伴随性疾病的患病率和心血管风险因素管理在手骨关节炎:一个横截面研究
Sylvain Mathieu1,2, Françoise Fayet3, Marie-Hélène Salembien3
1Rheumatology Department, Gabriel Montpied Teaching Hospital, Université Clermont Auvergne, CHU Clermont-Ferrand, INSERM, Neuro-Dol, Place H. Dunant, Clermont-Ferrand, Clermont-Ferrand, 63000, France. smathieu@chu-clermontferrand.fr.
Rheumatology international
|December 21, 2024
概括
手部骨关节炎患者的心血管风险增加,特别是那些LDL胆固醇不受控制的人. 这凸显了对这群人群中心血管风险因素的积极评估和管理的需要.
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:
- 手部骨关节炎 (HOA) 是一种普遍影响生活质量的疾病.
- 伴随性疾病和心血管 (CV) 风险因素在HOA患者中很常见.
- 目前在HOA中对心脏病风险因素的管理准则尚未确立.
研究的目的:
- 为了确定HOA患者的并发症的患病率.
- 根据指南,评估心血管风险因素的管理.
- 评估HOA和CV风险之间的关联.
主要方法:
- 一项横截面研究包括110名HOA患者.
- 评估了临床参数和心血管风险因素 (血压,BMI,脂质失调症).
- 使用SCORE2或SCORE2-OP算法计算心血管风险.
主要成果:
- 28名患者患有并发症,通常与年龄较大,男性性别和生活质量较低有关.
- 中位数SCORE2为5.1%,与握力负相关.
- 82.5%的中等/高心血管风险患者的LDL胆固醇水平不受控制.
结论:
- HOA患者表现出心血管风险增加,与低最佳的LDL胆固醇管理有关.
- 对于HOA患者来说,他们呈现出一种益动脉产生的特征.
- 对心血管风险因素的常规评估和基于指南的管理对HOA患者至关重要.
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