HIV AIDS electrocardiogram: Difference between revisions

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*ST segment depression
*ST segment depression
*T wave inversion<ref name="pmid18050781">{{cite journal| author=Okeahialam BN, Sani MU| title=Heart disease in HIV/AIDS. How much is due to cachexia? | journal=Afr J Med Med Sci | year= 2006 | volume= 35 Suppl | issue=  | pages= 99-102 | pmid=18050781 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18050781  }} </ref>
*T wave inversion<ref name="pmid18050781">{{cite journal| author=Okeahialam BN, Sani MU| title=Heart disease in HIV/AIDS. How much is due to cachexia? | journal=Afr J Med Med Sci | year= 2006 | volume= 35 Suppl | issue=  | pages= 99-102 | pmid=18050781 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18050781  }} </ref>
Shown below is an EKG with the presence of micro-voltage and [[electrical alternans]] suggesting [[pericardial effusion]] and [[cardiac tamponade]].
[[Image:PulsusAlternans.jpg|center|500px|Image obtained courtesy of ECGpedia, http://en.ecgpedia.org]]


==References==
==References==

Revision as of 14:00, 21 October 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-in-Chief: Ujjwal Rastogi, MBBS [2]; Ammu Susheela, M.D. [3]

Overview

The pericardium is frequently involved in HIV infections. Also medications used in AIDS therapy can cause EKG changes. Since the cardiac complications in the initial phases are not very obvious, periodic electrocardiogram monitoring is indicated in HIV positive individuals. [1]

Electrocardiogram

Studies have shown that from a negative HIV status to full blown AIDS, the following changes were observed in patients.

  • Increased heart rate
  • Increased corrected QT interval
  • ST segment depression
  • T wave inversion[2]

Shown below is an EKG with the presence of micro-voltage and electrical alternans suggesting pericardial effusion and cardiac tamponade.

Image obtained courtesy of ECGpedia, http://en.ecgpedia.org
Image obtained courtesy of ECGpedia, http://en.ecgpedia.org

References

  1. Milei J, Grana D, Fernández Alonso G, Matturri L (1998). "Cardiac involvement in acquired immunodeficiency syndrome--a review to push action. The Committee for the Study of Cardiac Involvement in AIDS". Clin Cardiol. 21 (7): 465–72. PMID 9669054.
  2. Okeahialam BN, Sani MU (2006). "Heart disease in HIV/AIDS. How much is due to cachexia?". Afr J Med Med Sci. 35 Suppl: 99–102. PMID 18050781.

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