TABLE 5.
What Is Known | What Is Not Known | What This Study Adds |
---|---|---|
HIV increases risk of heart failure | Outcome of heart failure in people with HIV is not well studied | A large and comprehensive data on multiple heart failure outcomes (hospitalization, death) in people with HIV (comprising >5,700 HIV patients with heart failure) allowed precise and detailed characterization than has been possible before |
People with HIV and heart failure have increased risk of sudden cardiac death | There are limited data on all-cause mortality outcome in people with HIV and heart failure (prior studies comprise only ~400 HIV patients with heart failure) | The study was able to account for extensive list of risk factors |
People with HIV and heart failure have higher risk of hospitalization | Studies on mortality outcome in people with HIV did not make adjustment for risk factors | The study explored factors that may contribute to worse clinical outcome of heart failure in those with HIV |
Biomarkers of myocardial strain and fibrosis (ST2 and GDF-15) are associated with cardiovascular disease mortality in HIV | The association of systolic cardiac function with heart failure outcomes in people with HIV is not known | Reduced ejection fraction, lower CD4 count and detectable viral load were associated with increased risk of heart failure hospitalization and all-cause mortality |
Abbreviation as in Table 2.