系统性自身免疫性疾病患者的心血管疾病:自我感知风险与实际风险之间的关系
Cristiana Sieiro Santos1, Maria Miguel Oliveira2, Paulo Ney Solari2
1Faculty of Medicine of the University of Lisbon, Portugal; Complejo Asistencial Universitario de León (Rheumatology), Spain.
Reumatologia clinica
|June 16, 2024
概括
患有自身免疫性疾病的患者往往低估了他们的心血管疾病风险. 有针对性的教育对于提高意识和有效管理诸如类风湿关节炎和全身性硬化症等疾病的风险至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 自免疫性疾病显著增加心血管疾病 (CVD) 风险.
- 患者对这种心血管疾病风险增加的认识仍然非常低.
- 这种知识差距可能会阻碍主动的心血管健康管理.
研究的目的:
- 确定心血管疾病风险因素和系统性硬化症 (SSc),系统性红斑狼 (SLE),类风湿性关节炎 (RA) 和Sjögren综合征 (SS) 的发生率.
- 评估患者的感知与实际心血管疾病风险.
- 评估对特定心血管疾病风险的认识,如NSAID使用,在自身免疫性疾病人群中.
主要方法:
- 从2023年1月到6月进行了一项横截面调查.
- 收集的数据包括社会人口统计,临床数据,疾病活动,感知心血管疾病风险和传统心血管疾病风险因素.
- 用SCORE计算和查尔森并发症指数 (CCI) 来进行风险评估.
主要成果:
- 56%的患者认为心血管疾病风险较高,但只有45%的人认识到自身免疫性疾病与心脏病发作风险之间的联系.
- 46.7%的人不知道与NSAID相关的心血管风险.
- 感知到的心血管疾病风险与实际风险 (SCORE) 和RA,SSc和SS患者的并发症相关,但不是SLE. 40岁以上的年龄与更高的风险感知有关.
结论:
- 患有RA,SSc和SS的患者表现出对心血管疾病风险的感知增强,这与他们的临床风险因素和并发症相一致.
- 关于特定的心血管风险,包括NSAID相关风险,存在严重的认识不足.
- 针对心血管风险的量身定制的教育干预措施对于自身免疫性疾病患者至关重要,从诊断开始并继续通过门诊护理.
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