Accelerated Atherosclerosis and Management of Cardiovascular Risk in Autoimmune Rheumatic Diseases: An Updated Review
Even though diagnosis and management pathways have been substantially improved over the last years, autoimmune rheumatic diseases (AIRDs) such as rheumatoid arthritis, systemic sclerosis, systemic lupus erythematosus, antiphospholipid syndrome, Sjögren's syndrome, and systemic vasculitides have...
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| Published in | Current problems in cardiology Vol. 48; no. 12; p. 101999 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier Inc
01.12.2023
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| Online Access | Get full text |
| ISSN | 0146-2806 1535-6280 1535-6280 |
| DOI | 10.1016/j.cpcardiol.2023.101999 |
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| Abstract | Even though diagnosis and management pathways have been substantially improved over the last years, autoimmune rheumatic diseases (AIRDs) such as rheumatoid arthritis, systemic sclerosis, systemic lupus erythematosus, antiphospholipid syndrome, Sjögren's syndrome, and systemic vasculitides have been linked to elevated rates of cardiovascular morbidity and mortality, primarily secondary to accelerated atherosclerosis. This phenomenon can be partially attributed to the presence of established cardiovascular risk factors but may also be a result of other inflammatory and autoimmune mechanisms that are enhanced in AIRDs. According to the current guidelines, the recommendations regarding cardiovascular disease prevention in patients with AIRDs are not significantly different from those applied to the general population. Herein, we present a review of the current literature on the risk of accelerated atherosclerosis in AIRDs and provide a summary of available recommendations for the management of cardiovascular risk in rheumatic diseases. |
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| AbstractList | Even though diagnosis and management pathways have been substantially improved over the last years, autoimmune rheumatic diseases (AIRDs) such as rheumatoid arthritis, systemic sclerosis, systemic lupus erythematosus, antiphospholipid syndrome, Sjögren's syndrome, and systemic vasculitides have been linked to elevated rates of cardiovascular morbidity and mortality, primarily secondary to accelerated atherosclerosis. This phenomenon can be partially attributed to the presence of established cardiovascular risk factors but may also be a result of other inflammatory and autoimmune mechanisms that are enhanced in AIRDs. According to the current guidelines, the recommendations regarding cardiovascular disease prevention in patients with AIRDs are not significantly different from those applied to the general population. Herein, we present a review of the current literature on the risk of accelerated atherosclerosis in AIRDs and provide a summary of available recommendations for the management of cardiovascular risk in rheumatic diseases. Even though diagnosis and management pathways have been substantially improved over the last years, autoimmune rheumatic diseases (AIRDs) such as rheumatoid arthritis, systemic sclerosis, systemic lupus erythematosus, antiphospholipid syndrome, Sjögren's syndrome, and systemic vasculitides have been linked to elevated rates of cardiovascular morbidity and mortality, primarily secondary to accelerated atherosclerosis. This phenomenon can be partially attributed to the presence of established cardiovascular risk factors but may also be a result of other inflammatory and autoimmune mechanisms that are enhanced in AIRDs. According to the current guidelines, the recommendations regarding cardiovascular disease prevention in patients with AIRDs are not significantly different from those applied to the general population. Herein, we present a review of the current literature on the risk of accelerated atherosclerosis in AIRDs and provide a summary of available recommendations for the management of cardiovascular risk in rheumatic diseases.Even though diagnosis and management pathways have been substantially improved over the last years, autoimmune rheumatic diseases (AIRDs) such as rheumatoid arthritis, systemic sclerosis, systemic lupus erythematosus, antiphospholipid syndrome, Sjögren's syndrome, and systemic vasculitides have been linked to elevated rates of cardiovascular morbidity and mortality, primarily secondary to accelerated atherosclerosis. This phenomenon can be partially attributed to the presence of established cardiovascular risk factors but may also be a result of other inflammatory and autoimmune mechanisms that are enhanced in AIRDs. According to the current guidelines, the recommendations regarding cardiovascular disease prevention in patients with AIRDs are not significantly different from those applied to the general population. Herein, we present a review of the current literature on the risk of accelerated atherosclerosis in AIRDs and provide a summary of available recommendations for the management of cardiovascular risk in rheumatic diseases. |
| ArticleNumber | 101999 |
| Author | Patoulias, Dimitrios Fragakis, Nikolaos Lefkou, Eleftheria Stachteas, Panagiotis Dimitroulas, Theodoros Karakasis, Paschalis |
| Author_xml | – sequence: 1 givenname: Paschalis orcidid: 0000-0002-3561-5713 surname: Karakasis fullname: Karakasis, Paschalis email: pakar15@hotmail.com organization: Second Department of Cardiology, Aristotle University of Thessaloniki, General Hospital “Hippokration,” Thessaloniki, Greece – sequence: 2 givenname: Dimitrios surname: Patoulias fullname: Patoulias, Dimitrios organization: Second Department of Cardiology, Aristotle University of Thessaloniki, General Hospital “Hippokration,” Thessaloniki, Greece – sequence: 3 givenname: Panagiotis surname: Stachteas fullname: Stachteas, Panagiotis organization: Second Department of Cardiology, Aristotle University of Thessaloniki, General Hospital “Hippokration,” Thessaloniki, Greece – sequence: 4 givenname: Eleftheria surname: Lefkou fullname: Lefkou, Eleftheria organization: Second Department of Cardiology, Aristotle University of Thessaloniki, General Hospital “Hippokration,” Thessaloniki, Greece – sequence: 5 givenname: Theodoros surname: Dimitroulas fullname: Dimitroulas, Theodoros organization: Second Department of Cardiology, Aristotle University of Thessaloniki, General Hospital “Hippokration,” Thessaloniki, Greece – sequence: 6 givenname: Nikolaos surname: Fragakis fullname: Fragakis, Nikolaos organization: Second Department of Cardiology, Aristotle University of Thessaloniki, General Hospital “Hippokration,” Thessaloniki, Greece |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37506959$$D View this record in MEDLINE/PubMed |
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