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A review of cardiovascular and renal function monitoring: a consideration of older adults with HIV

Authors Kebodeaux CD, Wilson AG, Smith DL, Vouri SM

Received 20 June 2013

Accepted for publication 12 August 2013

Published 16 September 2013 Volume 2013:5 Pages 263—274

DOI https://doi.org/10.2147/HIV.S36311

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3


Clark D Kebodeaux,1 Alexandria Garavaglia Wilson,1 Daron L Smith,2 Scott Martin Vouri1

1St Louis College of Pharmacy, Division of Pharmacy Practice, St Louis, MO, USA; 2St Louis College of Pharmacy, Adjunct Faculty, St Louis, MO, USA

Abstract: The prevalence of human immunodeficiency virus (HIV) infection in older and elderly adults is significant worldwide. This population poses new challenges and opportunities in the management of HIV. In addition to the risks affecting HIV patients of all ages, including risk of opportunistic infection and medication resistance, age-related changes in physiology, higher comorbidity burdens, increased use of medications, and potential adverse drug reactions to HIV medications all factor into the care of older adults with HIV. The risk and progression of cardiovascular and renal comorbidities may be higher in the older adult HIV population and in patients taking specific HIV medications. Understanding these risks is essential when managing a new type of patient: the older adult with HIV.

Keywords: older adult, elderly, geriatrics, cardiovascular disease, kidney disease, renal dysfunction, HIV

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