Abstract 18446: Receipt of Implantable Cardioverter-Defibrillator Among HIV+ and HIV- Veterans With Cardiomyopathy

Introduction: Those with HIV infection (HIV+) are at increased risk for AMI, CHF, and sudden cardiac death compared to uninfected individuals (HIV-). HIV+ people also receive fewer cardiac procedures for AMI than HIV- people. Whether those with HIV with cardiomyopathy (CM) and low ejection fraction (EF) receive fewer implantable cardioverter defibrillators (ICD) compared to HIV- people with CM is not known. Hypothesis: We hypothesized (1) that HIV+ veterans with CM who qualify for an ICD (EF≤ 35%, NYHA II-III) will receive proportionally fewer ICDs than uninfected people with CM and (2) among those not receiving an ICD, mortality rates will be the highest for those with HIV infection. Methods: We analyzed data on 626 participants (44% HIV+) from the Veterans Aging Cohort Study Virtual Cohort, a prospective longitudinal of HIV+ and 1:2 matched HIV- Veterans, who were free of prevalent cardiovascular disease at study enrollment (n=97,685) and experienced an incident CM event with an associated EF ≤35% and/o...