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Du-Moxibustion in a Mouse Model of Ankylosing Spondylitis
Published on: October 27, 2023
Cardiovascular and cerebrovascular diseases in ankylosing spondylitis: current insights
Michael T Nurmohamed1, Irene van der Horst-Bruinsma, Walter P Maksymowych
1Department of Internal Medicine, VU University Medical Centre, PO Box 7057, Amsterdam, The Netherlands. mt.nurmohamed@vumc.nl
Insights
Ankylosing spondylitis patients face higher cardiovascular risk due to inflammation and traditional factors. Managing this risk requires addressing both inflammation and traditional risk factors for better patient outcomes.
Area of Science:
- Rheumatology
- Cardiology
- Immunology
Background:
- Ankylosing spondylitis (AS) is associated with elevated cardiovascular (CV) risk.
- Evidence strongly suggests increased atherosclerotic disease in AS patients.
- The exact role of AS-specific cardiac issues in this heightened CV risk requires further investigation.
Purpose of the Study:
- To explore the contributing factors to increased cardiovascular risk in ankylosing spondylitis.
- To investigate the interplay between chronic inflammation, traditional CV risk factors, and AS-related cardiac manifestations.
- To inform clinical practice regarding CV risk management strategies for AS patients.
Main Methods:
- Review of current evidence on cardiovascular risk in ankylosing spondylitis.
- Analysis of the contribution of traditional cardiovascular risk factors.
- Evaluation of the role of chronic inflammation and AS-specific cardiac manifestations.
Main Results:
- Both traditional CV risk factors and the chronic inflammatory process significantly contribute to atherosclerotic risk in AS.
- Emerging evidence points to inflammation as a key etiological factor in AS-related cardiac issues.
- The precise impact of AS-specific cardiac manifestations on overall CV risk needs further elucidation.
Conclusions:
- Cardiovascular risk management is crucial for patients with ankylosing spondylitis.
- Management should encompass assessment and treatment of traditional CV risk factors.
- Effective suppression of the underlying inflammatory process is a key therapeutic goal.
Abstract:
Patients with ankylosing spondylitis (AS) suffer from an increased cardiovascular (CV) risk. The evidence for increased atherosclerotic disease is nowadays convincing, while the precise contribution of the so-called AS-specific (related) cardiac manifestations toward the increased CV risk still needs to be determined. Such studies should be performed in the near future, since they might have clinical consequences-for example, mandatory echocardiographic screening of AS patients. There appears to be a clear contribution of the "traditional" CV risk factors, as well as the underlying chronic inflammatory process, to the increased atherosclerotic risk in AS. Furthermore, there is accumulating evidence for an etiological role of inflammation in the AS-related cardiac manifestations. Nowadays, CV risk management appears necessary for AS patients, and this should consist of, on the one hand, assessment and treatment, if necessary, of the "traditional" CV risk factors, and, on the other hand, effective suppression of the inflammatory process.
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