Cardiovascular Disease Risk Assessment using Thai CV Risk in People Living with HIV/AIDS (PLWHA) and Risk Factors
Cardiovascular Disease Risk in People Living with HIV/AIDS
Keywords:
cardiovascular diseases, people living with HIV/AIDS (PLWHA), Thai CV riskAbstract
Cardiovascular disease is an important chronic non-communicable disease and a cause of death for Thai people. People living with HIV/AIDS (PLWHA) have life expectancy near of individuals without HIV infection. HIV infection is considered to be at higher risk of developing cardiovascular disease. Assessment of the risk of cardiovascular disease using Thai CV risk was therefore studied among PLWHA. A cross-section study during 1-31 October 2023 evaluated 202 patients by using Thai CV risk. It was found that 171 patients had low Thai CV risk scores and 31 patients had medium-high scores. The average age was 47 years, 108 patients were male (53.5%), 116 patients had underlying diseases (57.4%). Overall, smoking was found in 33 patients (16.3%) and drinking alcohol in 68 patients (33.7%). Regular exercise was found in 68 people (33.7%). Factors associated with medium-high risk scores were every 5 years increase in age, diabetes mellitus and hypertension. In summary, PLWHA have higher risk of cardiovascular disease than the general population. Therefore, it should be vigilant and encourage self-management to reduce risk, especially in patients with high risk factors.
References
Walden R, Tomlinson B. Cardiovascular disease. In: Benzie IFF, Wachtel-Galor S, editors. Herbal medicine: Biomolecular and clinical aspects. 2nd ed. Boca Raton, Florida, USA: CRC Press/Taylor & Francis; 2011. p.333-60.
Ministry of Public Health. Division of Non-Communicable Diseases. Number and death rate from 5 non-communicable diseases (NCD) 2017-2021 [Internet]. [Update 2023 Jan 18, cited 2023 Jun 30]. Available from: http://www.thaincd.com/2016/mission/documents-detail.php?id=14480&tid=32&gid=1-020
Ministry of Public Health, Department of Disease Control. HIV Info Hub [Internet]. [cited 2023 Jun 20]. Available from: https://hivhub.ddc.moph.go.th/epidemic.php
Islam FM, Wu J, Jansson J, Wilson DP. Relative risk of cardiovascular disease among people living with HIV: A systematic review and meta-analysis. HIV Med 2012;13(8):453-68.
Sitticharoenchai P, Putcharoen O, Buddhari W. Incidence and risk factors of cardiovascular diseases among HIV patients in Thailand. J Med Assoc Thai 2019;102(3):273-8.
Chen L, Pan X, Ma Q, Yang J, Xu Y, Zheng J, et al. HIV cause-specific deaths, mortality, risk factors, and the combined influence of HAART and late diagnosis in Zhejiang, China, 2006-2013. Sci Rep 2017;7:42366. doi: 10.1038/srep42366
Marcus JL, Leyden WA, Alexeeff SE, Anderson AN, Hechter RC, Hu H, et al. Comparison of overall and comorbidity-free life expectancy between insured adults with and without HIV infection, 2000-2016. JAMA Netw Open 2020;3(6):e207954. doi: 10.1001/jamanetworkopen.2020.7954
Arnett DK, Blumenthal RS, Albert MA, Buroker AB, Goldberger ZD, Hahn EJ, et al. 2019 ACC/AHA Guideline on the primary prevention of cardiovascular disease: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation 2019 ;140(11):e596-646. doi: 10.1161/CIR.0000000000000678
Edwards-Jackson N, Kerr S, Tieu H, Ananworanich J, Hammer S, Ruxrungtham K, et al. Cardiovascular risk assessment in persons with HIV infection in the developing world: Comparing three risk equations in a cohort of HIV-infected Thais. HIV Med 2011;12(8):510-5.
Suppadungsuk S, Yamwong S, Sungkanuparph S. Risk of cardiovascular events predicted by the Rama-EGAT score among HIV-infected patients in Thailand. Southeast Asian J Trop Med Public Health 2013;44(5):818-24.
Faculty of Medicine, Ramathibodi Hospital, Mahidol University. EGAT study [Internet]. [cited 2023 Jun 20]. Available from: https://www.rama.mahidol.ac.th/cvmc/th/egatstudy_history
Akaratanapol P, Aumaor T, Khungtumneam K, Limteerayos P, Pidet K, Phuangprasonka R, et al. Risk to major complications among diabetic and hypertensive patients in Nong-Prue Health Promoting Hospital, Bangphli, Samutprakan. APHEIT J Nurs Health 2021;3(2):37-52.
Ruangroj C. The study of the situation of cardiovascular disease risk factors among the older adults in Ubon Ratchathani Province. TJPHE 2023;3(1):1-14.
Faculty of Medicine, Ramathibodi Hospital, Mahidol University. Thai CV risk score [Internet]. [cited 2023 Jun 20]. Available from: https://www.rama.mahidol.ac.th/cardio_vascular_risk/thai_cv_risk_score/tcvrs_en.html
Cardiovascular Risk Assessment Audodus Co., Ltd. Thai CV risk calculator [Internet]. [cited 2023 Jun 20]. Available from: https://apps.apple.com/id/app/thai-cv-risk-calculator/id1564700992
Kingkaew N, Antadech T. Cardiovascular risk factors and 10-year CV risk scores in adults aged 30-70 years old in Amnat Charoen Province, Thailand. APST [Internet]. 2019 [cited 2023 Dec 27];24(04):APST-24. Available from: https://so01.tci-thaijo.org/index.php/APST/article/view/181250
National Heart, Lung, and Blood Institute. Academic institution calculate your body mass index [Internet]. [cited 2024 Jan 2]. Available from: https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm
World Health Organization. WHO global report on trends in prevalence of tobacco use 2000-2025. 3rd ed [online]. 2019 [cited 2023 Dec 27]. Available from: https://cdn.who.int/media/docs/default-source/searo/tobacco/country-fact-sheets/thailand-who-tobacco-prevalence-trend-estimates-2019.pdf?sfvrsn=4030f0b3_2
Singer DE, Nathan DM, Anderson KM, Wilson PW, Evans JC. Association of HbA1c with prevalent cardiovascular disease in the original cohort of the Framingham Heart Study. Diabetes 1992;41(2):202-8.
Lowe LP, Greenland P, Ruth KJ, Dyer AR, Stamler R, Stamler J. Impact of major cardiovascular disease risk factors, particularly in combination, on 22-year mortality in women and men. Arch Intern Med 1998;158(18):2007-14.
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