In the past few years disturbing reports have begun to accumulate about young, relatively healthy HIV positive men who have developed heart disease or suffered heart attacks. Researchers and health-care providers treating people with HIV are taking these reports seriously, and increasing attention has been devoted to cardiovascular disease at recent medical conferences.
It remains to be determined whether these cardiovascular manifestations are attributable to HIV infection itself, to antiretroviral drug therapy, to a high prevalence among HIV positive people of traditional risk factors that pose a danger for the population at large—such as tobacco smoking, older age, male sex, and family history—or to some other not-yet-known factors.
Heart disease in people with HIV remains poorly understood and continues to generate considerable fear and controversy. But there is good reason to believe that common-sense risk reduction strategies can help delay or prevent cardiovascular problems such as atherosclerosis, heart attacks, and strokes.
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Liz Highleyman is a freelance medical writer and editor based in San Francisco.
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