Screening and management of risk factors for cardiovascular disease in HIV-positive patients attending an Australian urban sexual health clinic

Sex Health. 2017 Apr;14(2):198-200. doi: 10.1071/SH16106.

Abstract

Background Few data exist regarding cardiovascular risk among HIV-infected patients attending sexual health clinics (SHC) in Australia.

Methods: The medical records of 188 patients attending an inner-city SHC between August 2013 and July 2014 were retrospectively reviewed for cardiovascular risk factors and associated screening and management practices.

Results: Cardiovascular risk factors were common among attendees of the SHC, including smoking (38%), hypertension (14%) and dyslipidaemia (11%). Of the 188 patients, 23% reported using potentially cardiotoxic recreational drugs, 25% of dyslipidaemic patients were not on therapy and 10% of patients were hypertensive; none were prescribed treatment. A smoking cessation program was offered to all patients.

Conclusion: A high prevalence of risk factors for cardiovascular disease was demonstrated. Modification of risk factors could be improved.

MeSH terms

  • Adolescent
  • Adult
  • Ambulatory Care Facilities
  • Cardiovascular Diseases / epidemiology
  • Cardiovascular Diseases / etiology*
  • Cardiovascular Diseases / prevention & control*
  • Female
  • HIV Seropositivity*
  • Humans
  • Male
  • Mass Screening*
  • Middle Aged
  • New South Wales / epidemiology
  • Prevalence
  • Retrospective Studies
  • Risk Factors
  • Urban Population