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Increased occurrence of cardiovascular events and comorbidities in a general rheumatology cohort
A Mohammad1, K Hartery, U Bond
1Department of Rheumatology, South Infirmary Victoria University Hospital, Cork, Ireland. ausafmohammad@gmail.com
Insights
Rheumatology patients frequently have cardiovascular comorbidities like dyslipidemia and hypertension. Awareness of these coexisting conditions is crucial for effective patient management and treatment planning.
Area of Science:
- Rheumatology
- Cardiology
- Internal Medicine
Background:
- Assessing comorbidities in rheumatology patients is essential for comprehensive care.
- Cardiovascular diseases and other conditions are common in individuals with rheumatic diseases.
Purpose of the Study:
- To identify the prevalence of cardiovascular and other comorbidities within a general rheumatology patient cohort.
- To highlight the importance of recognizing these comorbidities for patient management.
Main Methods:
- A retrospective chart audit and patient interviews were conducted.
- 1,000 patients from rheumatology outpatient clinics at a university teaching hospital were included.
- Comorbidities were classified using the Charlson Comorbidity Index.
Main Results:
- 40% of patients had dyslipidemia and hypertension; 16% had obesity; 8% had hypothyroidism.
- 16% of patients were diagnosed with coronary heart disease (CHD).
- Among CHD patients, 75% had rheumatoid arthritis (RA), 63% were male, 75% had dyslipidemia, and 70% were smokers.
Conclusions:
- Rheumatologists must be aware of the high prevalence of comorbidities in their patients.
- Recognizing and managing coexisting conditions is vital for optimal patient care in rheumatology.
- Proactive management strategies should incorporate the assessment and treatment of common comorbidities.
Background:
To identify cardiovascular and other comorbidities in a general rheumatology cohort.
Methods:
Interviews/retrospective chart audits were conducted on 1,000 patients attending rheumatology outpatient clinics of a university teaching hospital. Comorbidities were classified using the Charlson comorbidity index (Ambrose et al. in Ir J Med Sci 178(1):53-55, 2009).
Results:
Mean age 58 +/- 15.3 years, mean BMI 26. Of the patients, 400 (40%) were diagnosed with dyslipidemia and hypertension (p = 0.002), 160 (16%) with obesity and 80 (8%) with hypothyroidism. Overall 160 (16%) patients were diagnosed with coronary heart disease (CHD). Of these, 120 (75%) had RA (p = 0.001), 100 (63%) were male, mean age 60 +/- 15.8 years, 120 (75%) had dyslipidemia and BMI > 30 (p = 0.002), 112 (70%) were smokers (p = 0.002), 40 (25%) were diagnosed with diabetes mellitus and 20 (12%) with hypothyroidism.
Conclusions:
The increased prevalence of these comorbidities may serve as a reminder to the rheumatologists that many of their patients will have coexistent disease of which they need to be aware to properly plan their management.
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