Publications by authors named "Mayamiko Chimombo"

Article Synopsis
  • Limited data exist on heart disease among HIV patients in southern Africa, where improved life expectancy due to antiretroviral therapy (ART) intersects with high cardiovascular risk factors.
  • A study in Malawi screened 202 HIV-positive adults for heart abnormalities, finding that left ventricular hypertrophy (LVH) was the most common issue, while severe heart conditions were rare.
  • Older age, higher body mass index, and elevated blood pressure were linked to abnormal echocardiograms, with a focus on the need for additional research to explore the connections between hypertension, LVH, and related heart conditions.
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Background: Hypertension is among the most commonly diagnosed non-communicable diseases in Africa, and studies have demonstrated a high prevalence of hypertension among individuals with HIV. Despite high prevalence, there has been limited attention on the clinical outcomes of hypertension treatment in this population.

Objective: We sought to characterize rates of and factors associated with blood pressure control over one year among individuals on antiretroviral therapy (ART) and antihypertensive medications.

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Malawi has the highest incidence of and mortality rate due to cervical cancer in the world. This is largely because of inadequate screening and high rates of human immunodeficiency virus (HIV) infection, which greatly increases cervical cancer risk. We describe the implementation of a quality improvement program to increase use of cervical cancer screening at a non-government medical center in Lilongwe, Malawi.

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Background: The focused assessment with sonography for HIV-associated tuberculosis (TB) (FASH) ultrasound protocol has been increasingly used to help clinicians diagnose TB. We sought to quantify the diagnostic utility of FASH for TB among individuals with HIV in Malawi.

Methods: Between March 2016 and August 2017, 210 adults with HIV who had 2 or more signs and symptoms that were concerning for TB (fever, cough, night sweats, weight loss) were enrolled from a public HIV clinic in Lilongwe, Malawi.

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