VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication.

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VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication

HIV CASE PRESENTATIONS David Fletcher MD FRCPC

CASE 1 63 yo man HIV+ since 1984 CD4 nadir 200/12% Non smoker No hypertension/Diabetes/Family history of heart disease

CASE 1 DATEREGIMENCD4Viral Load AZT AZT/ddC AZT/3TC AZT/3TC/SQV d4T/3TC/SQV Antiviral History

CASE 1 DATEREGIMENCD4VL d4T/ddI/NFV/DLV/SQV700<500/< AZT/ddI/3TC/RTV/LPV/ APV/DLV < TC/T20/RTV/LPV/APV/ DLV 400< TC/RTV/DRV/RGV/ETR /MVC <40 Antiviral History

CASE 1 DATECHOLHDLLDLTGApo BLIPID MEDS ASA/FIBRATE ASA/FIBRATE ASA/FIBRATE/ HMG/FISH OIL ASA/FIBRATE/ HMG/FISH OIL

CASE 1 DATECHOLHDLLDLTGApo BLIPID MEDS ASA/FIBRATE/ HMG/FISH OIL ASA/FIBRATE/ HMG/FISH OIL ASA/FIBRATE/ HMG/FISH OIL ASA/FIBRATE/ HMG/FISH OIL ASA/FIBRATE/ HMG/FISH OIL

CASE Sudden visual field defect – Anterior ischemic optic neuropathy

CASE Exercises 5x/wk In latter part of fall 2012, noted new onset exertional angina Stress Echo – Normal LV function – Inferior wall dyskinesis with exercise

CASE 1 December 2012 Angiography

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