[Cardiac rehabilitation in a HIV-patient treated with protease inhibitors].
We report a case of a 38-years-old HIV-positive patient, undergoing in the last 18 months therapy with three antiretroviral drugs including a protease inhibitor (nelfinavir). The patient was admitted in our Department with acute anterior myocardial infarction and was submitted to PTCA on the left anterior descending coronary artery. The patient, a 30 cigarettes/day smoker, with family history of hypertension and high levels of trygliceride and cholesterol, was subsequently admitted to our Cardiac Rehabilitation Unit. Cardiac Rehabilitation Program was composed of cycle aerobic training 4 times/week, dietary education, psychologic support and therapy with pravastatin, aspirin, nitrate, enalapril, and carvedilol. At the end of the 8 week Rehabilitation Program we observed a normalization of cholesterol and trygliceride levels and an improvement of cardiac functional capacity and mental health.
Giallauria
Francesco
F
Dipartimento Clinico di Medicina Interna, Geriatria, Patologia Cardiovascolare ed Immunitaria e Cardiochirurgia, Area Funzionale di Riabilitazione Cardiologica, Università degli Studi di Napoli Federico II, via Pansini 5, 80131 Napoli, Italy.
Paragliola
Teresa
T
Del Forno
Domenico
D
Baiano
Antonio
A
de Cristofaro
Alessandro
A
Rossi
Massimiliano
M
Vigorito
Carlo
C
D000328:Adult; D001241:Aspirin / Q000627:therapeutic use; D002227:Carbazoles / Q000627:therapeutic use; D000077261:Carvedilol; D002784:Cholesterol / Q000097:blood; D017023:Coronary Angiography; D004035:Diet Therapy; D004359:Drug Therapy, Combination; D004656:Enalapril / Q000627:therapeutic use; D005081:Exercise Therapy; D015658:HIV Infections / Q000097:blood / Q000150:complications / Q000188:drug therapy*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000097:blood / Q000150:complications / Q000534:rehabilitation*; D009566:Nitrates / Q000627:therapeutic use; D017035:Pravastatin / Q000627:therapeutic use; D011412:Propanolamines / Q000627:therapeutic use; D011480:Protease Inhibitors / Q000627:therapeutic use*; D016896:Treatment Outcome; D014280:Triglycerides / Q000097:blood
D002227:Carbazoles; D009566:Nitrates; D011412:Propanolamines; D011480:Protease Inhibitors; D014280:Triglycerides; D000077261:Carvedilol; D004656:Enalapril; D002784:Cholesterol; D017035:Pravastatin; D001241:Aspirin