Seorang Pasien AIDS dengan Efusi Perikard Masif

ABSTRACT A HIV-infection is often associated with cardiac disorders. nevertheless, cardiac involvement in HIV patient population was frequently underdiagnosed or attributed incorrectly to other non-cardiac disease processes. Pericardial effusions (PE) are not uncommon findings in patients with HIV/AIDS reportedly affecting nearly 5% of HIV patients. It has been demonstrated that cardiac tamponade, a serious hemodynamic medical emergency as a result of pericardial effusion, is not necessary associated with large effusions but rather with the rapid rate of PE accumulation and lack of compensatory compliance within the pericardial space. Moreover, the severity of PE in HIV/AIDS patients has been shown to correlate with poor prognosis before the widespread use of highly active antiretroviral therapy (HAART), nonetheless, prognostic implications of PE cannot be determined as HAART has altered the natural history of PE.

Keywords: Pericardial effusion ; Cardiac tamponade ; HIV ; AIDS