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- Title
Management of Cardiovascular Disease Risk in Rheumatoid Arthritis.
- Authors
Johnson, Tate M.; Mikuls, Ted R.; England, Bryant R.
- Abstract
Objective: Jo review the management of traditional and nontraditional CVD cardiovascular disease risk factors in rheumatoid arthritis (RA). Methods: Literature review of the management of CVD risk in RA. Results: Because of the increased risk of CVD events and CVD mortality among RA patients, aggressive management of CVD risk is essential. Providers should follow national guidelines for the management of traditional CVD risk factors, including dyslipidemia, hypertension, and diabetes meliitus. Similar efforts are needed in counseling on lifestyle modifications, including smoking cessation, regular exercise, and maintaining a healthy body weight. Because higher RA disease activity is also linked with CVD risk, aggressive treatment of RA to a target of low disease activity or remission is critical. Furthermore, the selection of potentially "cardioprotective" agents such as methotrexate and tumor necrosis factor inhibitors, while limiting use of nonsteroidal anti-inflammatory drugs and glucocorticoids, are strategies that could be employed by rheumatologists to help mitigate CVD risk in their patients with RA. Conclusion: Routine assessment of CVD risk, management of traditional CVD risk factors, counseling on healthy lifestyle habits, and aggressive treatment of RA are essential to minimize CVD risk in this population.
- Subjects
THERAPEUTIC use of glucocorticoids; METHOTREXATE; NONSTEROIDAL anti-inflammatory agents; CHLOROQUINE; ANTIRHEUMATIC agents; CARDIOVASCULAR diseases risk factors; DIABETES; DIET; HYPERLIPIDEMIA; HYPERTENSION; OBESITY; RHEUMATOID arthritis; RISK assessment; SMOKING; TUMOR necrosis factors; WEIGHT loss; DISEASE management; PHYSICAL activity; CHEMICAL inhibitors; THERAPEUTICS
- Publication
Journal of Clinical Outcomes Management, 2019, Vol 26, Issue 2, p79
- ISSN
1079-6533
- Publication type
Article