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

Brandilyn A. Peters-Samuelson, Adam M. Whalen, Xiaonan (Nan) Xue, Elizabeth F. Topper, Kathleen M. Weber, Phyllis C. Tien, Seble G. Kassaye, Howard Minkoff, Ervin Fox, Margaret A. Fischl, Lauren F. Collins, Michelle Floris-Moore, Howard N. Hodis, Qibin Qi, David B. Hanna, Anjali Sharma, Kathryn Anastos, Robert C. Kaplan

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)780-785
Number of pages6
JournalJournal of Infectious Diseases
Volume229
Issue number3
DOIs
StatePublished - Mar 15 2024

Keywords

  • atherosclerosis
  • cardiovascular disease
  • HIV
  • menopause

ASJC Scopus subject areas

  • General Medicine

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