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cardiac problem because of Hiv

Apr 19, 2011

Dear Doc, My cousin has hiv since past 11years. As of the past month she was breathless and hence a cordiogram , Eco cardio, & MRI of the heart was done. The findings were that , "her LV EF is 18%, with markedly elevated end-systolic & end- diastolic volumes.All LV segments show moderate to severe hypokinesia, with extensive abnormal areas of myacordial & epicardial delayed hyperenhancement. The Findings are charastic of an inflammatory/infiltrative cardiomyopathy & may represant the sequelae of a prior Viral Myocarditis as well." She has since been taking med for, Blood thinners, Lasix, Cardiovas, & Ramistar

Her CD3 is 69% , absolute CD3 is1148 cumm, CD4% 27.4% Absolute CD4 is 456 cumm, CD8 % is 35.5% Absolute is 591. Copies are 613 RNA/MM.

My question is, is her cardiac problem because of Hiv, & is this cardiac problem reversable after taking Hiv medications .


Response from Dr. Henry

HIV infection may have somewhat contributed to the cardiac condition but many other factors likely are involved (genetics, blood pressure, smoking, diabetes, other medical conditions) so often benefit to starting HIV Meds would be modest from heart standpoint= need to manage/address other contributing factors as well. KH

Recently infected - on meds and new diet

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