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NTIS 바로가기The Canadian journal of cardiology, v.36 no.1, 2020년, pp.127 - 134
Bernelli, Chiara (Interventional Cardiology Unit, Ospedale Santa Corona) , Danzi, Gian Battista (Interventional Cardiology Unit, Ospedale Santa Corona) , Cerrato, Enrico (Interventional Cardiology Unit, San Luigi Gonzaga University Hospital, Orbassano and Rivoli degli Infermi Hospital) , Pierini, Simona (Interventional Cardiology Unit ASST Nord-Milano, Ospedale Bassini) , Ornaghi, Maurizio Giovanni (Interventional Cardiology Unit ASST Nord-Milano, Ospedale Bassini) , Botta, Luca (Cardiac surgery Unit, ASST Grande Ospedale Metropolitano Niguarda, Piazza dell'Ospedale Maggiore) , Gentile, Francesco (Interventional Cardiology Unit ASST Nord-Milano, Ospedale Bassini) , Migliorino, Guglielmo Marco (Infectious Diseases Unit, Azienda Socio-Sanitaria Territoriale di MONZA, San Gerardo Hospital-University of Milano-Bicocca) , Squillace, Nicola (Infectious Diseases Unit, Azienda Socio-Sanitaria Territoriale di MONZA, San Gerardo Hospital-University of Milano-Bicocca Italy<)
Abstract The introduction of combination of antiretroviral therapy and advancement in care of HIV have dramatically changed the natural history of patients living with HIV. Today, HIV+ patients have a life expectancy not significantly different from HIV uninfected people. However, concerns remain a...
Résumé La combinaison du traitement antirétroviral et de l’amélioration des soins du VIH a changé de façon spectaculaire l’évolution naturelle de l’état de santé des patients vivant avec le VIH. Aujourd’hui, l’espérance de vie des patients séropositifs pour le VIH n’est pas significativement différente de celle des personnes non infectées par le VIH. Cependant, des préoccupations demeurent quant à toutes les affections concomitantes associées au vieillissement et aux effets des traitements de longue durée chez ces patients à risque élevé. Les sujets séropositifs pour le VIH présentent une accélération de l’athérosclérose et un risque entre 1,5 et 2,0 fois plus élevé de maladie coronarienne (MC), qui survient généralement de façon précoce et virulente avec des événements coronariens aigus. De plus, les patients porteurs du VIH qui sont atteints de MC se plaignent souvent d’événements coronariens récurrents et ils subissent des manifestations cardiaques indésirables majeures. Cette revue portera principalement sur les connaissances actuelles relatives au phénotype de la MC chez les patients séropositifs pour le VIH, en portant une attention particulière à la récurrence des événements coronariens aigus et en soulignant le rôle des stratégies de prise en charge percutanée basée sur l’information fournie par l’imagerie coronarienne invasive.
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