Cardiovascular Diseases in HIV-infected Patients HIV-HEART Study: 5 Years Follow-up

NCT ID: NCT01196273

Last Updated: 2012-06-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1424 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-12-31

Study Completion Date

2011-12-31

Brief Summary

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HIV-infection is associated not only with a reduced function of the immune system, but also linked with diseases of other organ systems, in particular with the heart.

Heart conditions that have been described with HIV include

* Pericarditis,
* Pleural effusion
* Pulmonary hypertension (Venedic classification typ II)
* Dilated cardiomyopathy
* Heart failure
* Myocarditis
* Bacterial endocarditis
* Heart valve disorders In addition to previously stated disorders of the heart, the premature atherosclerosis of coronary arteries, a further even more important disease of the heart in this patient population, went into the focus of most HIV-researchers and physicians.

Premature atherosclerosis of coronary arteries results in coronary calcification, angina pectoris, myocardial infarction and sudden death. HIV-positive patients are at greater risk for a variety of heart-related conditions, including coronary artery disease. It is assumed, that HIV infection doubles the risk of a heart attack, according to recent research.

The reason for this link between HIV and heart-related conditions is unknown, but secondary infections that affect the heart muscle and coronary arteries have a greater chance of occurring in people with compromised immune systems. In addition, the HI-virus itself had been detected in the myocardium and might have an impact on the premature of cardiovascular diseases.

Furthermore, some of the medications used to treat HIV patients (antiretroviral therapy, ART) are assumed to have heart-related side effects.

Therefore, current treatment regimens for HIV infection have to be balanced against the marked benefits of antiretroviral treatment. Nevertheless, prevention of coronary heart disease should be integrated into current treatment procedures of HIV-infected patients.

The link between the heart and HIV is well established but not well understood. Therefore, further results are needed for efficient guidelines for the prevention, diagnostic and therapy of HIV-associated cardiovascular diseases.

Detailed Description

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A comprehensive detailed description of the study procedures had been previously published (European Journal of medical research 2007;12:243-248).

Conditions

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Coronary Heart Disease Heart Failure HIV AIDS Metabolic Syndrome

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Regional Ruhrgebiets Cohort

Comprehensive non invasive cardiovascular examination

Intervention Type OTHER

The examination includes:

* Anamnesis incl. admission form
* Physical examination
* Documentation of the medical therapy (incl. HAART)
* Electrocardiogram
* Transthoracic echocardiography
* Exercise electrocardiogram
* 6 minute walk test
* Blood collection
* Questionnaire to quality of life and health economics

Interventions

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Comprehensive non invasive cardiovascular examination

The examination includes:

* Anamnesis incl. admission form
* Physical examination
* Documentation of the medical therapy (incl. HAART)
* Electrocardiogram
* Transthoracic echocardiography
* Exercise electrocardiogram
* 6 minute walk test
* Blood collection
* Questionnaire to quality of life and health economics

Intervention Type OTHER

Other Intervention Names

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The examination includes: - Anamnesis incl. admission form Physical examination Documentation of the medical therapy (incl. HAART) Electrocardiogram Transthoracic echocardiography Exercise electrocardiogram 6 minute walk test Blood collection Questionnaire to quality of life and health economics

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years
* Known HIV-infection
* Written informed consent

Exclusion Criteria

* Acute cardiovascular disease
* Unstable hemodynamic status in the three weeks before inclusion
* Pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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HIV-HEART Study Investigative Group

UNKNOWN

Sponsor Role collaborator

German Heart Failure Network

OTHER

Sponsor Role collaborator

German Competence Network for HIV/AIDS

OTHER

Sponsor Role collaborator

German Federal Ministry of Education and Research

OTHER_GOV

Sponsor Role collaborator

Bristol-Myers Squibb

INDUSTRY

Sponsor Role collaborator

ViiV Healthcare

INDUSTRY

Sponsor Role collaborator

GlaxoSmithKline

INDUSTRY

Sponsor Role collaborator

Abbott

INDUSTRY

Sponsor Role collaborator

Boehringer Ingelheim

INDUSTRY

Sponsor Role collaborator

Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

University Hospital, Essen

OTHER

Sponsor Role lead

Responsible Party

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University Hospital

Principal Investigators

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Stefan Esser, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Essen

