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[Comorbidity in rheumatoid arthritis: A focus on cardiovascular diseases]
Insights
Cardiovascular diseases (CVD) are a major concern for rheumatoid arthritis (RA) patients, contributing significantly to mortality. This review explores the links between RA, inflammation, atherosclerosis, and CVD risk factors.
Area of Science:
- Rheumatology
- Cardiology
- Immunology
Background:
- Rheumatoid arthritis (RA) is a systemic autoimmune disease.
- Cardiovascular diseases (CVD) represent the leading cause of mortality in RA patients.
- Chronic inflammation in RA contributes to accelerated atherosclerosis.
Purpose of the Study:
- To review recent data on pathogenic mechanisms linking RA and CVD.
- To examine traditional and RA-specific risk factors for CVD in RA patients.
- To discuss biomarkers, diagnostic methods, and prevention strategies for CVD in RA.
Main Methods:
- Literature review of recent studies on RA and CVD.
- Analysis of pathogenic mechanisms of inflammation and atherosclerosis in RA.
- Evaluation of risk factors, biomarkers, diagnosis, and prevention of CVD in RA.
Main Results:
- CVD is the primary comorbidity and cause of death in RA.
- Shared inflammatory pathways link RA pathogenesis to atherosclerosis.
- Specific biomarkers and risk factors for CVD in RA have been identified.
Conclusions:
- Understanding the interplay between RA and CVD is crucial for patient outcomes.
- Targeting inflammation and specific risk factors may reduce CVD burden in RA.
- Early diagnosis and tailored prevention strategies are essential for managing CVD in RA patients.
Abstract:
Cardiovascular diseases (CVD) in patients with rheumatoid arthritis (RA) are ranked first in the structure of comorbidity and mortality. This review includes recent data on common pathogenic mechanisms of inflammation and atherosclerosis, the impact of traditional and specific risk factors, biomarkers of CVD in RA patients. Variants of CVD in RA, the possible pathogenic mechanisms of their development and methods of diagnosis and prevention are described.
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