Americans with HIV infection are living longer. Unfortunately they remain at increased rates of several complications. These include Viral hepatitis, Diabetes,renal disease,cancers of the lung,cervix and anogenital area..The most common complication appears to be increases rates of cardiovascular disease , Several studies and a recent article in the science section of the New York Times have reviewed the increased rates of cardiovascular disease in HIV patients. While the major risk factors are hypertension ,hyperlipidemia ,Diabetes and cigarette smoking,HIV infection itself appears to play a role. This is thought to be due to increase levels of inflammation in HIV patients . Your HIV provider must continue to screen for risk factors and test for the presence of vascular disease on a regular basis