Patients with HIV and coronary disease: are we meeting national guidelines?Sam Emmanuel A , James Nadel A B , Damien Fagan C , Sirinya Teeraananchai D , Matthew Law D and Cameron J. Holloway A E F G
A St Vincent’s Hospital, 390 Victoria Street, Darlinghurst, NSW 2010, Australia.
B University of Notre Dame, 160 Oxford Street, Darlinghurst, NSW 2010, Australia.
C Gilead Sciences, 417 St Kilda Road, Melbourne, Vic. 3004, Australia.
D Kirby Institute, University of New South Wales, High Street, Kensington, NSW 2052, Australia.
E St Vincent’s Clinical School, University of New South Wales, 390 Victoria Street, Darlinghurst, NSW 2010, Australia.
F Victor Chang Cardiac Research Institute, 405 Liverpool Street, Darlinghurst, NSW 2010, Australia.
G Corresponding author. Email: firstname.lastname@example.org
Sexual Health - https://doi.org/10.1071/SH17035
Submitted: 21 February 2017 Accepted: 22 May 2017 Published online: 20 July 2017
Cardiovascular disease (CVD) has a higher incidence in patients with HIV infection. This study sought to determine whether HIV-infected patients with established CVD were being managed according to national guidelines. Data were collected from Australian general practitioners for 77 HIV-infected patients with a median age of 59 (range 54–64). There was good adherence to guidelines with regards to anti-platelet (84%; n = 65; 95% confidence interval (CI) 74–92%) and statin therapy (97%; n = 75; 95% CI 91–100%), despite a failure to meet cholesterol targets, with only 31% (n = 24; 95% CI 21–42%) of the cohort meeting low-density lipoprotein target values. Similarly, there was limited adherence to guidelines regarding the prescriptions of medications for those with established hypertension (66%; n = 51; 95% CI 55–77%), body mass index targets met (40%; n = 31; 95% CI 29–52%), and depression screening (32%; n = 25; 95% CI 22–44%). This Australian audit provides insight into adherence to guidelines for individuals with CVD and HIV, suggesting that current screening and management practices for these patients falls short of guidelines, particularly in relation to cholesterol management.
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