Table of Contents Author Guidelines Submit a Manuscript
Pulmonary Medicine
Volume 2012 (2012), Article ID 575793, 5 pages
http://dx.doi.org/10.1155/2012/575793
Clinical Study

Echocardiographic Findings and Their Impact on Outcomes of Critically Ill Patients with AIDS in the Era of HAART

Shands Hospital, College of Medicine, University of Florida, 655 West 8th Street, Jacksonville, FL 32209, USA

Received 23 December 2011; Revised 6 February 2012; Accepted 7 February 2012

Academic Editor: Dimitris Georgopoulos

Copyright © 2012 Abubakr A. Bajwa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To describe the echocardiographic findings in critically ill patients with AIDS and their impact on clinical outcome. Design. A retrospective chart review of consecutive AIDS patients over 18 years of age, who had a trans-thoracic echocardiogram performed during the course of intensive care unit stay over the course of 2 years at a tertiary care hospital. Main outcome measures. The prevalence of echocardiogram abnormalities in this population and its impact on ICU mortality, ICU length of stay, hospital mortality, hospital length of stay and 60 day survival. Results. Among 107 patients who met the inclusion criteria, an admission echocardiogram was performed in 62 (58%). The prevalence of cardiac abnormalities was 60%. The most common admission diagnosis was respiratory failure 𝑛 = 2 7 (43%). The most common finding on echocardiogram was left ventricular (LV) dysfunction 𝑛 = 3 1 (50%) followed by pulmonary hypertension 𝑛 = 2 5 (40%). None of these findings had a significant impact on clinical outcomes. There was trend toward reduced 60 day survival among patients with depressed LV function. Conclusions. Although echocardiogram abnormalities were prevalent among this population none of these findings had a significant impact on ICU mortality or hospital mortality and ICU length of stay or hospital length of stay.