Myocardial disease in adolescents with perinatal HIV and receiving antiretroviral therapy (ART) Circulatory System
Conditions
Interventions
Electronic clinic data and patient-held records will be used to confirm clinical and ART history. A clinical questionnaire will be administered by the research nurse to record demographic, prior medic
Sponsors
Biomedical Research and Training Institute
Eligibility
Sex/Gender
All
Age
10 Years to 19 Years
Inclusion criteria
Inclusion criteria: 1. Aged 10-19 years 2. Adolescents with HIV taking ART for at least 6 months 3. Adolescents without HIV for the comparison group
Exclusion criteria
Exclusion criteria: 1. Contra-indications to CMR (implantable cardiac devices, pacemakers, and claustrophobia) 2. Severe renal impairment (defined as an estimated glomerular filtration rate (eGFR) <30 ml/min)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Cardiac structural abnormalities measured by left ventricular (LV) mass and LV mass index; LV and right ventricular (RV) volumes, LV wall thickness on cardiac magnetic resonance imaging (CMR) at a single timepoint 2. Cardiac functional abnormalities measured by RV and LV ejection fractions, systolic and diastolic strain rate on CMR at a single timepoint 3. Myocardial fibrosis measured by presence and extent (%) of late-gadolinium enhancement at a single timepoint | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Biomarkers of cardiac disease, fibrosis and inflammation (GDF-15, Troponin-I, NT-proBNP, ST2, CRP, IL-6, TNF-alpha, soluble CD14, Galectin-3, TIMP-1) measured by Luminex technology in plasma at a single timepoint 2. CMV DNAemia measured by quantitative polymerase chain reaction at a single timepoint 3. Risk factors for cardiac abnormalities measured by CMR at a single timepoint 4. Association between biomarkers, CMV DNAemia and cardiac abnormalities measured by multivariable statistical analysis at a single timepoint | — |
Countries
Zimbabwe
Outcome results
None listed