Study of Electrocardiographic and Echocardiographic Abnormalities in HIV Positive Patient with special Reference to CD4 Count

Authors

  • K.D. Singh Associate Professor, Department of General Medicine, Shyam Shah Medical College and Sanjay Gandhi Memorial Hospital, Rewa, M.P, India
  • Himanshu Samaiya Resident, Department of General Medicine, Shyam Shah Medical College and Sanjay Gandhi Memorial Hospital, Rewa, M.P, India
  • Beerbhan Singh Associate Professor, Department of General Medicine, Shyam Shah Medical College and Sanjay Gandhi Memorial Hospital, Rewa, M.P, India

Keywords:

HIV, Cardiac abnormality, CD4 count, ECG, Echocardiogram.

Abstract

Introduction: The incidence of Echocardiographic abnormalities in HIV/AIDS patients is increased in recent years in India. Early screening and prompt treatment are important to prevent significant morbidity from cardiac involvement and to promote long term health in PLHIV. Hence the present study was undertaken to determine various Electrocardiographic and Echocardiographic abnormalities and their correlation to CD4 counts.Method:This was a cross-sectional studyon100 patients from April 2019 to June 2020 in our department those who were fulfilling the criteria. The study population was investigated for routine blood tests, X-Ray chest PA view, ECG, CD4 count and 2D Transthoracic Echocardiography.Results: The cases comprised of 36 females (36%) and 64 males (64%). Mean CD4 count was 313.7 ± 237.62 /μl. Most patients belonged to WHO clinical Stage II (41.0%) and III (29.0%). The ECG findings were seen in 51% cases and sinus tachycardia (27%) found to be most common. Echocardiographic abnormalities were seen in 67% of cases. Left ventricular diastolic (35%) dysfunction and reduced ejection fraction (25%) were the commonest findings. Echocardiographic abnormalities increased with CD4 counts less than 200/μland with advancement in stage of disease as per WHO grade and were statistically significant.Conclusion: Cardiovascular abnormalities in the form of electrocardiogram and ECHO findings werepresent in 51% and 67% of patients, respectively. Echocardiographic findings showed significant correlationwith CD4 count and WHO disease stage.

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Published

2021-02-09

How to Cite

Singh, K., Samaiya, H., & Singh, B. (2021). Study of Electrocardiographic and Echocardiographic Abnormalities in HIV Positive Patient with special Reference to CD4 Count. International Journal of Health and Clinical Research, 4(3), 81–85. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/879