Coronary Artery Disease, HIV Infections, Non-Alcoholic Fatty Liver Disease
Conditions
Brief summary
The primary purpose of this study is to evaluate the association between nonalcoholic fatty liver disease (NAFLD) by computed tomography (CT) scan and coronary artery disease (CAD) measured by the calcium (CAC) score among HIV-infected persons.
Interventions
None listed
Sponsors
Infectious Diseases Clinical Research Program
Henry M. Jackson Foundation for the Advancement of Military Medicine
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* HIV patients who participated in our previous Liver Study, conducted at NMCSD, and HIV patients who did not participate in the Liver Study.
Exclusion criteria
* Women who are pregnant or breastfeeding will be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Coronary artery disease (CAD) measured by the CAC score | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate predictors for coronary artery disease including demographics, concurrent conditions (e.g., diabetes, hyperlipidemia, tobacco use), and HIV factors such as ARV duration, HIV duration, and lipodystrophy | 1 year |
| To investigate the relationship between inflammatory markers (CRP, ESR), d-dimer, adiponectin levels, future inflammatory markers, and genetic polymorphisms with the presence of coronary disease and NAFLD | 1 year |
| To assess the relationship between increased pericardial fat on CT scan with visceral fat and cardiovascular disease | 1 year |
| To determine the prevalence of coronary artery disease as determined by computed tomography (CT) of the coronary arteries among HIV patients, and to compare it to data from the general population using normative data from recent publications | 1 year |
| To measure the pulmonary artery size to evaluate for prevalence of asymptomatic pulmonary hypertension among HIV-infected persons | 1 year |
| To describe the outcome of a positive CAC score in terms of follow-up test/procedure results to help describe the clinical significance of elevated scores. | 1 year |
| To determine if Hounsfield units taken in the heart and aorta estimates hemoglobin levels | 1 year |
Countries
United States
Outcome results
None listed