Review Article

Review of cardiovascular magnetic resonance in human immunodeficiency virus-associated cardiovascular disease

Vishesh Sood, Stephen Jermy, Hadil Saad, Petronella Samuels, Sulaiman Moosa, Ntobeko Ntusi
South African Journal of Radiology | Vol 21, No 2 | a1248 | DOI: https://doi.org/10.4102/sajr.v21i2.1248 | © 2017 Vishesh Sood, Stephen Jermy, Hadil Saad, Petronella Samuels, Sulaiman Moosa, Ntobeko Ntusi | This work is licensed under CC Attribution 4.0
Submitted: 28 June 2017 | Published: 14 November 2017

About the author(s)

Vishesh Sood, Division of Radiology, Department of Radiation Medicine, University of Cape Town, South Africa; Groote Schuur Hospital, Cape Town, South Africa
Stephen Jermy, Cape Universities Body Imaging Centre, University of Cape Town, South Africa; Department of Medicine, University of Cape Town, South Africa
Hadil Saad, Cape Universities Body Imaging Centre, University of Cape Town, South Africa; Department of Medicine, University of Cape Town, South Africa
Petronella Samuels, Cape Universities Body Imaging Centre, University of Cape Town, South Africa; Department of Medicine, University of Cape Town, South Africa
Sulaiman Moosa, Division of Radiology, Department of Radiation Medicine, University of Cape Town, South Africa
Ntobeko Ntusi, Cape Universities Body Imaging Centre, University of Cape Town, South Africa; Department of Medicine, University of Cape Town, South Africa; Hatter Institute of Cardiovascular Research in Africa, Department of Medicine, University of Cape Town, South Africa


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Abstract

Despite ongoing advances in the treatment of patients with human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS), they remain a major global public health concern conferring an increased risk of morbidity and mortality in affected individuals. This is, in part, because of the widespread dysfunction imposed by HIV and its treatment on the cardiovascular system, including the myocardium, valvular apparatus, pericardium and coronary, pulmonary and peripheral vasculature. In recent times, cardiovascular magnetic resonance (CMR) imaging has emerged as the gold standard tool for assessment of a variety of indications, allowing comprehensive characterisation of functional, morphological, metabolic and haemodynamic sequelae of several cardiovascular pathologies. Furthermore, continued advancement in imaging techniques has yielded novel insights into the underlying pathophysiology and guides future therapeutic strategies. In this article, we review the various clinical phenotypes of HIV-associated cardiovascular disease and highlight the utility of CMR in their assessment.

Keywords

Human immunodeficiency virus; cardiovascular magnetic resonance; cardiac function; late gadolinium imaging; T1 mapping

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