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[Assessment of an intervention on cardiovascular risk factors in patients with rheumatoid arthritis]

Andrea Zacarías1, Javier Narváez1, Jesús Rodríguez Moreno1

  • 1Servicio de Reumatología, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL)-Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.

Medicina Clinica
|May 5, 2016
PubMed

Insights

An intervention identified new cardiovascular risk factors (CVRF) in nearly half of rheumatoid arthritis patients, but overall CVRF control remained low. This highlights a need for improved CVRF management strategies in this population.

Area of Science:

  • Rheumatology
  • Cardiology
  • Public Health

Background:

  • Rheumatoid arthritis (RA) patients face increased cardiovascular risk.
  • Effective management of cardiovascular risk factors (CVRF) is crucial for RA patients.
  • Current interventions may not sufficiently improve CVRF control in RA.

Purpose of the Study:

  • To assess the efficacy of an intervention aimed at improving CVRF control in patients with rheumatoid arthritis.
  • To identify undiagnosed CVRF in RA patients.
  • To evaluate the impact of physician-directed CVRF management on RA patients.

Main Methods:

  • A cohort of 211 RA patients had their CVRF and cardiovascular risk (CVR) assessed using modified SCORE.
  • Patients received a letter for their general practitioner detailing CVRF and LDL cholesterol goals.
  • Interventions and outcomes were recorded after three months.

Main Results:

  • Nearly half (47%) of patients were newly diagnosed with CVRF.
  • Significant improvements in high blood pressure (HBP) control were observed (25% to 73%).
  • Control rates for elevated LDL cholesterol (10% to 17%) and hypertriglyceridemia (25% to 38%) remained low.

Conclusions:

  • The intervention successfully identified new CVRF in a substantial proportion of RA patients.
  • The overall effectiveness of the intervention in improving CVRF control was limited.
  • Enhanced strategies are needed for comprehensive cardiovascular risk management in rheumatoid arthritis.
Abstract

Keywords:
Artritis reumatoideCardiovascular riskCartaGeneral practitionerLetterMédico de familiaRheumatoid arthritisRiesgo cardiovascularSCORE

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