Till Neumann, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Essen

Locations

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University Hospital of Bochum, Department of Dermatology

Bochum, , Germany

Site Status

HIV Outpatient Department

Dortmund, , Germany

Site Status

University Hospital, Department of Dermatology and Venerology

Essen, , Germany

Site Status

University Hospital, West German Heart Center Essen

Essen, , Germany

Site Status

Clinical Coordinating Center Leipzig

Leipzig, , Germany

Site Status

Countries

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Germany

References

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Neumann T. [HIV, AIDS and the cardiovascular risk]. Internist (Berl). 2008 Apr;49(4):429-30, 432-5. doi: 10.1007/s00108-008-2049-4. German.

Reference Type RESULT
PMID: 18305915 (View on PubMed)

Reinsch N, Buhr C, Krings P, Kaelsch H, Kahlert P, Konorza T, Neumann T, Erbel R; Competence Network of Heart Failure. Effect of gender and highly active antiretroviral therapy on HIV-related pulmonary arterial hypertension: results of the HIV-HEART Study. HIV Med. 2008 Aug;9(7):550-6. doi: 10.1111/j.1468-1293.2008.00602.x. Epub 2008 Jun 28.

Reference Type RESULT
PMID: 18557952 (View on PubMed)

Reinsch N, Buhr C, Krings P, Kaelsch H, Neuhaus K, Wieneke H, Erbel R, Neumann T; German Heart Failure Network. Prevalence and risk factors of prolonged QTc interval in HIV-infected patients: results of the HIV-HEART study. HIV Clin Trials. 2009 Jul-Aug;10(4):261-8. doi: 10.1310/hct1004-261.

Reference Type RESULT
PMID: 19723613 (View on PubMed)

Neumann T, Reinsch N, Neuhaus K, Brockmeyer N, Potthoff A, Esser S, Hower M, Neumann A, Mostardt S, Gelbrich G, Erbel R; fur die HIV-HEART-Studie sowie die Kompetenznetze Herzinsuffizienz und HIV/AIDS. [BNP in HIV-infected patients]. Herz. 2009 Dec;34(8):634-40. doi: 10.1007/s00059-009-3313-7. German.

Reference Type RESULT
PMID: 20024643 (View on PubMed)

Neumann T, Esser S, Potthoff A, Pankuweit S, Neumann A, Breuckmann F, Neuhaus K, Kondratieva J, Buck T, Muller-Tasch T, Wachter R, Prettin C, Gelbrich G, Herzog W, Pieske B, Rauchhaus M, Loffler M, Maisch B, Mugge A, Wasem J, Gerken G, Brockmeyer NH, Erbel R; HIV-HEART Study Investigative Group. Prevalence and natural history of heart failure in outpatient HIV-infected subjects: rationale and design of the HIV-HEART study. Eur J Med Res. 2007 Jun 27;12(6):243-8.

Reference Type RESULT
PMID: 17666313 (View on PubMed)

Breuckmann F, Neumann T, Kondratieva J, Wieneke H, Ross B, Nassenstein K, Barkhausen J, Kreuter A, Brockmeyer N, Erbel R. Dilated cardiomyopathy in two adult human immunodeficiency positive (HIV+) patients possibly related to highly active antiretroviral therapy (HAART). Eur J Med Res. 2005 Sep 12;10(9):395-9.

Reference Type RESULT
PMID: 16183552 (View on PubMed)

Other Identifiers

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09-4085

Identifier Type: -

Identifier Source: org_study_id

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