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Editorial
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Volume 349:2065-2067 November 20, 2003 Number 21
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HIV Infection and Cardiovascular Disease — Is There Really a Link?
Peter Sklar, M.D., M.P.H., and Henry Masur, M.D.

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-Related Article
 by The Data Collection on Adverse Events of Anti-HIV Drugs (DAD) Study Group
-PubMed Citation
Soon after the introduction of protease inhibitors and nonnucleoside reverse-transcriptase inhibitors for the management of human immunodeficiency virus (HIV) infection, clinicians observed unexpected cardiovascular events among patients receiving these new, combination, "highly active" antiretroviral regimens. Angina, myocardial infarction, and stroke were seen in patients who were relatively young. Providers became suspicious that these events were related either to chronic HIV infection, since patients were surviving for longer periods than they had in the past, or to the new anti-HIV regimens, which are associated with substantial metabolic abnormalities.

Between 1998 and 2003, several reports appeared to validate clinicians' concerns. The French . . . [Full Text of this Article]


Source Information

From the Division of HIV/AIDS Medicine, Drexel University College of Medicine, Philadelphia (P.S.); and the Critical Care Medicine Department, Warren Grant Magnuson Clinical Center, National Institutes of Health, Bethesda, Md. (H.M.).


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