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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1998-7-6
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pubmed:abstractText |
New effective therapies have been producing longer survival times for HIV-patients. Thus non-infectious complications of late stage of HIV infection (such as the development of left ventricular dysfunction) have emerged; in fact cardiac involvement has been identified frequently at autopsy and is described in 80% of patients with acquired immunodeficiency syndrome (AIDS) as an evidence of the virus cardiotrophism, while clinical findings of left ventricular dysfunction were only detected in about 15% of the patients. It is possible that the development of heart failure had been underestimated in those years; in fact signs and symptoms of cardiac involvement had been often misinterpreted as the results of non cardiac causes (pulmonary failure or infections) also determining a delay in the beginning of cardiac therapy. The aim of this study was to follow 16 human immunodeficiency-virus positive patients during a 3-year period to evaluate the usefulness of early detection of heart failure in order to start a specific therapy as soon as possible. The follow-up consisted of a clinical and electrocardiographic control every 4 months. Echocardiography was carried out when involvement of the cardiac muscle was suspected. During the follow-up we could reveal an early involvement in 5/16 patients (31.2%) and in 2 of them (40%) early therapy caused clinical and echocardiographic regression of left ventricular dysfunction. The present study demonstrates that periodical clinical and echocardiographic controls are useful in patients with HIV infection.
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pubmed:language |
ita
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0393-1978
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
43
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
281-6
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:9611856-AIDS-Related Opportunistic Infections,
pubmed-meshheading:9611856-Acquired Immunodeficiency Syndrome,
pubmed-meshheading:9611856-Adult,
pubmed-meshheading:9611856-Electrocardiography,
pubmed-meshheading:9611856-Female,
pubmed-meshheading:9611856-Follow-Up Studies,
pubmed-meshheading:9611856-Heart Failure,
pubmed-meshheading:9611856-Humans,
pubmed-meshheading:9611856-Male,
pubmed-meshheading:9611856-Quality of Life,
pubmed-meshheading:9611856-Time Factors
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pubmed:year |
1998
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pubmed:articleTitle |
[Early detection of heart involvement using serial cardiologic controls in the follow-up of patients with AIDS].
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pubmed:affiliation |
Sezione di Cardiologia, Università degli Studi Federico II, Napoli.
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pubmed:publicationType |
Journal Article,
Comparative Study,
English Abstract
|