Table 4.
Factors associated with left heart abnormalities.
| LV diastolic dysfunction | LVH | |||||||||
| Variable | Prevalence | Unadjusted | Adjusted | Prevalence | Unadjusted | Adjusted | ||||
| n/N (%) | OR (95% CI) | P value | OR (95% CI) | P value | n/N (%) | OR (95% CI) | P value | OR (95% CI) | P value | |
| Sex | ||||||||||
| Female | 20/94 (21 | 1 | 14/94 (15) | 1 | ||||||
| Male | 25/103 (24) | 0.19 (0.16–2.31) | 0.61 | 8/103 (8) | 0.48 (0.12–1.21) | 0.12 | ||||
| Age | ||||||||||
| 6–10 years | 25/91 (27) | 1 | 10/91 (11) | 1 | ||||||
| 11–16 years | 20/106 (19) | 0.61 (0.31–1.20) | 0.15 | 12/106 (11) | 1.03 (0.42–2.52) | 0.94 | ||||
| Age at ART initiation | ||||||||||
| 0–5 years | 27/93 (29) | 1.91 (0.93–3.90) | 0.08 | 1.95 (0.93–4.07) | 0.08 | 13/93 (14) | 2.14 (0.77–5.91) | 0.14 | ||
| 6–10 years | 15/85 (18) | 1 | 1 | 6/85 (7) | 1 | |||||
| 11–16 years | 3/17 (18) | 1.00 (0.26–3.92) | 1 | 1.14 (0.28–4.64) | 3/17 (18) | 2.82 (0.63–12.6) | 0.18 | |||
| Duration on ART | ||||||||||
| ≤ 2 years | 10/55 (18) | 1 | 6/55 (11) | 1 | ||||||
| >2 years | 35/142 (25) | 1.47 (0.67–3.22) | 0.33 | 16/142 (11) | 1.04 (0.38–2.80) | 0.94 | ||||
| CD4+ cell count | ||||||||||
| >200 cells/μl | 44/187 (24) | 1 | 21/187 (11) | 1 | ||||||
| ≤200 cells/μl | 1/9 (11) | 0.41 (0.05–3.34) | 0.40 | 1/9 (11) | 0.99 (0.12–8.30) | 0.99 | ||||
| Viral load | ||||||||||
| ≤400 copies/ml | 35/152 (23) | 1 | 18/152 (12) | 1 | ||||||
| >400 copies/ml | 9/41 (22) | 1.06 (0.46–2.44) | 0.88 | 3/41 (7) | 1.70 (0.48–6.08) | 0.41 | ||||
| Nevirapinea | ||||||||||
| No | 22/98 (22) | 1 | 6/98 (6) | 1 | ||||||
| Yes | 23/99 (23) | 1.05 (0.54–2.03) | 0.90 | 16/99 (16) | 2.96 (1.10–7.91) | 0.03 | 3.14 (1.13–8.72) | 0.03 | ||
| Zidovudinea | ||||||||||
| No | 17/95 (18) | 1 | 8/95 (8) | 1 | ||||||
| Yes | 28/102 (27) | 1.74 (0.89–3.43) | 0.11 | 14/102 (14) | 1.73 (0.69–4.33) | 0.242 | ||||
| Cardiac symptomsb | ||||||||||
| No | 27/119 (23) | 1 | 13/119 (10) | 1 | ||||||
| Yes | 18/78 (23) | 1.02 (0.52–2.02) | 0.95 | 9/78 (12) | 1.06 (0.43–2.62) | 0.89 | ||||
| Hypertension | ||||||||||
| No | 12/92 (13) | 1 | 12/92 (13) | 1 | ||||||
| Yes | 33/103 (32) | 3.14 (1.51–6.55) | <0.01 | 3.12 (1.48–6.57) | <0.01 | 10/103 (10) | 0.72 (0.29–1.75) | 0.46 | ||
ART, antiretroviral therapy; LV, left ventricular; LVH, left ventricular hypertrophy.
aAntiretroviral drugs.
bCardiac signs and symptoms included hypoxia, chest pains, tachypnoea, and ankle swelling.