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ORIGINAL INVESTIGATION Impact of Individual Antiretroviral Drugs on the Risk of Myocardial Infarction in Human Immunodeficiency Virus–Infected Patients A Case-Control Study Nested Within the French Hospital Database on HIV ANRS Cohort CO4 Sylvie Lang, MSc; Murielle Mary-Krause, PhD; Laurent Cotte, MD; Jacques Gilquin, MD; Marialuisa Partisani, MD; Anne Simon, MD; Franck Boccara, MD, PhD; Dominique Costagliola, PhD; for the Clinical Epidemiology Group of the French Hospital Database on HIV Background: The role of exposure to specific antiret- Results: Short-term/recent exposure to abacavir was as- roviral drugs on risk of myocardial infarction in human sociated with an increased risk of MI in the overall sample immunodeficiency virus (HIV)–infected patients is de- (odds ratios [ORs], 2.01; 95% confidence interval [CI], 1.11- bated in the literature. 3.64) but not in the subset of matched cases and controls (81%) who did not use cocaine or intravenous drugs (1.27; Methods: To assess whether we confirmed the associa- 0.64-2.49). Cumulative exposure to all PIs except saquina- tion between exposure to abacavir and risk of myocar- vir was associated with an increased risk of MI significant dial infarction (MI) and to estimate the impact of expo- for amprenavir/fosamprenavir with or without ritonavir sure to other nucleoside
JAMA Internal Medicine – American Medical Association
Published: Jul 26, 2010
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