Cardiovascular risk in patients with inflammatory arthritis
Rheumatoid and other inflammatory arthritis (ankylosing spondylitis and psoriatic arthritis) have a high risk of cardiovascular disease (CVD). It is caused by the accelerated development of atherosclerosis associated with a chronic systemic inflammatory process. Nevertheless, traditional CVD risk fa...
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| Format: | Article |
| Language: | Russian |
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ABV-press
2024-02-01
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| Series: | Klinicist |
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| Online Access: | https://klinitsist.abvpress.ru/Klin/article/view/574 |
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| author | D. A. Anichkov N. A. Shostak V. T. Timofeev |
| author_facet | D. A. Anichkov N. A. Shostak V. T. Timofeev |
| author_sort | D. A. Anichkov |
| collection | DOAJ |
| description | Rheumatoid and other inflammatory arthritis (ankylosing spondylitis and psoriatic arthritis) have a high risk of cardiovascular disease (CVD). It is caused by the accelerated development of atherosclerosis associated with a chronic systemic inflammatory process. Nevertheless, traditional CVD risk factors (hypertension, smoking, dyslipidemia) are also important for patients with inflammatory arthritis. The greatest amount of data has been accumulated regarding the relationship between CVD and rheumatoid arthritis. Due to the difficulties in diagnosing coronary heart disease and other CVD, it is of great importance to identify patients at high and very high risk. The use of scales for assessing the total cardiovascular risk SCORE/SCORE 2 with a coefficient of 1.5 allows to identify patients who need measures to reduce their high risk of CVD. Control of the of the disease activity, lifestyle modification, therapy with statins and antihypertensive drugs in accordance with current guidelines, caution when prescribing non-steroidal anti-inflammatory drugs and minimizing the dose of glucocorticoids are the main components of the strategy for reducing the risk of CVD in patients with inflammatory arthritis. |
| format | Article |
| id | doaj-art-0dc519486c654c0fa3abf7f2e12c46b3 |
| institution | DOAJ |
| issn | 1818-8338 |
| language | Russian |
| publishDate | 2024-02-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Klinicist |
| spelling | doaj-art-0dc519486c654c0fa3abf7f2e12c46b32025-08-20T03:02:18ZrusABV-pressKlinicist1818-83382024-02-01174121810.17650/1818-8338-2023-17-4-K702416Cardiovascular risk in patients with inflammatory arthritisD. A. Anichkov0N. A. Shostak1V. T. Timofeev2Acad. A.I. Nesterov of Faculty Therapy, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; Rheumatic Diseases Research Laboratory N.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaAcad. A.I. Nesterov of Faculty Therapy, N.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaAcad. A.I. Nesterov of Faculty Therapy, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; Rheumatic Diseases Research Laboratory N.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaRheumatoid and other inflammatory arthritis (ankylosing spondylitis and psoriatic arthritis) have a high risk of cardiovascular disease (CVD). It is caused by the accelerated development of atherosclerosis associated with a chronic systemic inflammatory process. Nevertheless, traditional CVD risk factors (hypertension, smoking, dyslipidemia) are also important for patients with inflammatory arthritis. The greatest amount of data has been accumulated regarding the relationship between CVD and rheumatoid arthritis. Due to the difficulties in diagnosing coronary heart disease and other CVD, it is of great importance to identify patients at high and very high risk. The use of scales for assessing the total cardiovascular risk SCORE/SCORE 2 with a coefficient of 1.5 allows to identify patients who need measures to reduce their high risk of CVD. Control of the of the disease activity, lifestyle modification, therapy with statins and antihypertensive drugs in accordance with current guidelines, caution when prescribing non-steroidal anti-inflammatory drugs and minimizing the dose of glucocorticoids are the main components of the strategy for reducing the risk of CVD in patients with inflammatory arthritis.https://klinitsist.abvpress.ru/Klin/article/view/574rheumatoid arthritispsoriatic arthritisankylosing spondylitiscardiovascular diseasesrisk factorscoronary heart diseasestatinsdisease-modifying antirheumatic drugsbiologics |
| spellingShingle | D. A. Anichkov N. A. Shostak V. T. Timofeev Cardiovascular risk in patients with inflammatory arthritis Klinicist rheumatoid arthritis psoriatic arthritis ankylosing spondylitis cardiovascular diseases risk factors coronary heart disease statins disease-modifying antirheumatic drugs biologics |
| title | Cardiovascular risk in patients with inflammatory arthritis |
| title_full | Cardiovascular risk in patients with inflammatory arthritis |
| title_fullStr | Cardiovascular risk in patients with inflammatory arthritis |
| title_full_unstemmed | Cardiovascular risk in patients with inflammatory arthritis |
| title_short | Cardiovascular risk in patients with inflammatory arthritis |
| title_sort | cardiovascular risk in patients with inflammatory arthritis |
| topic | rheumatoid arthritis psoriatic arthritis ankylosing spondylitis cardiovascular diseases risk factors coronary heart disease statins disease-modifying antirheumatic drugs biologics |
| url | https://klinitsist.abvpress.ru/Klin/article/view/574 |
| work_keys_str_mv | AT daanichkov cardiovascularriskinpatientswithinflammatoryarthritis AT nashostak cardiovascularriskinpatientswithinflammatoryarthritis AT vttimofeev cardiovascularriskinpatientswithinflammatoryarthritis |