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Main Article Content
Prevalence of atrial fibrillation among people living with HIV-1 on highly active antiretroviral therapy and its relationship with CD4 cell count and viral load at Federal Medical Centre Nguru a tertiary hospital in Yobe state, Northeastern Nigeria
Abstract
Introduction: HIV infection was reported to be independently associated with an increased risk of atrial fibrillation, low CD4 cell count and high viral load were found to be strongly associated with atrial fibrillation. The objectives of this study was to determine the prevalence of atrial fibrillation and its relationship with CD4 cells count and viral load among people living with HIV1 on highly active antiretroviral therapy (HAART).
Materials and method: The study was a cross-sectional conducted among PLWHIV receiving HAART. CD4 cells count, viral load measurement and electrocardiography were done for all consented patients.
Results: One hundred (100) subjects were recruited into the study comprising thirty-three (33.0%) males and 67(67.0%) females. The mean CD4 cells count and viral load of the studied patients were 614.99 ± 34.92 cells/μL and 4654±58.79 copies/mL, respectively. The prevalence of atrial fibrillation in this study was found to be 5.0%. Low CD4 cells count and high viral load were found to be associated atrial fibrillation (P= < 0.01 and P= < 0.01 respectively).
Conclusion: The study showed a low prevalence of atrial fibrillation among PLWHIV on HAART. Low CD4 cells count and high viral load were found to be associated with atrial fibrillation.
French title: Prévalence de la fibrillation auriculaire chez les personnes vivant avec le VIH-1 sous traitement antirétroviral hautement actif et sa relation avec le nombre de cellules CD4 et la charge virale au Centre médical fédéral Nguru, un hôpital tertiaire de l'État de Yobe, au nord-est du Nigéria
Introduction : L'infection par le VIH a été associée de manière indépendante à un risque accru de fibrillation auriculaire, un faible taux de cellules Cd4 et une charge virale élevée se sont avérés fortement associés à la fibrillation auriculaire. Les objectifs de cette étude étaient de déterminer la prévalence de la fibrillation auriculaire et sa relation avec le taux de cellules CD4 et la charge virale chez les personnes vivant avec le VIH-1 sous traitement antirétroviral hautement actif (HAART).
Matériel et méthode : L'étude était transversale et menée auprès de personnes vivant avec le VIH sous HAART. Le nombre de cellules CD4, la mesure de la charge virale et l'électrocardiographie ont été effectués pour tous les patients consentants.
Résultats : Cent (100) sujets ont été recrutés dans l'étude comprenant trente-trois (33,0 %) hommes et 67 (67,0 %) femmes. Le nombre moyen de cellules CD4 et la charge virale des patients étudiés étaient respectivement de 614,99 ± 34,92 cellules/μLet de 4654 ± 58,79 copies/mL. La prévalence de la fibrillation auriculaire dans cette étude était de 5,0 %. Un faible nombre de cellules CD4 et une charge virale élevée étaient associés à la fibrillation auriculaire (P= < 0,01 et P= < 0,01 respectivement).
Conclusion : L'étude a montré une faible prévalence de la fibrillation auriculaire chez les PVVIH sous HAART. Un faible nombre de cellules CD4 et une charge virale élevée étaient associés à la fibrillation auriculaire.
