Table 2.
Cardiac Z-score outcome | ARV drug (current use) | Separate Models1 | Mutually Adjusted2 | Hierarchical Model3 | |||
---|---|---|---|---|---|---|---|
Est. (se) | P-value | Est. (se) | P-value | Est. (se) | P-value | ||
Measures of Left Ventricular (LV) Function | |||||||
Ejection Fraction | Lopinavir (LPV/r) | 0.18 (0.11) | 0.095 | 0.28 (0.14) | 0.052 | 0.28 (0.14) | 0.041 |
Nelfinavir (NFV) | −0.35 (0.16) | 0.028 | −0.24 (0.21) | 0.25 | −0.19 (0.20) | 0.34 | |
Ritonavir (RTV) | 0.35 (0.14) | 0.013 | 0.43 (0.25) | 0.088 | 0.40 (0.21) | 0.051 | |
Contractility | Lamivudine (3TC) | −0.15 (0.13) | 0.24 | −0.32 (0.17) | 0.058 | −0.30 (0.16) | 0.064 |
Efavirenz (EFV) | −0.46 (0.16) | 0.004* | −0.40 (0.20) | 0.042 | −0.38 (0.19) | 0.048 | |
Fractional Shortening | Abacavir (ABC) | −0.10 (0.12) | 0.43 | −0.25 (0.14) | 0.075 | −0.23 (0.14) | 0.097 |
Didanosine (ddI) | 0.31 (0.13) | 0.022 | 0.26 (0.16) | 0.11 | 0.23 (0.15) | 0.14 | |
Lopinavir (LPV/r) | 0.09 (0.11) | 0.40 | 0.29 (0.15) | 0.056 | 0.29 (0.15) | 0.050 | |
Ritonavir (RTV) | 0.28 (0.15) | 0.052 | 0.21 (0.25) | 0.40 | 0.26 (0.21) | 0.21 | |
Measures of Left Ventricular (LV) Structure | |||||||
LV Mass (2D) | Didanosine (ddI) | −0.25 (0.14) | 0.064 | −0.21 (0.16) | 0.19 | −0.20 (0.16) | 0.19 |
Efavirenz (EFV) | −0.45 (0.13) | 0.001* | −0.38 (0.17) | 0.023 | −0.37 (0.16) | 0.023 | |
Zidovudine (ZDV) | 0.21 (0.12) | 0.084 | 0.16 (0.16) | 0.33 | 0.14 (0.16) | 0.33 | |
LV ED Dimension | Efavirenz (EFV) | −0.32 (0.14) | 0.025 | −0.24 (0.17) | 0.16 | −0.21 (0.18) | 0.16 |
Lopinavir (LPV/r) | 0.26 (0.12) | 0.025 | 0.17 (0.16) | 0.29 | 0.16 (0.15) | 0.29 | |
Nevirapine (NVP) | 0.79 (0.25) | 0.002* | 0.70 (0.26) | 0.008 | 0.61 (0.25) | 0.008 | |
Zidovudine (ZDV) | 0.32 (0.13) | 0.010 | 0.35 (0.17) | 0.036 | 0.32 (0.16) | 0.036 | |
ES Wall Stress | Amprenavir (APV) | −1.53 (1.08) | 0.16 | −2.19 (1.10) | 0.048 | −0.67 (0.51) | 0.048 |
Atazanavir (ATV) | −0.38 (0.21) | 0.067 | −0.39 (0.35) | 0.27 | −0.36 (0.27) | 0.27 | |
Stavudine (d4T) | 0.02 (0.17) | 0.89 | 0.47 (0.23) | 0.040 | 0.37 (0.21) | 0.040 | |
Efavirenz (EFV) | −0.43 (0.17) | 0.014 | −0.56 (0.21) | 0.007 | −0.52 (0.20) | 0.007 | |
Ritonavir (RTV) | −0.37 (0.18) | 0.045 | −0.27 (0.34) | 0.43 | −0.29 (0.24) | 0.43 | |
Tenofovir (TDF) | −0.28 (0.16) | 0.085 | 0.00 (0.25) | 1.00 | 0.01 (0.22) | 1.00 | |
Zidovudine (ZDV) | 0.46 (0.15) | 0.002* | 0.60 (0.20) | 0.004* | 0.55 (0.19) | 0.004* | |
LV ES Volume | Lamivudine (3TC) | −0.07 (0.10) | 0.50 | −0.29 (0.15) | 0.047 | −0.26 (0.14) | 0.047 |
Abacavir (ABC) | 0.14 (0.11) | 0.21 | 0.28 (0.14) | 0.040 | 0.25 (0.13) | 0.040 | |
Zidovudine (ZDV) | 0.19 (0.11) | 0.095 | 0.25 (0.15) | 0.096 | 0.24 (0.15) | 0.096 | |
LV ED Volume | Lamivudine (3TC) | −0.10 (0.11) | 0.34 | −0.37 (0.15) | 0.016 | −0.33 (0.14) | 0.016 |
Efavirenz (EFV) | −0.25 (0.13) | 0.052 | −0.18 (0.16) | 0.28 | −0.18 (0.16) | 0.28 | |
LV Thickness to Dimension Ratio | Zidovudine (ZDV) | −0.27 (0.11) | 0.012 | −0.37 (0.15) | 0.011 | −0.36 (0.14) | 0.012 |
ED Septal Thickness | Lamivudine (3TC) | 0.11 (0.10) | 0.25 | 0.27 (0.14) | 0.049 | 0.24 (0.13) | 0.070 |
Only those outcomes and ARVs with nominal p<0.10 by at least one approach are included in Table.
Met criteria for significance after controlling False Discovery Rate (FDR) at 0.10 within each echocardiographic measure
Parameter estimates reflect shift in mean z-score for each ARV drug based on a linear regression model fit separately to each ART medication, adjusting for age and BMI Z-score at echocardiogram, sex, race, and ethnicity.
Parameter estimates refect shift in mean z-score for each ARV drug based on linear regression model including all individual ARVs shown, and adjusting for age and BMI Z-score at echocardiogram, sex, race, and ethnicity.
Parameter estimates reflect shift in mean z-score for each ARV drug based on hierarchical linear model including all individual ARVs shown, nested within their respective drug classes, with fixed effects for drug classes and random effects for individual ARVs.