Managing Cardiovascular Disease Risk in Rheumatoid Arthritis: Clinical Updates and Three Strategic Approaches

Ann M Chodara1, Aimée Wattiaux2, Christie M Bartels3

  • 1Department of Medicine, University of Wisconsin Hospital and Clinics, Madison, WI, USA.

Insights

Rheumatoid arthritis (RA) patients face higher cardiovascular disease (CVD) risks. This review clarifies current CVD risk management strategies for RA, highlighting gaps and opportunities in rheumatology care.

Area of Science:

  • Rheumatology
  • Cardiology
  • Public Health

Background:

  • Rheumatoid arthritis (RA) is associated with a well-established increase in cardiovascular disease (CVD) risk.
  • Effective management strategies for this elevated CVD risk within rheumatology clinics remain unclear.

Purpose of the Study:

  • To critically review recent literature (past 5 years) on CVD risk management in RA.
  • To identify current knowledge and existing gaps in managing CVD risk for RA patients.

Main Methods:

  • Literature review of guidelines, recommendations, and evidence from the last five years.
  • Examination of RA-specific management, individual risk assessment, and population-level targeting of traditional CVD risk factors.

Main Results:

  • Recent guidelines and evidence were analyzed, focusing on three management approaches.
  • Opportunities exist within rheumatology care to integrate CVD risk reduction strategies, drawing from primary care successes and updated professional society guidelines.

Conclusions:

  • Further research is needed for evidence-based strategies to manage and reduce CVD risk in RA, particularly given the high percentage of RA visits in specialty clinics.
  • Integrating comprehensive CVD risk management into routine rheumatology care is crucial for improving patient outcomes.

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