کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2659224 1564232 2006 11 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The Nurse Practitioner’s Role in Managing Dyslipidemia and Other Cardiovascular Risk Factors in HIV-Infected Patients: Impact of Antiretroviral Therapy
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های عفونی
پیش نمایش صفحه اول مقاله
The Nurse Practitioner’s Role in Managing Dyslipidemia and Other Cardiovascular Risk Factors in HIV-Infected Patients: Impact of Antiretroviral Therapy
چکیده انگلیسی

The beneficial effects of antiretroviral therapy (ART) for the treatment of HIV disease have been accompanied by metabolic changes associated with an increased risk of cardiovascular disease. These changes, which include dyslipidemia, change in body fat distribution, and insulin resistance, resemble the symptoms of metabolic syndrome. Protease inhibitors, nucleoside analogue reverse transcriptase inhibitors, and nonnucleoside reverse transcriptase inhibitors have all been associated with dyslipidemia to varying degrees. In addition, patients on ART show an increased risk of myocardial infarction and other cardiovascular events. According to the recommendations of the National Cholesterol Education Program and the Adult AIDS Clinical Trial Group, health care providers should assess cardiovascular risk before starting ART and then continue to monitor lipid levels. Treatment of ART-associated dyslipidemia should follow the following sequence: therapeutic lifestyle changes, lipid-lowering drug therapy, and finally, modifying ART if necessary. By providing education, support, and follow-up care, nurse practitioners can help to implement these steps.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the Association of Nurses in AIDS Care - Volume 17, Issue 1, January–February 2006, Pages 7–17
نویسندگان
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