Missed Opportunities to Address Cardiovascular Disease Risk Factors amongst Adults Attending an Urban HIV Clinic in South Africa

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.

Below:  Results for the 110 participants eligible for stratification, superimposed on the WHO/ISH risk stratification charts for the AFR-E region

Full article at: http://goo.gl/1ZLSyR

By: 

Miriam Rabkin, Wafaa M. El-Sadr

ICAP at Columbia, Columbia University Mailman School of Public Health, New York, New York, United States of America

Miriam Rabkin, Wafaa M. El-Sadr

Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, United States of America

Miriam Rabkin, Wafaa M. El-Sadr

Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York, United States of America

Anthony Mutiti

ICAP in South Africa, Pretoria, South Africa

Christine Chung

ICAP in Malawi, Lilongwe, Malawi

Yuan Zhang, Ying Wei

Department of Biostatistics, Columbia University Mailman School of Public Health, New York, New York, United States of America

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