Table 4.
Factors That Potentially Influence Cardiovascular Risk in HIV Patients
| Increasing Cardiovascular Risk | Decreasing Cardiovascular Risk |
|---|---|
| Dyslipidemia, insulin resistance, body habitus changes associated with HIV itself and certain components of ART | Control of viral replication with ART improves endothelial function |
| High rates of other cardiovascular risk factors, in particular smoking | Current antiretroviral regimens have more favorable effects on metabolic parameters and morphological changes than earlier regimens |
| Prolongation of survival: Older patients are intrinsically at greater cardiovascular risk | ART reduces inflammatory markers and immune activation HIV providers more aggressive about modification of ART or initiation of lipid-lowering therapies |