HAART to Heart: Highly active antiretroviral therapy and the risk of cardiovascular disease in HIV-infected or exposed children and adults

Steven E Lipshultz, Catherine M. Mas, Jacqueline M. Henkel, Vivian I. Franco, Stacy D. Fisher, Tracie L Miller

Research output: Contribution to journalArticle

27 Scopus citations


Infection with HIV is independently associated with an increased risk for clinical heart failure, cardiomyopathies and premature atherosclerosis, including stroke and myocardial infarction in both the pre-HAART and HAART eras. HAART is also associated with clinical cardiovascular concerns. In HIV-infected individuals, HAART may cause adverse lipid profiles and increased risk for cardiovascular events. Its effects on the developing heart remain unclear. Although in utero HAART exposure may improve cardiac function in the first 2 years of life, it may also inhibit myocardial growth. Additional potentially damaging cardiovascular effects of HAART are present, and continuing cardiovascular risk evaluations, screening and follow-up of treated patients is necessary. Here, we review available research in this field and highlight the importance of understanding known complications and their mechanisms.

Original languageEnglish
Pages (from-to)661-674
Number of pages14
JournalExpert Review of Anti-Infective Therapy
Issue number6
StatePublished - Jun 1 2012



  • AIDS
  • antiretroviral therapy
  • cardiovascular disease
  • heart
  • HIV
  • vasculature

ASJC Scopus subject areas

  • Infectious Diseases
  • Microbiology (medical)
  • Microbiology
  • Virology

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