Subject Terms: Medicine and Health Sciences; General Engineering; General Medicine; Computer Science Applications; History; Education
Description: Background: Similar to other African countries, life expectancy of people living with HIV infection has improved due to access to antiretroviral therapy (ART) in Rwanda. However, both HIV infection and use of ART are associated with cardiovascular disease (CVD) risks, due to adverse changes in some biomarkers, causing dyslipidemia and other metabolic imbalances. Biomarkers for CVD risk in HIV-infected individuals taking ART, has not been well characterized in Rwanda. We evaluated the association between the use and duration of ART and biomarkers of CVD risk among HIV infected adults in Rwanda. Methods: A total of 150 participants (18-45 years) from HIV clinics in public Health Center in Kigali included n=30 HIV-uninfected (HIV-) and n=120 HIV-infected (HIV+) adults. Among the HIV+ adults, n=40 participants were ART-naïve. Cross-sectional data were collected on healthrelated behaviors and biochemical markers of CVD risk. We compared CVD-related biomarkers between HIV-, HIV+ ART-naïve, and HIV+ on ART groups. Results: The majority of participants were women (60%) and HIV- were younger (35 ± 6 vs. 31 ± 6 years). Total cholesterol and triglycerides concentrations were associated with ART usage. Serum triglycerides concentrations were lower in HIV+ ART-naïve compared to HIV+ on ART (76.6 ± 38.9 mg/dl vs. 85.0 ± 38.3 mg/dl; p< 0.01). While total cholesterol concentrations were higher in HIV+ on ART than HIV+ ART-naïve (136.0 ± 45.1 mg/dl vs. 130.0 ± 36.5 mg/dl; p
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: https://biblio.ugent.be/publication/01HN5QWGZ781V4YDMSTEK178KC; https://doi.org/10.33696/aids.5.042; https://biblio.ugent.be/publication/01HN5QWGZ781V4YDMSTEK178KC/file/01HP4DJDKD8M3EZFFBWXZ8QFQD
DOI: 10.33696/aids.5.042
Availability: https://biblio.ugent.be/publication/01HN5QWGZ781V4YDMSTEK178KC; https://hdl.handle.net/1854/LU-01HN5QWGZ781V4YDMSTEK178KC; https://doi.org/10.33696/aids.5.042; https://biblio.ugent.be/publication/01HN5QWGZ781V4YDMSTEK178KC/file/01HP4DJDKD8M3EZFFBWXZ8QFQD
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.23FFBFC1
Database: BASE