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Burce Ovbiagele, de la Universidad de California en San Diego, y Avindra Nath, de la Universidad Johns Hopkins, han revisado una base de datos nacional de pacientes hospitalizados por un diagnóstico de ictus entre 1997 y 2006. Las conclusiones se publican hoy en Neurology.
La estadística reveló que en la población general el accidente cerebrovascular se reducía en un 7 por ciento durante ese periodo (de 998.739 a 926.997); en cambio, los nuevos diagnósticos de ictus subían entre los pacientes con VIH un 67 por ciento (de 888 a 1.425).
El aumento de estos casos se debía casi en exclusiva a un incremento de los ictus isquémicos. “En general, los ictus no son frecuentes entre los pacientes con VIH, así que este aumento registrado es muy notable”, afirma Ovbiagele. También añade que el periodo analizado coincide con la expansión de la terapia antirretroviral de gran eficacia o Targa, que ha alargado la longevidad de esos pacientes.”El riesgo de ictus se relaciona con la edad. Casi tres cuartas partes de los accidentes cerebrovasculares se producen a partir de los 65 años. De hecho, después de los 55 años las posibilidades se duplican por cada década”.
No obstante, habría que examinar en nuevos trabajos la relación entre los antirretrovirales, las complicaciones metabólicas y el riesgo de ictus. “Los pacientes necesitan claramente la terapia antiviral para vivir más, pero el reto es clarificar si la Targa es un testigo inocente o el culpable del proceso”.
Fuente: www.diariomedico.com
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