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[Rheumatoid arthritis and cardiovascular disease: what is known about this relationship and what can currently be
Alexandre de Matos Soeiro1, Michel Haddad, Maria Carolina Feres de Almeida
1Instituto do Coraçã do do Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil. alexandre.soeiro@bol.com.br
Insights
Rheumatoid arthritis is an independent risk factor for coronary artery disease. This review highlights inflammatory and atherosclerotic mechanisms, suggesting strategies for cardiovascular risk stratification and treatment in rheumatoid arthritis patients.
Area of Science:
- Cardiovascular Medicine
- Rheumatology
- Immunology
Context:
- Growing interest in autoimmune diseases and their cardiovascular implications.
- Rheumatoid arthritis (RA) recognized as an independent risk factor for coronary artery disease (CAD).
- Need for improved risk stratification and treatment strategies for cardiovascular disease (CVD) in RA patients.
Purpose:
- To review the literature on atherosclerotic and inflammatory mechanisms in CAD.
- To highlight the importance of these mechanisms in the context of RA.
- To propose strategies for CVD risk stratification and management in RA.
Summary:
- RA significantly increases cardiovascular risk, particularly for CAD.
- Inflammatory and atherosclerotic pathways are key contributors to CVD in RA.
- Effective risk stratification and targeted therapies are crucial for managing CVD in RA patients.
Impact:
- Provides a comprehensive overview of CVD risk in RA.
- Informs clinical practice regarding risk assessment and management.
- Guides future research into novel therapeutic approaches for reducing cardiovascular risk in RA.
Abstract:
There is increasing interest in autoimmune diseases, especially their relationship with cardiovascular disease. Rheumatoid arthritis in particular has been considered an independent risk factor for coronary artery disease in recent years. Various studies have aimed to clarify important aspects of risk stratification and treatment options in patients with rheumatoid arthritis, and specific therapies are being studied that promise to reduce their long-term cardiovascular risk. We performed a wide-ranging review of the literature to highlight the importance of atherosclerotic and inflammatory mechanisms in coronary artery disease. We also suggest strategies for risk stratification and treatment of cardiovascular disease in patients with rheumatoid arthritis.
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