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- Title
Cardiovascular risk assessment in rheumatoid arthritis - controversies and the new approach.
- Authors
Bonek, Krzysztof; Głuszko, Piotr
- Abstract
The current methods of cardiovascular (CV) risk assessment in the course of inflammatory connective tissue diseases are a subject of considerable controversy. Comparing different methods of CV risk assessment in current rheumatoid arthritis (RA) guidelines, only a few of them recommend the use of formal risk calculators. These are the EULAR guidelines suggesting the use of SCORE and the British Society for Rheumatology guidelines performed in collaboration with NICE preferring the use of QRISK-2. Analyzing the latest American and British reports, two main concepts could be identified. The first one is to focus on risk calculators developed for the general population taking into account RA, and the calculator that might fulfill this role is the new QRISK-2 presented by NICE in 2014. The second concept is to create RA-specific risk calculators, such as the Expanded Cardiovascular Risk Prediction Score for RA. In this review we also discuss the efficiency of a new Pooled Cohort Equation and other calculators in the general and RA population.
- Subjects
CARDIOVASCULAR diseases risk factors; INFLAMMATION; RHEUMATOID arthritis
- Publication
Rheumatology / Reumatologia, 2016, Vol 54, Issue 3, p128
- ISSN
0034-6233
- Publication type
Case Study
- DOI
10.5114/reum.2016.61214