Cardiac involvement in HIV infection was previously believed to be an
unusual manifestation of the disease, but is now being described with
increasing frequency. It may be a well-characterized cardiac disease o
ccurring coincidentally in an AIDS patient, a complication of AIDS or
its treatment, or possibly a direct result of HIV infection of the hea
rt. In this article, the authors describe the emerging patterns of hea
rt and vascular diseases in HIV-infected patients, pathogenic mechanis
ms, and implications for treatment.