Cardio-oncology & other

Posttraumatic Stress Disorder Is Associated With Endothelial Dysfunction in Women With HIV

JACC AdvPublished linear regression models

Authors' conclusion

PTSD is independently associated with ED in WWH. Whether treatment for PTSD improves ED and CVD in WWH needs further study.

Study context

Population
Women from the Women's Interagency HIV Study in Atlanta, Georgia, who reported previous traumawomen enrolled
Participants
87 women
Comparison
The impact of posttraumatic stress disorder (PTSD), HIV, and their interaction on endothelial function
  • PTSDn = 24
  • HIVn = 55
Outcome
HIV and PTSD prevalence

Main finding

As reported in the abstract

Had HIV

55

63.2%

Had PTSD

24

27.5%

Had both

13

14.9%

Further findings

OutcomePTSDWithout PTSDEstimateP value
SmokingPTSD vs without PTSD · more likely with PTSD75%44.4%P = 0.02
Depressive symptomsPTSD vs without PTSD · more likely with PTSD58.3%28.6%P = 0.02
FMD in WWHPTSD severity · lower FMD in WWH · independently associatedβ per 10-point increase −0.72% (95% CI −1.22 to −0.21)P = 0.01
FMD in WWHPTSD status · lower FMD in WWH · independently associatedβ −2.51% (95% CI −4.21 to −0.77)P = 0.01

HIV-PTSD interaction effect on flow-mediated dilation (FMD)

HIV-PTSD (severity and status) interaction effect on FMD significant
P = 0.01
  • Adjusted models

FMD in women with HIV (WWH)

Not associated in those without HIV

Original publication

Posttraumatic Stress Disorder Is Associated With Endothelial Dysfunction in Women With HIV. JACC Adv. Published 19 January 2025. doi:10.1016/j.jacadv.2024.101572

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