Missed Opportunities to Address Cardiovascular Disease Risk Factors amongst Adults Attending an Urban HIV Clinic in South Africa.
Missed Opportunities to Address Cardiovascular Disease Risk Factors amongst Adults Attending an Urban HIV Clinic in South Africa.
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DOI：
10.1371/journal.pone.0140298
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
El-Sadr WM
中科院分区：
文献类型：
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作者：
Rabkin M;Mutiti A;Chung C;Zhang Y;Wei Y;El-Sadr WM
我们评估了南非接受抗逆转录病毒治疗的成年人中心血管疾病（CVD）危险因素患病率和风险分层。在接受筛查的175名患者中，37.8%患有高血压，15.4%目前吸烟，10.4%胆固醇升高，4.1%患有糖尿病，但很少（3.6%）有10年心血管疾病风险（10%）。三分之一的高血压患者、40%的糖尿病患者和三分之二的高胆固醇患者之前没有被诊断出来。尽管参与者坚持慢性艾滋病毒护理，但CVDRF的筛查和管理并不理想，这意味着错过了降低非艾滋病发病率和死亡率的机会。
We assessed cardiovascular disease (CVD) risk factor prevalence and risk stratification amongst adults on antiretroviral therapy in South Africa. Of the 175 patients screened, 37.8% had high blood pressure (HBP), 15.4% were current smokers, 10.4% had elevated cholesterol, and 4.1% had diabetes, but very few (3.6%) had a 10-year CVD risk >10%. One-third of those with HBP, 40% of those with diabetes, and two-thirds of those with high cholesterol had not previously been diagnosed. Although participants were adherent with chronic HIV care, screening for and management of CVDRF were suboptimal, representing a missed opportunity to reduce non-AIDS morbidity and mortality.