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Studies suggest that HIV-infected individuals are at increased risk for cardiovascular disease (CVD), but the underlying reasons for that risk are still under investigation. To evaluate how HIV infection and elevated C-reactive protein (CRP) levels each influence risk for acute myocardial infarction (MI), investigators reviewed data from a large patient registry in Massachusetts.
As previously described (JW AIDS Clin Care Dec 8 2008), the analysis included 487 HIV-infected patients and 69,870 HIV-uninfected patients, all of whom had CRP data available from between 1997 and 2006. Patients who had an MI were eligible for analysis only if their most recent CRP level was obtained 3 years to 1 week before the MI.
In a univariate analysis, HIV infe…