In this issue of the Journal, Friis-Møller and colleagues(pages 17231735) report on results from a prospectiveobservational study involving more than 23,000 patients infectedwith HIV. The study, called the Data Collection on Adverse Effectsof Anti-HIV Drugs (DAD) trial, identified a possible increasedrisk of myocardial infarction associated with exposure to proteaseinhibitors but not to nonnucleoside reverse-transcriptase inhibitors.Because randomized studies are rarely well powered for evaluatingadverse effects of treatment, well-designed observational studiesare important.1 However, such studies raise complex questionsconcerning both the potential confounding of risk associationsand the mechanisms by which treatment might . . . [Full Text of this Article]
Source Information
Dr. Hughes is a professor and Dr. Williams a senior lecturer in the Center for Biostatistics in AIDS Research at the Harvard School of Public Health, Boston.
Related Letters:
Antiretroviral Drugs and the Risk of Myocardial Infarction
Kaplan R. C., Tien P. C., Lazar J., Zangerle R., Sarcletti M., Pollack T. M., Rind D. M., Sabin C., Friis-Møller N., Lundgren J. D., the Writing Committee of the DAD Study Group , Stein J. H.
Extract |
Full Text |
PDF
N Engl J Med 2007;
357:715-717, Aug 16, 2007.
Correspondence
This article has been cited by other articles:
Schambelan, M., Wilson, P. W.F., Yarasheski, K. E., Cade, W. T., Davila-Roman, V. G., D'Agostino, R. B. Sr, Helmy, T. A., Law, M., Mondy, K. E., Nachman, S., Peterson, L. R., Worm, S. W., for Working Group 5,
(2008). Development of Appropriate Coronary Heart Disease Risk Prediction Models in HIV-Infected Patients. Circulation
118: e48-e53
[Full Text]
Shermock, K. M., Horn, E., Rice, T. L.
(2008). Erythropoietic agents for anemia of critical illness. Am J Health Syst Pharm
65: 540-546
[Abstract][Full Text]
Kaplan, R. C., Tien, P. C., Lazar, J., Zangerle, R., Sarcletti, M., Pollack, T. M., Rind, D. M., Sabin, C., Friis-Moller, N., Lundgren, J. D., the Writing Committee of the DAD Study Group, , Stein, J. H.
(2007). Antiretroviral drugs and the risk of myocardial infarction.. NEJM
357: 715-716
[Full Text]
(2007). Long-Term ART and Risk for Myocardial Infarction. JWatch Infect. Diseases
2007: 1-1
[Full Text]
(2007). Antiretroviral Therapy and Cardiovascular Disease. AIDS Clin Care
2007: 1-1
[Full Text]