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April 20, 2026Physiological Reports0 citationsOpen Access

Pulse waveform analysis in Zambian adults living with HIV on antiretroviral therapy: A cross‐sectional study of vascular dysfunction

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TCTheresa ChikopelaLKLonga KalubaSMShirley Mwaanga

Key Result

HIV infection in adults on antiretroviral therapy was associated with a higher prevalence of Type-A arterial waveforms compared to HIV-negative controls (80% vs 57%, p=0.037).

Key Points

  • This study aims to assess arterial waveforms in Zambian adults living with HIV on antiretroviral therapy compared to HIV-negative individuals.
  • Cross-sectional study design involving 55 PLWH on ART and 56 HIV-negative controls.
  • Pulse waveform metrics recorded using the Complior Analyze unit.
  • Classification of waveforms into Types A, B, or C based on augmentation-index/pulse-pressure ratio.
  • Statistical analysis using Fisher's Exact Test and multinomial logistic regression.
  • 80% of PLWH exhibited Type-A waveforms compared to 57% in HIV-negative controls.
  • Significant association found between waveform type and HIV status (p = 0.037).
  • PLWH were significantly more likely to show Type-A waveforms than Type-B or C (p < 0.001).

Study Design

Type

Cross-Sectional (n=111)

Multicenter

No

Structured PICO

Does HIV infection on ART alter arterial waveform types compared to HIV-negative controls in Zambian adults?

P
Population
111 adults from Zambia (55 people living with HIV on ART ≥2 years and 56 HIV-negative controls)
I
Intervention
HIV infection on antiretroviral therapy (ART) for ≥2 years
C
Comparator
HIV-negative controls
O
Outcome
Arterial waveform type classified by augmentation-index/pulse-pressure ratio (Types A, B, or C)surrogate

HIV status in adults on ART is associated with a shift toward Type-A arterial waveforms, indicating altered arterial function and increased vascular risk.

Main Result

Absolute Event Rate: 80% vs 57%

p-value: p=0.037

Abstract

People living with HIV (PLWH) experience a greater risk of cardiovascular disease due to HIV-related vascular injury. Pulse waveform analysis can characterize arterial vascular dysfunction and this study compared arterial waveforms in PLWH on antiretroviral therapy (ART) with HIV-negative controls. In this cross-sectional study, participants were recruited from the University Teaching Hospitals, Lusaka (September 2018-June 2019). 55 PLWH on ART ≥2 years and 56 HIV-negative controls were recruited. Anthropometry, body composition, haemodynamics, and pressure waveforms were recorded using the Complior Analyze unit with their corresponding pulse wave velocities. Waveforms were classified by augmentation-index/pulse-pressure ratio as Types A (≥0.12), B (0-0.12), or C (2(2) = 48.17, p < 0.001). HIV status is associated with a shift toward Type-A waveform, reflecting altered arterial function. Pulse waveform analysis may serve as a useful non-invasive tool for vascular risk profiling in PLWH.

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Cite This Study

Chikopela et al. (2026) conducted a cross-sectional in HIV (n=111). HIV infection on antiretroviral therapy vs. HIV-negative controls was evaluated on Type-A arterial waveform (augmentation-index/pulse-pressure ratio ≥0.12) (p=0.037). HIV infection in adults on antiretroviral therapy was associated with a higher prevalence of Type-A arterial waveforms compared to HIV-negative controls (80% vs 57%, p=0.037).

synapsesocial.com/papers/69e5c30b03c2939914028e8ahttps://doi.org/10.14814/phy2.70879
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