2019 Ryan White HIV/AIDS Program CLINICAL CONFERENCE

Clinical and demographic characteristics of PLWH with Type 1 vs. Type 2 MI Characteristic T1MI* T2MI Pvalue N=362 56% N=288 44%

Male

293

81% 19%

207

72% 28% 16% 37% 34%

Sex

0.006

Female

69 32

81 47

<40

9%

40-49 50-59 60-69

152 125

42% 35% 12%

106

Age

99 22 14 65

0.01

43 10

8% 5%

≥70

3%

White

171

47%

23%

African-American 156

43%

202

70%

Race/Ethnicity

<0.001

Hispanic

19 16

5% 4%

14

5% 2%

Other/unknown Heterosexual

7

101 166

28% 46% 22% 27% 20% 54% 60% 21% 19% 60% 13% 17% 5%

93 75

32% 26% 37% 45% 19% 35% 70% 16% 14% 44% 17% 20% 18% 5%

HIVTransmissionRisk Factor

MSM

<0.001

IDU

78 17 96 71

107

Other/unknown

13

0-200

130

CD4countclosest toevent (cells/µl)

201-350

56

<0.001

>350 0-200

194 215

102 201

CD4cellcountnadir (cells/µl)

201-350

77 69

47 40

0.03

>350 <400

217

127

400-10,000

47 63 34

49 59 53

HIV-1RNAclosest toevent

<0.001

10,000-100,000

>100,000

9%

Slide19of 43FromHMCrane, MD inNewOrleans, LA, December 4-7, 2019, Ryan WhiteHIV/AIDS ProgramCLINICAL CONFERENCE, IAS  USA.

Cardiovascular disease risk factors among PLWH with Type 1 vs. Type 2 MI

T2MI

Pvalue

T1MI*

Characteristic

56%

N=288

44%

N=362

15

19

0.2

HDL (mg/dL)

40

42

43

40

<0.001

LDL (mg/dL)

108

87

52

60

<0.001

Non-HDL (mg/dL)

149

125

Lipid Levelsmean (SD)

TotalCholesterol (mg/dL)

190

54

167

63

<0.001

182

272

0.4

Triglycerides (mg/dL)

227

208

No

244

67%

232

81% <0.001

StatinUse

Yes

118

33%

56

19%

No

125

35%

136

47% 0.005

Smoking

Former

56

15%

36

13%

Current

181

50%

116

40%

BodyMassIndexmean (SD)

BMI

26

5

24

6

0.001

Risk Scoremean (SD)

Framingham CHD

10

8

8

7

<0.001

Slide20of 43FromHMCrane, MD inNewOrleans, LA, December 4-7, 2019, Ryan WhiteHIV/AIDS ProgramCLINICAL CONFERENCE, IAS  USA.

Rates of Type 1 and Type 2 MI per 1000 person-years of follow-up

CROI,2019

Slide21of 43FromHMCrane, MD inNewOrleans, LA, December 4-7, 2019, Ryan WhiteHIV/AIDS ProgramCLINICAL CONFERENCE, IAS  USA.

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