n Southern African Journal of HIV Medicine - Pattern of pericardial diseases in HIV-positive patients at University College Hospital, Ibadan, Nigeria : original article




. Pericarditis has been reported as the most common cardiac complication of HIV disease, followed by pericardial effusion.

. A retrospective review was conducted of all 68 patients treated for pericardial diseases between August 2003 and July 2008 at University College Hospital, Ibadan, Nigeria. HIV-positive patients (=42) were compared with those who were HIV negative (=26).
. More male than female patients presented with pericardial disease, and the HIV-positive patients were younger than those who were HIV negative. Pericardial effusion was the commonest mode of presentation, accounting for 20 HIV-positive patients (47.7%) and 13 HIV-negative patients (50%). Pericardiostomy was the commonest surgical intervention performed in HIV-positive patients (=15), while the majority of HIV-negative patients had pericardiocentesis.
. Pericardial effusion was the commonest cardiac presentation in HIV-positive patients in our setting. We recommend that patients with pericardial effusion be investigated for HIV infection.


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