Arrhythmias & electrophysiology

Association Between Left Ventricular Scar and Ventricular Ectopy in People Living With and Without HIV

JACC AdvPublished Cross-sectional study

Main finding · High VE burden, ischemic or major nonischemic pattern LGEResult — go to the resultAdjusted odds ratio 2.32

Authors' conclusion

Ischemic or major nonischemic pattern LGE and greater scar mass correlated with higher VE burden, independently of LV structure/function, HIV serostatus, and HIV viremia.

Study context

Population
People living with HIV (PLWH) and people without HIV (PWOH) with risk factors for HIV from 3 cohorts, undergoing ambulatory ECG monitoring (median wear time 8.3 days) and CMR109 with LGE
Participants
329 participants
Exposure
Ischemic or major nonischemic pattern LGE vs none, with HIV as effect modifier
Outcome
Association of myocardial scar (late gadolinium-enhancement cardiovascular magnetic resonance (LGE-CMR)) with VE burden
Methodological details3 cohorts, multivariable regression
  • 3 cohorts
  • Multivariable regression

Main finding

As reported in the abstract

High VE burden, ischemic or major nonischemic pattern LGE

Adjusted odds ratio

2.32

P = 0.004

More PVCs/day with ischemic or major nonischemic pattern LGE (141% higher)
P < 0.001

Observational data: associations, not effects.

Further findings

PVCs/day by scar mass, among people with LGE

Greater scar mass correlated with more PVCs/day
P = 0.028

Original publication

Association Between Left Ventricular Scar and Ventricular Ectopy in People Living With and Without HIV. JACC Adv. Published 17 November 2023. doi:10.1016/j.jacadv.2023.100722

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