Decreased Heart Rate Variability in HIV Positive Patients Receiving Antiretroviral Therapy: Importance of Blood Glucose and Cholesterol HRV in HIV Patients
2011

Heart Rate Variability in HIV Patients on Antiretroviral Therapy

Sample size: 149 publication Evidence: moderate

Author Information

Author(s): Askgaard Gro, Kristoffersen Ulrik Sloth, Mehlsen Jesper, Kronborg Gitte, Kjaer Andreas, Lebech Anne-Mette

Primary Institution: Hvidovre University Hospital, Hvidovre, Denmark

Hypothesis

Is autonomic dysfunction present in HIV patients receiving antiretroviral therapy, and what factors are important?

Conclusion

Moderate autonomic dysfunction is present in HIV positive patients even with suppressed viral load due to ART, correlated with blood glucose and cholesterol levels.

Supporting Evidence

  • HIV patients had lower heart rate variability compared to controls.
  • Blood glucose levels correlated with heart rate variability measures.
  • Cholesterol levels were inversely related to heart rate variability in HIV patients.

Takeaway

HIV patients on treatment may have problems with their heart's automatic functions, which can be linked to their blood sugar and cholesterol levels.

Methodology

The study included 97 HIV patients on ART and 52 healthy controls, measuring heart rate variability through ECG.

Potential Biases

Potential selection bias in participant recruitment.

Limitations

The study may not account for all confounding factors influencing heart rate variability.

Participant Demographics

97 HIV patients (83% Caucasian, 11% African, 6% Asian, 1% Inuit) and 52 healthy controls.

Statistical Information

P-Value

p<0.001 for mean NN, p=0.028 for SDNN

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0020196

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