Subclinical Atherosclerosis Across the Menopausal Transition in Women With and Without HIV.

Peters, Brandilyn A; Whalen, Adam; Xue, Xiaonan; Topper, Elizabeth F; Weber, Kathleen M; Tien, Phyllis C; Kassaye, Seble G; Minkoff, Howard et al. · J Infect Dis · 2024

prospective_cohort · Level II

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Abstract

The menopausal transition is a pivotal time of cardiovascular risk, but knowledge is limited in HIV. We studied longitudinal carotid artery intima-media thickness (CIMT) in the Women's Interagency HIV Study (2004-2019; 979 women/3247 person-visits; 72% with HIV). Among women with HIV only, those who transitioned had greater age-related CIMT progression compared to those remaining premenopausal (difference in slope = 1.64 µm/year, P = .002); and CIMT increased over time in the pretransition (3.47 µm/year, P = .002) and during the menopausal transition (9.41 µm/year, P < .0001), but not posttransition (2.9 µm/year, P = .19). In women with HIV, menopause may accelerate subclinical atherosclerosis as measured by CIMT.

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