Table 6.
Associations Between Presence of Subclinical Coronary Atherosclerosis and Long‐Term ART Use (≥36 Months) in the HIV Infected by Cocaine Use Status (ART Naïve as the Reference Group)
| Outcome Variable | Never Cocaine Use | Chronic Cocaine Use | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Unadjusted | Adjusted for ACC/AHA Riska | Adjusted for Propensity Scoreb | Unadjusted | Adjusted for ACC/AHA Riska | Adjusted for Propensity Scoreb | |||||||
| PR (95% CI) | P Value | PR (95% CI) | P Value | PR (95% CI) | P Value | PR (95% CI) | P Value | PR (95% CI) | P Value | PR (95% CI) | P Value | |
| All subjects (N=679) | ||||||||||||
| Presence of CAC | 1.56 (1.07, 2.27) | 0.020 | 1.39 (0.95, 2.03) | 0.09 | 1.08 (0.87, 1.35) | 0.47 | 1.99 (1.34, 2.91) | 0.0006 | 1.88 (1.27, 2.78) | 0.002 | 1.45 (0.98, 2.15) | 0.06 |
| Contrast‐enhanced CTA (N=559) | ||||||||||||
| Any coronary plaque | 1.48 (1.05, 2.10) | 0.025 | 1.31 (0.93, 1.85) | 0.12 | 1.13 (0.84, 1.35) | 0.60 | 2.07 (1.48, 2.91) | <0.0001 | 1.95 (1.40, 2.73) | <0.0001 | 1.87 (1.19, 2.94) | 0.007 |
| Noncalcified plaque | 1.41 (0.91, 2.18) | 0.12 | 1.26 (0.81, 1.95) | 0.31 | 1.07 (0.79, 1.45) | 0.65 | 2.22 (1.46, 3.39) | 0.0002 | 2.08 (1.37, 3.17) | 0.0006 | 2.46 (1.30, 4.66) | 0.006 |
| Calcified plaque | 1.53 (1.03, 2.29) | 0.037 | 1.36 (0.91, 2.03) | 0.14 | 1.17 (0.90, 1.53) | 0.25 | 2.03 (1.36, 3.04) | 0.0005 | 1.90 (1.27, 2.83) | 0.002 | 1.55 (0.95, 2.51) | 0.07 |
| Coronary stenosis (>50%) | 1.37 (0.65, 2.90) | 0.41 | 1.26 (0.60, 2.71) | 0.53 | 1.44 (0.88, 2.31) | 0.15 | 1.89 (0.88, 4.04) | 0.10 | 1.82 (0.85, 3.92) | 0.12 | 1.35 (0.45, 4.05) | 0.60 |
| Subclinical CAD | 1.37 (1.02, 1.83) | 0.035 | 1.23 (0.93, 1.64) | 0.15 | 1.04 (0.85, 1.27) | 0.67 | 1.87 (1.40, 2.49) | <0.0001 | 1.79 (1.35, 2.38) | <0.0001 | 1.62 (1.17, 2.35) | 0.011 |
ACC indicates American College of Cardiology; AHA, American Heart Association; ART, antiretroviral therapy; CAC, coronary artery calcium; subclinical CAD, either presence of CAC and/or any coronary stenosis; CTA, computed tomography angiography; PR, prevalence ratio.
Adjusted for cardiovascular risk defined by the 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk.
Adjusted for propensity score.