Atherosclerotic Cardiovascular Events in Patients Infected With Human Immunodeficiency Virus and Hepatitis C Virus
- Type de publi. : Article dans une revue
- Date de publi. : 03/09/2021
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Auteurs :
Boun Kim TanMathieu ChalouniDominique Salmon CeronAlexandre CinaudLaure EsterleMarc Arthur LokoChristine KatlamaIsabelle Poizot-MartinDidier NeauJulie ChasPhilippe MorlatEric RosenthalKarine LacombeAlissa NaqviKarl BarangeOlivier BouchaudAnne GervaisCaroline Lascoux-CombeDaniel GaripuyLaurent AlricCécile GoujardPatrick MiailhesHugues AumaitreClaudine DuvivierAnne SimonJose-Luis Lopez-ZaragozaDavid ZucmanFrançois RaffiEstibaliz LazaroDavid ReyLionel PirothFrançois BouéCamille GilbertFirouzé Bani-SadrFrançois DabisPhilippe SogniLinda WittkopFranck Boccara
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Organismes :
Hôpital Cochin [AP-HP]
Hôpitaux Universitaires Paris Centre
Université Paris Descartes - Paris 5
Team MORPH3EUS
Université de Bordeaux
Hôpitaux Universitaires Paris Centre
Université Paris Descartes - Paris 5
Université Paris Descartes - Paris 5
Hôtel-Dieu
Team MORPH3EUS
Université de Bordeaux
Team MORPH3EUS
Université de Bordeaux
CHU Pitié-Salpêtrière [AP-HP]
Institut Pierre Louis d'Epidémiologie et de Santé Publique
Hôpital Sainte-Marguerite [CHU - APHM]
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale
Hôpital Pellegrin
Université de Bordeaux
CHU Tenon [AP-HP]
Team MORPH3EUS
Université de Bordeaux
Hôpital Saint-André [Bordeaux]
Hôpital l'Archet
Université de Nice Sophia-Antipolis
Institut Pierre Louis d'Epidémiologie et de Santé Publique
CHU Saint-Antoine [AP-HP]
Hôpital l'Archet
Centre Hospitalier Universitaire de Toulouse
Hôpital Avicenne [AP-HP]
Université Sorbonne Paris Nord
AP-HP - Hôpital Bichat - Claude Bernard [Paris]
Hopital Saint-Louis [AP-HP]
Centre Hospitalier Universitaire de Toulouse
Centre Hospitalier Universitaire de Toulouse
Pharmacochimie et Biologie pour le Développement
Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]
Université Paris-Saclay
Hôpital de la Croix-Rousse [CHU - HCL]
Centre Hospitalier Saint Jean de Perpignan
Imagine - Institut des maladies génétiques (IHU)
CHU Pitié-Salpêtrière [AP-HP]
Hôpital Henri Mondor
Hôpital Foch [Suresnes]
Centre d’Investigation Clinique de Nantes
Hôpital Pellegrin
Hôpital Haut-Lévêque [CHU Bordeaux]
Le Trait d'Union, centre de soins de l'infection par le VIH [CHU Strasbourg]
CHU Dijon
Université de Bourgogne
Université Paris-Saclay
AP-HP - Hôpital Antoine Béclère [Clamart]
Team MORPH3EUS
Hôpital universitaire Robert Debré [Reims]
Infections Cardiovasculaires Virales et inflammation en pathologie humaine (CardioVir) UMR-S 1320
Team MORPH3EUS
Université Paris Descartes - Paris 5
Hôpital Cochin [AP-HP]
Immunité Innée - Innate Immunity
Team MORPH3EUS
Centre Hospitalier Universitaire de Bordeaux
CHU Saint-Antoine [AP-HP]
Université Sorbonne Paris Cité
Pathologies biliaires, fibrose et cancer du foie [CRSA]
- Publié dans Clinical Infectious Diseases le 30/10/2020
Résumé : Background: An increased risk of cardiovascular disease (CVD) was reported in patients coinfected with human immunodeficiency virus (HIV) and hepatitis C virus (HCV), without identifying factors associated with atherosclerotic CVD (ASCVD) events. Methods: HIV-HCV coinfected patients were enrolled in the Agence Nationale de Recherches sur le Sida et les hépatites virales (ANRS) CO13 HEPAVIH nationwide cohort. Primary outcome was total ASCVD events. Secondary outcomes were coronary and/or cerebral ASCVD events, and peripheral artery disease (PAD) ASCVD events. Incidences were estimated using the Aalen-Johansen method. Factors associated with ASCVD were identified using cause-specific Cox proportional hazards models. Results: At baseline, median age of the study population (N = 1213) was 45.4 (interquartile range [IQR] 42.1-49.0) years and 70.3% were men. After a median follow-up of 5.1 (IQR 3.9-7.0) years, the incidence was 6.98 (95% confidence interval [CI], 5.19-9.38) per 1000 person-years for total ASCVD events, 4.01 (2.78-6.00) for coronary and/or cerebral events, and 3.17 (2.05-4.92) for PAD ASCVD events. Aging (hazard ratio [HR] 1.06; 95% CI, 1.01-1.12), prior CVD (HR 8.48; 95% CI, 3.14-22.91), high total cholesterol (HR 1.43; 95% CI, 1.11-1.83), high-density lipoprotein cholesterol (HR 0.22; 95% CI, 0.08-0.63), statin use (HR 3.31; 95% CI, 1.31-8.38), and high alcohol intake (HR 3.18; 95% CI, 1.35-7.52) were independently associated with total ASCVD events, whereas undetectable baseline viral load (HR 0.41, 95% CI, 0.18-0.96) was associated with coronary and/or cerebral events. Conclusions: HIV-HCV coinfected patients experienced a high incidence of ASCVD events. Some traditional cardiovascular risk factors were the main determinants of ASCVD. Controlling cholesterol abnormalities and maintaining undetectable HIV RNA are essential to control cardiovascular risk.
Fichiers liés :
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