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Editorial
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Volume 356:1773-1775 April 26, 2007 Number 17
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Cardiovascular Risks of Antiretroviral Therapy
James H. Stein, M.D.

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Treatment with potent antiretroviral therapy has transformed human immunodeficiency virus (HIV) infection from a rapidly fatal disease into a chronic illness that some patients can live with for more than two decades. However, shortly after antiretroviral therapy was introduced, there were several reports of acute myocardial infarction and premature atherosclerotic vascular disease among young patients receiving such treatment.1 Attention quickly focused on the protease inhibitors, with speculation that lipodystrophy and its associated metabolic disorders, including hyperlipidemia and insulin resistance, were increasing the cardiovascular risk.

These findings were alarming, and a flurry of research reports and editorials created a sense of . . . [Full Text of this Article]


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From the University of Wisconsin School of Medicine and Public Health, Madison.


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.
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N Engl J Med 2007; 357:715-717, Aug 16, 2007. Correspondence

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