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Smoking is the main cause of increased risk of heart attack in people with HIV
Roger Pebody, 2015-01-28 08:40:00

People living with HIV who smoke have an almost three-fold greater risk of heart attack than HIV-negative smokers, according to Danish data published online ahead of print in Clinical Infectious Diseases. The study suggests that smoking drives the larger number of heart attacks observed in people living with HIV in resource-rich settings, with other factors being less important.

At the same time, a major provider of healthcare in California has reported a declining incidence of heart attacks in people living with HIV in recent years, with rates now equivalent to HIV-negative people. They attribute the change not just to smoking cessation, but also to better monitoring of cardiovascular risks, greater use of statins and earlier initiation of antiretroviral therapy.