风湿性疾病中的心血管问题
Olena Zimba1,2,3, Armen Yuri Gasparyan4
1Department of Clinical Rheumatology and Immunology, University Hospital in Krakow, Macieja Jakubowskiego 2, 30-688, Krakow, Poland. zimbaolena@gmail.com.
Clinical rheumatology
|June 3, 2023
概括
心血管疾病在类风湿性疾病中是一个重大问题. 系统性炎症强度强烈预测血管事件,需要改善患者和专家的监测和预防策略.
科学领域:
- 类风湿病学 类风湿病学
- 心脏病学 心脏病学
- 免疫学 免疫学 免疫学
背景情况:
- 心血管疾病 (CVD) 是类风湿性疾病 (如类风湿性关节炎和全身性红斑狼) 中的主要死亡原因.
- 虽然炎症是已知的因素,但在风湿性疾病中准确估计心血管风险仍然具有挑战性,因纤维肌痛和骨关节炎等疾病的动脉动脉生成而复杂化.
- 系统性炎症强度与炎症性类风湿性疾病中的血管事件有关,这突显了需要更好的风险评估工具的需要.
研究的目的:
- 突出心血管疾病在类风湿性疾病中的患病率和重要性.
- 在风湿性疾病的背景下解决心血管风险估计的关键问题.
- 倡导加强心血管监测和预防策略.
主要方法:
- 综述有关风湿性疾病中心血管疾病的现有文献.
- 对联结系统性炎症与血管事件的队列研究的分析.
- 讨论用于心血管监测的先进可视化技术.
- 强调患者和专业教育,以管理风险因素.
主要成果:
- 在风湿性疾病中,心血管问题在所有年龄组中都是常见的.
- 系统性炎症强度是这些患者血管事件的强有力的预测指标.
- 目前用于预测炎症性类风湿性疾病中的血管事件的工具尚未得到广泛验证或可靠.
结论:
- 严格控制全身炎症和可修改的心血管风险因素对于降低血管事件风险至关重要.
- 提高患者和专家心血管监测和预防方面的知识和技能是必不可少的.
- 赋予患者和初级保健提供者知识是减轻风湿性疾病中心血管风险的有希望的策略.
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