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Echocardiographic diagnoses in HIV-infected patients presenting with cardiac symptoms at Muhimbili National Hospital in Dar es Salaam, Tanzania.

Chillo P, Bakari M, Lwakatare J - Cardiovasc J Afr (2012)

Bottom Line: The most common diagnosis was pericardial effusion present in 41.2% of the patients.The effusion was large in 5.9% and small in 35.3% of the patients.Hypertensive heart disease was diagnosed in 34.3%, while pulmonary hypertension and dilated cardiomyopathy were present in 12.7 and 9.8%, respectively.

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Affiliation: Muhimbili National Hospital, Dar es Salaam, Tanzania. pchillo2000@yahoo.co.uk

ABSTRACT

Objective: To determine the pattern of echocardiographic diagnoses in HIV-infected patients presenting with cardiac symptoms at Muhimbili National Hospital in Dar es Salaam, Tanzania.

Methods: Patients known to be HIV positive and with cardiac complaints were prospectively recruited from the Hospital's care and treatment centre as well as from the medical wards. Clinical assessment, laboratory tests and echocardiography were performed.

Results: A total of 102 patients were recruited from September 2009 to April 2010. The patients' mean age was 42.4 years and 68.6% were women. The most common diagnosis was pericardial effusion present in 41.2% of the patients. The effusion was large in 5.9% and small in 35.3% of the patients. Hypertensive heart disease was diagnosed in 34.3%, while pulmonary hypertension and dilated cardiomyopathy were present in 12.7 and 9.8%, respectively.

Conclusion: Cardiac abnormalities are common in HIV-infected patients, particularly when they present with symptoms.

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D-sign (left image) and dilated main pulmonary artery (right image) in a patient with pulmonary hypertension.
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Figure 1: D-sign (left image) and dilated main pulmonary artery (right image) in a patient with pulmonary hypertension.

Mentions: In multivariate analysis, we found no single predictor of pulmonary hypertension. The echocardiographic findings were those of dilated right heart with a prominent D-sign on parasternal short-axis view. Often the main pulmonary artery was also dilated (Fig. 1). The prognosis of these patients is generally poor, with median survival of approximately six months.33


Echocardiographic diagnoses in HIV-infected patients presenting with cardiac symptoms at Muhimbili National Hospital in Dar es Salaam, Tanzania.

Chillo P, Bakari M, Lwakatare J - Cardiovasc J Afr (2012)

D-sign (left image) and dilated main pulmonary artery (right image) in a patient with pulmonary hypertension.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3721886&req=5

Figure 1: D-sign (left image) and dilated main pulmonary artery (right image) in a patient with pulmonary hypertension.
Mentions: In multivariate analysis, we found no single predictor of pulmonary hypertension. The echocardiographic findings were those of dilated right heart with a prominent D-sign on parasternal short-axis view. Often the main pulmonary artery was also dilated (Fig. 1). The prognosis of these patients is generally poor, with median survival of approximately six months.33

Bottom Line: The most common diagnosis was pericardial effusion present in 41.2% of the patients.The effusion was large in 5.9% and small in 35.3% of the patients.Hypertensive heart disease was diagnosed in 34.3%, while pulmonary hypertension and dilated cardiomyopathy were present in 12.7 and 9.8%, respectively.

View Article: PubMed Central - HTML - PubMed

Affiliation: Muhimbili National Hospital, Dar es Salaam, Tanzania. pchillo2000@yahoo.co.uk

ABSTRACT

Objective: To determine the pattern of echocardiographic diagnoses in HIV-infected patients presenting with cardiac symptoms at Muhimbili National Hospital in Dar es Salaam, Tanzania.

Methods: Patients known to be HIV positive and with cardiac complaints were prospectively recruited from the Hospital's care and treatment centre as well as from the medical wards. Clinical assessment, laboratory tests and echocardiography were performed.

Results: A total of 102 patients were recruited from September 2009 to April 2010. The patients' mean age was 42.4 years and 68.6% were women. The most common diagnosis was pericardial effusion present in 41.2% of the patients. The effusion was large in 5.9% and small in 35.3% of the patients. Hypertensive heart disease was diagnosed in 34.3%, while pulmonary hypertension and dilated cardiomyopathy were present in 12.7 and 9.8%, respectively.

Conclusion: Cardiac abnormalities are common in HIV-infected patients, particularly when they present with symptoms.

Show MeSH
Related in: MedlinePlus