类风湿性关节炎,心脏代谢性并发症和相关疾病:需要采取行动
Salvatore Corrao1,2, Luigi Calvo1, Annarita Giardina1
1Department of Clinical Medicine, Internal Medicine Unit, National Relevance and High Specialization Hospital Trust ARNAS Civico, Di Cristina, Benfratelli, Palermo, Italy.
Frontiers in medicine
|August 8, 2024
概括
类风湿性关节炎 (RA) 患者由于炎症而面临更高的心血管风险,而不仅仅是传统因素. 积极主动,综合的方法对于管理RA及其与心脏相关的疾病至关重要.
科学领域:
- 心脏病学 心脏病学
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
背景情况:
- 类风湿性关节炎 (RA) 显著增加了心血管疾病 (CVD) 的风险,超过了传统风险因素解释的风险.
- 风湿性关节炎与代谢综合征和全身炎症有关,是心血管疾病和死亡率的独立贡献者.
- RA 患者的多种疾病,包括长期疾病,会使结果恶化,强调需要整体管理.
研究的目的:
- 综合审查有关RA中心脏代谢并发症的文献.
- 确定必要的行动,以有效地管理与RA相关的心血管疾病日益增加的负担.
- 强调向 RA 患者主动,综合性护理模式的转变.
主要方法:
- 在类风湿关节炎中对心脏代谢并发症和相关疾病的文献综述.
- 分析共享的病理生理机制,包括系统性炎症和免疫失调.
- 评估当前的管理策略,并识别缺口.
主要成果:
- 风湿性关节炎是心血管疾病和死亡率的独立风险因素.
- 代谢综合征的患病率在RA患者中较高,与疾病活性相关.
- 系统性炎症和免疫失调是关键的共同机制,将RA和心脏代谢问题联系在一起.
结论:
- 患有心脏代谢并发症的RA患者的管理需要以患者为中心,多学科的方法.
- 积极的护理模式,包括积极的查和量身定制的干预措施是必不可少的.
- 解决共同的病理生理机制的综合管理对于改善结果至关重要.
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