Evaluación del índice de riesgo cardiovascular en una cohorte de pacientes que vive con VIH en Guerrero

An estimated 39.5 million people live with HIV worldwide. The favorable evolution in these 40 years has contributed to observing older adults living with the virus, and with it the presence of chronic diseases such as diabetes mellitus, arterial hypertension, dyslipidemia and chronic renal failure. General Objective. To estimate the cardiovascular risk and associated factors in a cohort of people living with HIV. Material and methods: A cross-sectional analytical study was carried out on a cohort of 2200 people living with HIV. 293 were randomly selected, aged between 30 and 74 years. The Framingham cardiovascular risk assessment scale and data collection form were applied, using non-probabilistic convenience sampling. The analysis was performed in the Gretl statistical package, using the R2 coefficient of determination. Results. The mean age was 50 years, 71% (208/293) of the population studied had low cardiovascular risk with a mean age of 44 years, 21% had moderate cardiovascular risk, with a mean age of 59 years, and 8% had high cardiovascular risk, with a mean age of 68 years. The statistical model found variables associated with having some degree of cardiovascular risk: having cholesterol levels above 200 mg/dl, suffering from high blood pressure, diabetes mellitus, having a smoking habit and being over 50 years of age. Conclusion. Age is related to CVR in the population living with HIV; it is necessary to continue working on the prevention of chronic diseases in the key population. There is no association between the CD4 T lymphocyte count and CVR.