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Intensive Care of Patients With HIV Infection : HAART Warming Improvement but Beware of Future HAART (and Heart) Attacks

Alison Morris, MD, FCCP; Laurence Huang, MD, FCCP
Author and Funding Information

Affiliations: Los Angeles, CA
 ,  San Francisco, CA
 ,  Dr. Morris is Assistant Professor of Medicine University of Southern California, Keck School of Medicine Division of Pulmonary and Critical Care Medicine, and Adjunct Assistant Professor of Medicine University of Pittsburgh Division of Pulmonary, Allergy, and Critical Care. Dr. Huang is Associate Professor of Medicine University of California, San Francisco Division of Pulmonary and Critical Care Medicine and Positive Health Program.

Correspondence to: Laurence Huang, MD, FCCP, Associate Professor of Medicine University of California, San Francisco Division of Pulmonary and Critical Care Medicine and Positive Health Program, 995 Potrero Ave, Ward 84, San Francisco, CA 94110; e-mail: lhuang@php.ucsf.edu



Chest. 2004;125(5):1602-1604. doi:10.1378/chest.125.5.1602
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Few modern diseases have experienced as dramatic a change in prognosis and treatment as HIV. Once considered uniformly fatal, HIV may now be effectively treated with highly active antiretroviral therapy (HAART).1 HAART has led to a decline in the morbidity and mortality associated with HIV infection and a decrease in the incidence of opportunistic infections.23 Unfortunately, not all patients have been able to benefit from HAART, particularly those without access to health care, those who are unable to adhere to or tolerate antiretroviral regimens, and those infected with drug-resistant virus. Furthermore, patients receiving HAART are subject to metabolic complications, including lipid abnormalities and glucose intolerance, which may impact the development of coronary artery and cerebrovascular disease.1

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