The information on this website is not intended for diagnosis or treatment. Please consult your physician for health concerns.

+90 850 321 50 00

HIV Comorbidity Monitoring

Cardiovascular, renal, bone, and metabolic surveillance in chronic HIV

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Internal Medicine department. Book Appointment →

What is HIV Comorbidity Monitoring?

Successful antiretroviral therapy has converted HIV into a chronic condition with non-AIDS comorbidities now driving morbidity. These include atherosclerotic cardiovascular disease, chronic kidney disease, low bone mineral density, neurocognitive impairment, malignancy, and metabolic syndrome.

Mechanisms include chronic immune activation, antiretroviral toxicities (tenofovir disoproxil for kidney and bone, protease inhibitors for lipids), persistent inflammation, and traditional risk factors at higher prevalence. Aging amplifies these risks.

Annual monitoring includes lipid panel, fasting glucose, eGFR with urine protein, DEXA scan from age 50, neurocognitive screening, age-appropriate cancer screening, and cardiovascular risk calculation with REPRIEVE pitavastatin recommendation when indicated.

Symptoms

Often asymptomatic comorbidity
New chest pain or dyspnea
Cognitive complaints
Bone pain or fragility fracture
Weight gain or metabolic changes

Risk Factors

Long-term HIV duration
Older antiretroviral exposure
Smoking and traditional CV risk factors
Hepatitis B or C coinfection
Family history

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • For annual comprehensive review
  • For new cardiovascular symptoms
  • For cognitive decline
  • For weight gain or dyslipidemia
  • For fragility fracture concerns

Treatment Methods

01
Annual lipid and glucose panel
02
Renal function and proteinuria
03
DEXA bone density
04
Pitavastatin per REPRIEVE
05
ART regimen optimization
06
Smoking cessation and lifestyle

Which Department to Visit?

You can visit our Enfeksiyon Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Enfeksiyon Hastalıkları Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

Book AppointmentContact Us

Related Health Topics

Other articles from the same department you may want to explore.

Flu (Influenza)

Enfeksiyon Hastalıkları

Influenza is a seasonal contagious respiratory disease caused by influenza viruses; it presents with high fever, muscle pain, and severe fatigue.

COVID-19

Enfeksiyon Hastalıkları

COVID-19 is a contagious disease caused by the SARS-CoV-2 coronavirus with a wide clinical spectrum ranging from asymptomatic to severe pneumonia.

Upper Respiratory Tract Infection

Enfeksiyon Hastalıkları

Upper respiratory tract infections are diseases that include common cold, pharyngitis, sinusitis, and laryngitis, often of viral origin and self-limited.

Urinary Tract Infection

Enfeksiyon Hastalıkları

Urinary tract infections are common bacterial infections most often caused by Escherichia coli, presenting with burning and frequent urination.

Hepatitis A (HAV)

Enfeksiyon Hastalıkları

Hepatitis A is an acute, self-limited liver infection transmitted via the fecal-oral route causing acute hepatitis without chronicity; supportive care suffices in most cases, while vaccination prevents outbreaks and post-exposure prophylaxis within 2 weeks is effective.

Hepatitis B

Enfeksiyon Hastalıkları

Hepatitis B is a contagious infection caused by HBV virus transmitted via blood, sexual intercourse, and mother-to-child, that can become chronic and progress to cirrhosis and liver cancer.

Hepatitis C

Enfeksiyon Hastalıkları

Hepatitis C is a liver disease caused by HCV virus transmitted mainly by blood; the rate of chronicity is high, but cure is possible with new antiviral drugs.

HIV/AIDS Information

Enfeksiyon Hastalıkları

HIV is a virus that targets the immune system; if untreated, it progresses to AIDS. With modern antiretroviral therapy, HIV-positive individuals can lead healthy, long lives.

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.