Treatment with potent antiretroviral therapy has transformedhuman immunodeficiency virus (HIV) infection from a rapidlyfatal disease into a chronic illness that some patients canlive with for more than two decades. However, shortly afterantiretroviral therapy was introduced, there were several reportsof acute myocardial infarction and premature atheroscleroticvascular disease among young patients receiving such treatment.1Attention quickly focused on the protease inhibitors, with speculationthat lipodystrophy and its associated metabolic disorders, includinghyperlipidemia and insulin resistance, were increasing the cardiovascularrisk.
These findings were alarming, and a flurry of research reportsand 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.
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N Engl J Med 2007;
357:715-717, Aug 16, 2007.
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