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. 2016 Jan-Feb;27(1):25-9.
doi: 10.5830/CVJA-2015-066.

Left ventricular systolic function in Nigerian children infected with HIV/AIDS: a cross-sectional study

Ijeoma Arodiwe  1 , Anthony Ikefuna  2 , Egbuna Obidike  2 , Ejikeme Arodiwe  3 , Bennedict Anisuba  3 , Ngozi Ibeziako  2 , Sunday Omokoidion  4 , Christy Okoroma  5
Affiliations

Left ventricular systolic function in Nigerian children infected with HIV/AIDS: a cross-sectional study

Ijeoma Arodiwe et al. Cardiovasc J Afr. 2016 Jan-Feb.

Abstract

Background: Cardiac complications contribute significantly to morbidity and mortality in children with HIV/AIDS. These rates have been under-reported in sub-Saharan African children.

Methods: This was an observational, cross-sectional Doppler echocardiographic study of ventricular systolic function, performed at a tertiary clinic on children with HIV/AIDS.

Results: Left ventricular systolic dysfunction was present in 27.0% of the children with HIV infection and 81.2% of those with AIDS. The mean fractional shortening in the AIDS group (31.6 ± 9.5%) was significantly lower than in the HIV-infected group (35.3 ± 10.5%, p = 0.001). A significant correlation was found with CD4(+) cell count and age, and these were the best predictors of left ventricular systolic dysfunction in the stepwise multiple regression analysis (r = 0.396, p = 0.038; r = -0.212, p = 0.025, respectively).

Conclusion: Left ventricular systolic dysfunction is common in Nigerian children with HIV/AIDS.

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